A Comparative Study of Endoscopic versus Percutaneous Epidural Neuroplasty in Lower Back Pain: Outcomes at Six-Month Follow Up

Jong Bum Choi; Jae Chul Koh; Daehyun Jo; Jae Hyung Kim; Won Sok Chang; Kang Taek Lim; Hyung Gon Lee; Ho Sik Moon; Eunsoo Kim; Sun Yeul Lee; Kibeom Park; Yi Hwa Choi; Sang Jun Park; Jinyoung Oh; Sook Young Lee; Bumhee Park; Eun Kyung Jun; Yeong Seung Ko; Ji Su Kim; Eunji Ha; Tae Kwang Kim; Gyu Bin Choi; Ra Yoon Cho; Na Eun Kim

doi:10.3390/medicina60050839

Medicina (May 2024)

A Comparative Study of Endoscopic versus Percutaneous Epidural Neuroplasty in Lower Back Pain: Outcomes at Six-Month Follow Up

Jong Bum Choi,
Jae Chul Koh,
Daehyun Jo,
Jae Hyung Kim,
Won Sok Chang,
Kang Taek Lim,
Hyung Gon Lee,
Ho Sik Moon,
Eunsoo Kim,
Sun Yeul Lee,
Kibeom Park,
Yi Hwa Choi,
Sang Jun Park,
Jinyoung Oh,
Sook Young Lee,
Bumhee Park,
Eun Kyung Jun,
Yeong Seung Ko,
Ji Su Kim,
Eunji Ha,
Tae Kwang Kim,
Gyu Bin Choi,
Ra Yoon Cho,
Na Eun Kim

Affiliations

Jong Bum Choi: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Jae Chul Koh: Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Korea University Anam Hospital, Seoul 02841, Republic of Korea
Daehyun Jo: Jodaehyun Pain Center, Jeonju 55149, Republic of Korea
Jae Hyung Kim: Department of Anesthesiology and Pain Medicine, Hallym University School of Medicine, Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea
Won Sok Chang: Department of Anesthesiology and Pain Medicine, Chungdam Wooridul Spine Hospital, Seoul 06068, Republic of Korea
Kang Taek Lim: Department of Neurosurgery, AIN Hospital, Incheon 22148, Republic of Korea
Hyung Gon Lee: Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju 61469, Republic of Korea
Ho Sik Moon: Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea
Eunsoo Kim: Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan 50612, Republic of Korea
Sun Yeul Lee: Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Chungnam National University Hospital, Daejeon 35015, Republic of Korea
Kibeom Park: Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Hospital, Daegu 42601, Republic of Korea
Yi Hwa Choi: Department of Anesthesiology and Pain Medicine, Hallym University School of Medicine, Hallym University Sacred Heart Hospital, Anyang 14068, Republic of Korea
Sang Jun Park: Department of Anesthesiology and Pain Medicine, Yonsei University School of Medicine, Severance Hospital, Seoul 03722, Republic of Korea
Jinyoung Oh: Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine, Kyungpook National University Chilgok Hospital, Daegu 41944, Republic of Korea
Sook Young Lee: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Bumhee Park: Department of Biomedical Informatics, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Eun Kyung Jun: Department of Anesthesiology and Pain Medicine, Ajou University Graduate School of Medicine, Suwon 16499, Republic of Korea
Yeong Seung Ko: Department of Anesthesiology and Pain Medicine, Inha University School of Medicine, Incheon 22332, Republic of Korea
Ji Su Kim: Office of Biostatistics, Medical Research Collaborating Center, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon 16499, Republic of Korea
Eunji Ha: Department of Anesthesiology and Pain Medicine, Beomeo First Orthopedic Clinic, Daegu 42087, Republic of Korea
Tae Kwang Kim: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Gyu Bin Choi: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Ra Yoon Cho: Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, Republic of Korea
Na Eun Kim: Department of Anesthesiology and Pain Medicine, Inha University School of Medicine, Incheon 22332, Republic of Korea

DOI: https://doi.org/10.3390/medicina60050839
Journal volume & issue: Vol. 60, no. 5
p. 839

Abstract

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Background and Objectives: Endoscopic epidural neuroplasty (EEN) facilitates adhesiolysis through direct epiduroscopic visualization, offering more precise neural decompression than that exhibited by percutaneous epidural neuroplasty (PEN). We aimed to compare the effects of EEN and PEN for 6 months after treatment with lower back and radicular pain in patients. Methods: This retrospective study compared the visual analog scale (VAS) and Oswestry disability index (ODI) scores in patients with low back and radicular pain who underwent EEN or PEN with a steering catheter. The medical records of 107 patients were analyzed, with 73 and 34 undergoing EEN and PEN, respectively. Results: The VAS and ODI scores decreased at all time points after EEN and PEN. VAS and ODI scores decreased more in the EEN group than those in the PEN group at 1 day and 1- and 6-months post-procedure, indicating superior pain relief for both lower back and radicular pain through EEN. Conclusions: EEN is a superior treatment of pain control than PEN in lower back and radicular pain patients.

Published in Medicina

ISSN: 1010-660X (Print); 1648-9144 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Medicine (General)
Website: https://www.mdpi.com/journal/medicina

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