Rho Jeong Ho, Yoon Chung Dae, Kim Gahee, Kang Hee Yong
Spine and Pain Center, Okcheon St. Mary's Hospital, Okcheon, South Korea.
Department of Radiology, Okcheon St. Mary's Hospital, Okcheon, South Korea.
Pain Pract. 2023 Jan;23(1):123-126. doi: 10.1111/papr.13133. Epub 2022 Jun 6.
Lumbar spinal stenosis is a common degenerative disease that causes low back and lower-extremity pain that increases with age. The treatment of lumbar spinal stenosis is either conservative or surgical. ESI is a commonly performed conservative treatment, but evidence of its effectiveness in lumbar spinal stenosis is limited.
We encountered the three patients with back pain and claudication due to lumbar spinal stenosis, which could not be controlled by conservative therapy including ESIs. Trimacinolone acetonide was injected into the patients' ligamentum flavum. All patients experienced dramatic improvement in their symptoms.
Trimacinolone acetonide injection into the ligamentum flavum may be effective for lumbar spinal stenosis that does not improve with ESIs.
腰椎管狭窄症是一种常见的退行性疾病，会导致腰背部及下肢疼痛，且疼痛会随年龄增长而加剧。腰椎管狭窄症的治疗方法分为保守治疗和手术治疗。硬膜外类固醇注射（ESI）是一种常用的保守治疗方法，但其对腰椎管狭窄症有效性的证据有限。
我们遇到了3例因腰椎管狭窄症导致背痛和间歇性跛行的患者，包括硬膜外类固醇注射在内的保守治疗均无法控制其症状。将曲安奈德注射到患者的黄韧带中。所有患者的症状均有显著改善。
向黄韧带注射曲安奈德可能对经硬膜外类固醇注射治疗无效的腰椎管狭窄症有效。
