만성 디스크성 요통에서 교통지 ( Rami Communicans Nerve ) 의 고주파 열응고술

Background : Chronic discogenic pain is commonly intractable to various conservative treatments and anatomic correction through operation. Nowadays, a radiofrequency thermocoagualation technique applying the pathophysiologic mechanism that cause discogenic pain and the pathways of transmission of di...

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Published in:	Korean journal of anesthesiology Vol. 42; no. 1; pp. 83 - 88
Main Authors:	오완수, Wan Soo Oh, 노완호, Wan Ho Roh, 황준구, Jun Gu Hwang, 김광민, Kwang Min Kim, 정승원, Seung Won Jung, 김현수, Hyun Soo Kim, 이상철, Sang Chul Lee
Format:	Journal Article
Language:	Korean
Published:	대한마취통증의학회(구 대한마취과학회) 01-01-2002 대한마취통증의학회
Subjects:	Discogenic pain radiofrequency neurotomy ramus communicans nerve 마취과학
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Summary:	Background : Chronic discogenic pain is commonly intractable to various conservative treatments and anatomic correction through operation. Nowadays, a radiofrequency thermocoagualation technique applying the pathophysiologic mechanism that cause discogenic pain and the pathways of transmission of discogenic pain have been successfully tried. This study was performed to evaluate the efficacy of radiofrequecy thermocoagulation of the ramus communicans nerve in patients who suffered from intractable discogenic pain even after intradiscal electrotermal therapy. Methods : The authors evaluated 13 cases in which radiofrequency thermocoagulation of the ramus communicans nerve was used for patients suffering from chronic discogenic pain even after intradiscal electrothermotherapy. Ten weeks after the procedure, we compared VAS scores of the pre-procedure and post-procedure state. Results : Fifty-four percent of patients had an excellent decrease in the VAS score (VAS < 3). One patient complained of a mild motor weakness of the lower extremity but recovered completely by postoperative day 26. Conclusions : In the cases of intractable chronic discogenic pain, it is valuable to perform a rhizotomy of the ramus communicans nerve with radiofreqrency. (Korean J Anesthesiol 2002; 42: 83~88)
Bibliography:	The Korean Society of Anesthesiologists G704-000679.2002.42.1.011
ISSN:	2005-6419 2005-7563