수술실패 증후군 (FBSS)의 예방적 처치로 수술중 척추 후관절강내 차단술의 유용성

Abstract

Objective : To goal of this study was to establish the effectiveness and short-term clinical effect by facet joint block combined with surgical treatment of lumbar stenosis or herniated intervertebral disc.

Materials and Methods : A retrospective analysis was based on the data obtained from 54 patient's with surgical treatment of herniated intervertebral disc or stenosis, who visited our hospital between March 2010 and August 2010. Pain relief was evaluated at 2 weeks, 1 month and 3 months. The authors analyzed the results of facet joint block according to the patient's gender, age, symptom, surgical level and presence of low back pain. We measured the effects of treatment by VAS.

Results : The study group was composed of 30 men and 24 women, with mean age of 51.7 years. Fifty four patients had spinal stenosis (23), herniated intervertebral disc (21), combined stenosis and herniated intervertebral disc (7), recurred herniated disc (3). There was no difference in postoperative visual analogue scale (VAS) within 2 weeks, however VAS showed significant difference between groups after 1 month. No statisically significant difference turned out to exist the results between 36 patients which facet joint block with surgical operation and 18 patients which processed failed back surgery syndrome.

Conclusion : The treatment using facet joint block with lumbar surgical operation seems to have short term clinical effects, however can't prevent processing of failed back surgery syndrome.