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Caudal Epidural Injection with a Catheter in Patients with Failure of Conventional Epidural Blocks

Ahn TK, Yang JS, Kim TH, Kim MW, Shin DE

STUDY DESIGN: Retrospective study. OBJECTIVES: The purpose of this study was to analyze and report the results of caudal epidural injections using a catheter in patients in whom conventional epidural block...
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Effectiveness of continuous hypertonic saline infusion with an automated infusion pump for decompressive neuroplasty: a randomized clinical trial

Lee HJ, Lee J, Park YW, Gil HY, Choi E, Nahm FS, Lee PB

BACKGROUND: Hypertonic saline (HS) injections for decompressive neuroplasty (DN) can cause pain. We assessed whether a continuous infusion of HS through an infusion pump would reduce injection-related pain compared with...
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Preganglionic Epidural Steroid Injection through Translateral Recess Approach

Hwang SM, Son IS, Yang PJ, Kang MS

The approach we suggest was developed for cases in which the fourth and fifth lumbar and first sacral spinal nerves were affected in lumbar degenerative disc disease. Retrodiscal transforaminal epidural...
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Oxygen supplementation via high-flow nasal cannula is an effective treatment for pneumocephalus

Lee DS, Cha JK, Lee DH, Byun KS, Jeong JH

BACKGROUND: Oxygen supplementation through a high-flow nasal cannula (HFNC) is a powerful technique that promotes the absorption of air by delivering high concentrations of oxygen to patients who are not...
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Quantitative assessment of steroid amount in the tissue after epidural steroid injection: a new rabbit model

Cho J, Lee JW, Lee E, Kang Y, Cho HR, Kim DY, Ho MJ, Kang MJ, Choi YS

BACKGROUND: To develop a rabbit epidural steroid injection (ESI) model for analyzing steroid retention in the tissue, and to assess the difference in steroid retention in the model according to...
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Effect of needle type on intravascular injection in transforaminal epidural injection: a meta-analysis

Kim JY, Kim SN, Park C, Lim HY, Kim JH

BACKGROUND: Lumbosacral transforaminal epidural injection (TFEI) is an effective treatment for spinal disease. However, TFEI may have several types of complications, some of which can be attributed to intravascular injection....
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Comparison of Postoperative Pain Control Methods in Patients with Spinal Stenosis after Posterior Spinal Decompression

Song WS, Lee YS, Park BH, Kim JM, Byun CW

STUDY DESIGN: Prospective study. OBJECTIVES: This study compared the early postoperative analgesic effects and the postoperative nausea and vomiting (PONV) associated with 3 methods of pain control after posterior spinal decompression. SUMMARY...
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Comparison of patient-controlled epidural analgesia with patient-controlled intravenous analgesia for laparoscopic radical prostatectomy

Hwang BY, Kwon JY, Jeon SE, Kim ES, Kim HJ, Lee HJ, An J

BACKGROUND: Patient-controlled epidural analgesia (PCEA) is known to provide good postoperative analgesia in many types of surgery including laparoscopic surgery. However, no study has compared PCEA with patient-controlled intravascular analgesia...
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Spinal epiduroscopy as an educational tool

Choi YK

No abstract available.
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Preliminary study on contrast flow analysis of thoracic transforaminal epidural block

Hong JH, Noh KM, Park KB

BACKGROUND: The thoracic transforaminal epidural block (TTFEB) is usually performed to treat herpes zoster or postherpetic neuralgia (PHN). Especially, multiple segmental involvements and approximate contrast medium spread range, according to...
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Case of Polymyalgia Rheumatica Misdiagnosed as Infectious Spondylitis

Yoo KE, Nam SW, Kwon HH, Lee S, Jun JB, Sung YK, Cho SK

A 60-year-old woman visited the authors' clinic with low back pain and arthralgia. Her symptoms had occurred 6 months previously, and she was treated with an epidural injection and a...
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Comparison of effectiveness for fluoroscopic cervical interlaminar epidural injections with or without steroid in cervical post-surgery syndrome

Manchikanti L, Malla Y, Cash KA, Pampati V, Hirsch JA

BACKGROUND: Neck and back pain are leading sources of disability placing substantial burden on health care systems. Surgical interventions in managing chronic neck pain secondary to various disorders continue to...
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Serratia marcescens Spinal Epidural Abscess Following Caudal Epidural Injection

Yu CE, Choi BY, Kim KT, Park YC

Spinal infection due to Serratia marcescens is very rare. A 78-year-old male patient withoutany risk factor was admitted to our hospital with chief complaints of severe back pain, fever, weakness...
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The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?

Naidoo K, Alazzawi S, Montgomery A

BACKGROUND: We investigated the value of using contrast as an additional aid to confirm the accuracy of needle placement for caudal epidural injections under intraoperative image intensifier guidance. METHODS: A total...
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Contrast Spread in the Superoposterior Approach of Transforaminal Epidural Steroid Injections for Lumbosacral Radiculopathy

Jeong YC, Lee CH, Kang S, Yoon JS

OBJECTIVE: To observe the contrast spread in superoposterior transforaminal epidural steroid injection (SP TFESI) and investigate the correlation between spread patterns and efficacy. METHODS: Thirty-one patients with lumbosacral radiculopathy underwent single-level...
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Comparison of Dexmedetomidine and Fentanyl as an Adjuvant to Ropivacaine for Postoperative Epidural Analgesia in Pediatric Orthopedic Surgery

Park SJ, Shin S, Kim SH, Kim HW, Kim SH, Do HY, Choi YS

PURPOSE: Opioids are commonly used as an epidural adjuvant to local anesthetics, but are associated with potentially serious side effects, such as respiratory depression. The aim of this study was...
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Epidural Lymphoma Mimicking Hematoma: A Case Report

Lee DY, Jeong ST, Kim KT, Yang JW, Kim DH

STUDY DESIGN: Case report. OBJECTIVES: To present a rare case of a spinal epidural lymphoma mimicking a hematoma. SUMMARY OF LITERATURE REVIEW: The incidence of extranodal invasion of lymphoma is very low,...
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Preemptive Caudal Ropivacaine: An Effective Analgesic during Degenerative Lumbar Spine Surgery

Kumar S, Palaniappan JM, Kishan A

STUDY DESIGN: This was a prospective, randomized, controlled trial comprising 60 patients undergoing lumbosacral spine (noninstrumentation/nonfusion) surgery. PURPOSE: The purpose of this study was to evaluate the efficacy of 0.2% ropivacaine...
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Ultrasonography Evaluation of Vulnerable Vessels Around Cervical Nerve Roots During Selective Cervical Nerve Root Block

Lee HH, Park D, Oh Y, Ryu JS

OBJECTIVE: To evaluate the prevalence of vulnerable blood vessels around cervical nerve roots before cervical nerve root block in the clinical setting. METHODS: This retrospective study included 74 patients with cervical...
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Impact of Position on Efficacy of Caudal Epidural Injection for Low Back Pain and Radicular Leg Pain Due to Central Spinal Stenosis and Lumbar Disc Hernia

Altun I, Yuksel KZ

OBJECTIVE: This study was performed to evaluate and compare the efficacies of caudal epidural injections performed at prone and lateral decubitus positions. METHODS: A total of 120 patients suffering from low...
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