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Management of Patients with L2 Spinal Nerve Root Block Who Are Suffering from Low Back and Referred Pain

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(1), pp.8-14
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

안동기 1 이송 1 김태우 1 홍성원 1 정우식 1

1서울성심병원 정형외과

Accredited

ABSTRACT

Study Design: Prospective clinical study. Objectives:The aim of the study was to verify the effectiveness of L2 spinal nerve root block for patients who are suffering from lowback pain and referred pain with compound causes. Summary of Literature Review: Most of low back pain and referred pain arises from discs, facet joints and sacroiliac joints. Allstructures above have the pain perception pathway through sympathetic nerves with a connection to L2 spinal nerves. Materials and Methods: We selected patients with low back pain and referred pain for more than 2 weeks. Each 50 patients wererandomly allocated to an experimental and a control group.The experimental group underwent a L2 spinal nerve root block with 2cc of0.25% bupibacaine at the symptom dominant side. The control group underwent a skin infiltration with 2cc of 2% lidocaine only. Thepain was assessed with a visual analogue scale (VAS) consisting of 100 points at 5minutes, day 1, day 3, day 5, day 7 and day 30 postprocedure. Results: Both groups showed a significant improvement after the procedures(p=0.000). However, a greater improvement wasshown in the experimental group(p=0.000). In the individual analysis, the experimental group had improved as time elapsed and thesignificancewas maintained until 30 days. However, in control group, the significance was lost at day 30. Conclusion: L2 spinal nerve root block is recognized to reduce the low back and referred pains which arise from compound causes in adegenerative spinal disease.

Citation status

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