ISSN: 1449-1907International Journal of Medical Sciences
Global reach, higher impact
Int J Med Sci 2022; 19(6):1029-1035. doi:10.7150/ijms.72272 This issue Cite
Research Paper
Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul 06273, Republic of Korea.
2. Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Citation:
Kim JY, Kim DH, Han DW, Kim YC, Lee JY, Park YK, Park HJ. Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study. Int J Med Sci 2022; 19(6):1029-1035. doi:10.7150/ijms.72272. https://www.medsci.org/v19p1029.htm
Other stylesAbstract
Adhesiolysis is minimally invasive and commonly used for pain associated with adhesion after lumbar spine surgery. Caudal epidural block may be used for radiating pain due to failed back surgery syndrome. We evaluated the predictive value of response to caudal block performed prior to adhesiolysis in failed back surgery syndrome. Between January 1, 2013 and June 30, 2020, 150 patients with failed back surgery syndrome were treated with adhesiolysis using a steerable catheter at the pain clinic of a tertiary hospital after failed conservative treatment (including caudal block). Patient demographics, pain duration, and lumbar magnetic resonance imaging findings were examined. Response to previous caudal block was determined as a binary result (yes or no). Patients were followed up 3 months after adhesiolysis. Successful outcome was defined as a ≥2-point reduction in the numeric rating scale scores for radicular pain 3 months after adhesiolysis, evident in 81/150 (46%) patients. Multivariable logistic regression analysis revealed that caudal block response was an independent predictor of successful adhesiolysis (odds ratio = 4.403; p = 0.015). Response to prior caudal block is a positive predictor of successful adhesiolysis.
Keywords: Adhesiolysis, Lumbar Failed Back Surgery Syndrome, Post-laminectomy Syndrome
Citation styles
APA
Kim, J.Y., Kim, D.H., Han, D.W., Kim, Y.C., Lee, J.Y., Park, Y.K., Park, H.J. (2022). Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study. International Journal of Medical Sciences, 19(6), 1029-1035. https://doi.org/10.7150/ijms.72272.
ACS
Kim, J.Y.; Kim, D.H.; Han, D.W.; Kim, Y.C.; Lee, J.Y.; Park, Y.K.; Park, H.J. Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study. Int. J. Med. Sci. 2022, 19 (6), 1029-1035. DOI: 10.7150/ijms.72272.
NLM
Kim JY, Kim DH, Han DW, Kim YC, Lee JY, Park YK, Park HJ. Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study. Int J Med Sci 2022; 19(6):1029-1035. doi:10.7150/ijms.72272. https://www.medsci.org/v19p1029.htm
CSE
Kim JY, Kim DH, Han DW, Kim YC, Lee JY, Park YK, Park HJ. 2022. Effect of Previous Caudal Block to Predict Successful Outcome after Adhesiolysis using a Steerable Catheter in Lumbar Failed Back Surgery Syndrome: A Retrospective Study. Int J Med Sci. 19(6):1029-1035.
This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). See http://ivyspring.com/terms for full terms and conditions.