后带复合炎症综合征的最佳诊断和干预治疗
Bunty Shah1, Yakov Vorobeychik1
1Department of Anesthesiology and Perioperative Medicine, Penn State M.S. Hershey Medical Center, 500 University Dr. Hershey, PA, 17033, USA.
后带复杂炎症综合征 (PLCIS) 导致慢性腰部疼痛. 将类固醇注射到顺序间脊柱囊中有效地治疗了患有PLCIS的患者,提供了80%以上的疼痛缓解.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 疼痛管理 疼痛管理
- 放射学 放射学是指放射学
背景情况:
- 后带复杂炎症综合征 (PLCIS) 是慢性轴向腰部疼痛的潜在原因.
- 核磁共振可以识别后部带复合体的炎症变化,通过Okada的空间连接.
- 对PLCIS有效的干预治疗方法在很大程度上仍未确立.
研究的目的:
- 描述一种持续的轴向腰部疼痛病例,对传统治疗没有反应.
- 调查针对性类固醇注射治疗疑似PLCIS的潜力.
主要方法:
- 一名患有难治性轴性腰痛的患者接受了SPECT扫描,揭示了面部关节和脊间带的吸收.
- 诊断的中间分支块是负的,导致怀疑PLCIS.
- 将对比剂注入L4-L5间脊椎突起突起中,证实了与Okada空间和面部关节的沟通.
主要成果:
- 在对比注射后,将类固醇注射到L4-L5间脊椎冒险囊中.
- 患者在五周的随访中报告了超过80%的疼痛缓解.
结论:
- SPECT扫描可能有助于诊断PLCIS,特别是在阴性中间分支阻塞的患者中.
- 诸如巴斯特鲁普病或帕尔斯缺陷等疾病可能会使个人易患PLCIS.
- 类固醇注射到偶然间脊突囊中似乎是PLCIS的有效治疗方法.
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