ôÃßÅëÁõÀÇ ºñ¼ö¼ú ÁßÀçÀû Ä¡·á
Nonoperative interventions for spinal pain
´ëÇÑÀÇ»çÇùȸÁö 2014³â 57±Ç 4È£ p.308 ~ p.317
½Åµ¿¾Æ(Shin Dong-Ah) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ½ÅÃ̼¼ºê¶õ½ºº´¿ø ½Å°æ¿Ü°úÇб³½Ç
±èÇüÀÏ(Kim Hyoung-Ihl) - ±¤ÁÖ°úÇбâ¼ú¿ø ÀÇ·á½Ã½ºÅÛ°øÇаú
Abstract
Spinal pain is a common symptom that motivates visiting a physician. However, the natural course is usually benign and few patients need invasive treatment. Even though history taking, neurological examination, and imaging studies provide useful information for understanding the etiology of spinal pain, the pain chart is the most important tool for decision making regarding spinal interventions. Invasive treatments for chronic spinal pain refractory to conservative management include surgery as well as established interventions such as medial branch blocks, nerve root blocks, the sacroiliac joint block, and radiofrequency neurotomy, as well as emerging procedures such as pressure-controlled discography and percutaneous epidural adhesiolysis. Surgery should be considered for patients with a progressive neurologic deficit including significant radiculopathy, failure of spinal interventions, or an uncertain or serious diagnosis.
Å°¿öµå
Pain management, Spine, Injections, Review
KMID :
0614720140570040308
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)