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Article

Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study

by
Jun-Young Park
1,†,
Gyu Yeul Ji
2,†,
Sang Won Lee
3,
Jin Kyu Park
4,
Dongwon Ha
3,‡,
Youngmok Park
3,‡,
Seong-Sik Cho
5,
Sang Ho Moon
6,
Jin-Woo Shin
1,
Dong Joon Kim
1,
Dong Ah Shin
7,* and
Seong-Soo Choi
1,*
1
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea
2
Department of Neurosurgery, Spine and Joint Research Institute, Guro Cham Teun Teun Hospital, Seoul 08392, Korea
3
Department of Neurosurgery, Yonsei Barun Hospital, Seoul 07013, Korea
4
Department of Neurosurgery, Himchan Hospital, Bupyeong 21399, Korea
5
Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University, Busan 49201, Korea
6
Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital, Seoul 02488, Korea
7
Department of Neurosurgery, Spine and Spinal Cord Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this project.
‡
These authors are now with the Yonsei TheBaro Clinic, Seoul, Korea.
J. Clin. Med. 2019, 8(5), 606; https://doi.org/10.3390/jcm8050606
Submission received: 5 April 2019 / Accepted: 28 April 2019 / Published: 3 May 2019
(This article belongs to the Section Anesthesiology)
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Abstract

Combined balloon decompression and epidural adhesiolysis has been reported to be effective in refractory lumbar spinal stenosis. Many cases of intractable stenosis have symptom-related multiple target sites for interventional treatment. In this situation it may not be possible to perform balloon adhesiolysis, or even only epidural adhesiolysis, for all target sites. Therefore, this multicenter prospective observational study aimed to evaluate the relationship of successful ballooning rate for multiple target sites with clinical outcome. Based on the ballooning success rate of multiple target sites, the patients were divided into three groups: below 50%, 50–85%, and above 85% ballooning. A greater ballooning success rate for multiple target sites provided a more decreased pain intensity and improved functional status in patients with chronic refractory lumbar spinal stenosis, and the improvement was maintained for 6 months. The estimated proportions of successful responders according to a multidimensional approach in the below 50%, 50–85%, and above 85% balloon success groups at 6 months after the procedure were 0.292, 0.468, and 0.507, respectively (p = 0.038). Our study suggests the more successful balloon adhesiolysis procedures for multiple target lesions are performed, the better clinical outcome can be expected at least 6 months after treatment.
Keywords: low back pain; lumbar radicular pain; lumbar spinal stenosis; balloon decompression; ZiNeu catheter; epidural adhesiolysis low back pain; lumbar radicular pain; lumbar spinal stenosis; balloon decompression; ZiNeu catheter; epidural adhesiolysis

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MDPI and ACS Style

Park, J.-Y.; Ji, G.Y.; Lee, S.W.; Park, J.K.; Ha, D.; Park, Y.; Cho, S.-S.; Moon, S.H.; Shin, J.-W.; Kim, D.J.; et al. Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study. J. Clin. Med. 2019, 8, 606. https://doi.org/10.3390/jcm8050606

AMA Style

Park J-Y, Ji GY, Lee SW, Park JK, Ha D, Park Y, Cho S-S, Moon SH, Shin J-W, Kim DJ, et al. Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study. Journal of Clinical Medicine. 2019; 8(5):606. https://doi.org/10.3390/jcm8050606

Chicago/Turabian Style

Park, Jun-Young, Gyu Yeul Ji, Sang Won Lee, Jin Kyu Park, Dongwon Ha, Youngmok Park, Seong-Sik Cho, Sang Ho Moon, Jin-Woo Shin, Dong Joon Kim, and et al. 2019. "Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study" Journal of Clinical Medicine 8, no. 5: 606. https://doi.org/10.3390/jcm8050606

APA Style

Park, J.-Y., Ji, G. Y., Lee, S. W., Park, J. K., Ha, D., Park, Y., Cho, S.-S., Moon, S. H., Shin, J.-W., Kim, D. J., Shin, D. A., & Choi, S.-S. (2019). Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study. Journal of Clinical Medicine, 8(5), 606. https://doi.org/10.3390/jcm8050606

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