한국보건의료연구원의 보고서에 대한 반박을 기반으로 한 척추 질환에서 경막외 스테로이드 주사의 근거 고찰

Abstract

Epidural steroid injection (ESI) may be the most widely usedinterventional procedure in the management of low back pain (LBP). Its use has been supported by more than 45 placebo-controlledstudies and dozens of systematic reviews. However the report PainReduction Efficacy of Injection Therapy in Chronic LBP by theNational Evidence-Based Collaborating Agency (NECA) in 2010 isseen to have mis-concluded that ESI is not effective in themanagement of chronic LBP. The NECA report contains variousdescriptive and statistical errors. In this review, we have attemptedto correct the errors in the NECA report. We also inform the rationaleand evidence of ESI by the review of recent meta-analysis and workto inspire a proper use of ESI in the Republic of Korea.