Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/18829
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dc.contributor.authorPloumis, A.en
dc.contributor.authorTransfeldt, E. E.en
dc.contributor.authorGilbert, T. J.en
dc.contributor.authorMehbod, A. A.en
dc.contributor.authorPinto, M. R.en
dc.contributor.authorDenis, F.en
dc.date.accessioned2015-11-24T18:55:12Z-
dc.date.available2015-11-24T18:55:12Z-
dc.identifier.issn1526-4637-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18829-
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAnti-Inflammatory Agents/administration & dosage/*therapeutic useen
dc.subjectFemaleen
dc.subjectFluoroscopyen
dc.subjectHumansen
dc.subjectMagnetic Resonance Imagingen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPain Measurementen
dc.subjectRadiculopathy/*drug therapy/*etiology/pathologyen
dc.subjectRetrospective Studiesen
dc.subjectScoliosis/*complications/pathologyen
dc.subject*Spinal Nerve Roots/radiographyen
dc.subjectSpinal Stenosis/*drug therapy/*etiologyen
dc.subjectSteroids/administration & dosage/*therapeutic useen
dc.subjectTreatment Outcomeen
dc.titleRadiculopathy in degenerative lumbar scoliosis: correlation of stenosis with relief from selective nerve root steroid injectionsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1111/j.1526-4637.2010.01000.x-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21087400-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1111/j.1526-4637.2010.01000.x/asset/j.1526-4637.2010.01000.x.pdf?v=1&t=h0nyj62k&s=3f9a8e92a7f5f237349648c028b6df5150cc3efc-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2011-
heal.abstractOBJECTIVE: The purpose is to define the origin of radiculopathy of patients with degenerative lumbar scoliosis-stenosis and to assess the correlation between percentage of initial radicular leg pain relief with selective nerve root injections and lateral canal dimensions. DESIGN: Retrospective clinical study. SETTING AND PATIENTS: Thirty-six consecutive patients (average age 72) from Twin Cities Spine Center with degenerative lumbar scoliosis (average major curve 25 degrees ) and radicular symptoms were studied. INTERVENTIONS: Patients underwent 46 selective steroid injections of nerve roots concordant with clinical symptomatology. OUTCOME MEASURES: Radiographic measurements included major and lumbosacral curve Cobb angle. Computerized measurements of magnetic resonance imaging (MRI) included minimum subarticular height and foramen cross-sectional area of the nerve roots that were injected. Initial response from the nerve root injections was also rated. RESULTS: Twenty-five percent of nerve root symptoms were coming from the major curve, 72.2% from the lumbosacral hemicurve and 2.8% from both (P<0.001). The affected nerve roots were more frequently the L4 (34.8%) and L5 (28.3%) nerve roots. A total of 71.7% of radicular symptoms were originating from the concavity of the curve and 28.7% from the convexity (P<0.001). The relief from injections was more than 50% in 75% of the patients at 15 days postinjection. There was no statistical significant correlation (P>0.05) between the lateral canal dimensions and the initial response to injection of anesthetic plus steroid injection. CONCLUSIONS: In degenerative lumbar scoliotic curves, radicular symptoms are attributed mainly to nerve roots exiting from the concavity of the lumbosacral hemicurve. No evidence was found that the rate of initial relief from selective nerve root injections correlates with the degree of stenosis noted in the MRI.en
heal.journalNamePain Meden
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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