KMID : 1103720150720040263
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Journal of the Korean Society of Radiology 2015 Volume.72 No. 4 p.263 ~ p.270
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Short-Term Outcome of Fluoroscopic-Guided Steroid Injection Therapy of Lumbar Facet Cyst-Induced Radicular Pain
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Kwon Mi-Ri
Kwon Jong-Won Lee Chong-Suh Kim Eun-Sang
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Abstract
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Purpose: To determine the short-term effect of fluoroscopic-guided steroid injection therapy of lumbar facet cyst-induced radicular pain.
Materials and Methods: Seventeen patients with radiculopathy due to lumbar synovial cysts, who were treated with fluoroscopically guided injection, were retrospectively evaluated. All plain radiographic images and MR images before the therapy were reviewed. Five patients underwent only the facet joint injection, whereas twelve patients underwent the facet joint injection with perineural injection therapy. The clinical course of pain was evaluated on the first follow-up after therapy.
Results: Effective pain relief was achieved in 11 (64.7%) of the 17 patients. Among 12 patients who underwent facet joint injection with perineural injection, 9 patients (75%) had an effective pain relief. Of 5 patients, 2 (40%) patients only took the facet joint injection and had an effective pain relief.
Conclusion: Fluoroscopic-guided steroid injection therapy shows a good short-term effect in patients with symptomatic lumbar facet joint synovial cysts.
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KEYWORD
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Facet Joint, Steroid Injection, Fluoroscopy, Synovial Cyst
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