Injectate volumes needed to reach specific landmarks and contrast pattern in kambin's triangle approach with spinal stenosis
DC Field | Value | Language |
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dc.contributor.author | Park, K.D. | - |
dc.contributor.author | Lee, J.H. | - |
dc.contributor.author | Park, Y. | - |
dc.date.available | 2020-02-29T09:44:31Z | - |
dc.date.created | 2020-02-11 | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 2234-0645 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/17463 | - |
dc.description.abstract | Objective: To identify the volumes of contrast material needed to reach the specific landmarks and contrast pattern during Kambin's triangle approach (KB-A) in lumbar spinal stenosis. Method: Sixty patients undergoing KB-A were investigated. Fifty-six patients were included in this study. KB-A were performed with the use of contrast-enhanced fluoroscopic visualization. After confirming the appropriate spinal needle position, a slow injection of up to 5.0 ml of nonionic contrast material was carried out. Under intermittent fluoroscopic guidance, contrast volumes were recorded as flow reached specific anatomic landmarks: ipsilateral inferior or superior neural foramen. Results: After 2.0 ml of contrast was injected, 93.2% of KB-A cases spread to the medial aspect of the inferior pedicle of the corresponding level of injection and 86.3% of KB-A spread to the medial aspect of the superior pedicle of the corresponding level of injection. After 3 ml of contrast was injected, 95.3% of KB-A spread to cover both the medial aspect of the inferior pedicle and the superior pedicle of the corresponding level of injection. A volume of 2 ml of injectate reaches the anterior epidural space 100% of the time. Conclusion: This study demonstrates injectate volumes needed to reach the specific anatomic landmarks in KBA. A volume of 3.0 ml of injectate reaches both the medial aspect of theinferior pedicle and the superior pedicle 94.6% of the time. Therefore, Interventionalists may consider a 1-level instead of a 2-level injection for patients with a bleeding risk or for 2 level central pathology. © 2012 by Korean Academy of Rehabilitation Medicine. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.relation.isPartOf | Annals of Rehabilitation Medicine | - |
dc.title | Injectate volumes needed to reach specific landmarks and contrast pattern in kambin's triangle approach with spinal stenosis | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.doi | 10.5535/arm.2012.36.4.480 | - |
dc.identifier.bibliographicCitation | Annals of Rehabilitation Medicine, v.36, no.4, pp.480 - 487 | - |
dc.identifier.kciid | ART001689735 | - |
dc.identifier.scopusid | 2-s2.0-84867117225 | - |
dc.citation.endPage | 487 | - |
dc.citation.startPage | 480 | - |
dc.citation.title | Annals of Rehabilitation Medicine | - |
dc.citation.volume | 36 | - |
dc.citation.number | 4 | - |
dc.contributor.affiliatedAuthor | Park, K.D. | - |
dc.contributor.affiliatedAuthor | Lee, J.H. | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Contrast | - |
dc.subject.keywordAuthor | Lumbar injection | - |
dc.subject.keywordAuthor | Pattern | - |
dc.subject.keywordAuthor | Spinal stenosis | - |
dc.subject.keywordAuthor | Volume | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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