Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study
Post-laminectomy syndrome (PLS) is characterized by chronic pain and complex pathological entity after back surgery. An epidural adhesiolysis is considered an effective treatment option for lumbar PLS. In this study, we retrospectively analyzed the outcome and evaluated the predictive factors of com...
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| Veröffentlicht in: | Journal of clinical medicine 2020-04, Vol.9 (4), p.1144 |
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| creator | Oh, Yul Shin, Dong Ah Kim, Dong Joon Cho, Woojong Na, Taejun Leem, Jeong-Gil Shin, Jin-Woo Kim, Doo-Hwan Hahm, Kyung-Don Choi, Seong-Soo |
| description | Post-laminectomy syndrome (PLS) is characterized by chronic pain and complex pathological entity after back surgery. An epidural adhesiolysis is considered an effective treatment option for lumbar PLS. In this study, we retrospectively analyzed the outcome and evaluated the predictive factors of combined epidural adhesiolysis and balloon decompression using inflatable balloon catheters in lumbar PLS cases. One hundred and forty-seven subjects were retrospectively assessed and analyzed. The percentages of patients who exhibited treatment response were 32.0%, 24.5%, and 22.4% of the study population at 1, 3, and 6 months, respectively. In multivariate logistic regression analysis, the pain duration was independently associated with the treatment response six months after combined epidural adhesiolysis and balloon decompression (odds ratio = 0.985, 95% confidence interval = 0.971-0.999;
= 0.038). In addition, the receiver operating characteristic curve analysis showed that the area under the curve of pain duration after lumbar surgery was 0.680 (95% confidence interval = 0.597-0.754,
= 0.002), with an optimal cut-off value of ≤14 months, sensitivity of 51.5%, and specificity of 81.4% Our results suggest that an early intervention using combined epidural adhesiolysis and balloon decompression in lumbar PLS patients may be associated with a favorable outcome, even though it has limited effectiveness. |
| doi_str_mv | 10.3390/jcm9041144 |
| format | Article |
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= 0.038). In addition, the receiver operating characteristic curve analysis showed that the area under the curve of pain duration after lumbar surgery was 0.680 (95% confidence interval = 0.597-0.754,
= 0.002), with an optimal cut-off value of ≤14 months, sensitivity of 51.5%, and specificity of 81.4% Our results suggest that an early intervention using combined epidural adhesiolysis and balloon decompression in lumbar PLS patients may be associated with a favorable outcome, even though it has limited effectiveness.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm9041144</identifier><identifier>PMID: 32316281</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Back pain ; Back surgery ; Catheters ; Clinical medicine ; Epidural ; Patients ; Physical therapy ; Regression analysis</subject><ispartof>Journal of clinical medicine, 2020-04, Vol.9 (4), p.1144</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-8c9bb71c4f149a0a4e64511ce21c88db4845a114914b1f9e678a56c260da3d2c3</citedby><cites>FETCH-LOGICAL-c406t-8c9bb71c4f149a0a4e64511ce21c88db4845a114914b1f9e678a56c260da3d2c3</cites><orcidid>0000-0002-0423-3616 ; 0000-0002-2333-0235 ; 0000-0002-5225-4083</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230941/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230941/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32316281$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Yul</creatorcontrib><creatorcontrib>Shin, Dong Ah</creatorcontrib><creatorcontrib>Kim, Dong Joon</creatorcontrib><creatorcontrib>Cho, Woojong</creatorcontrib><creatorcontrib>Na, Taejun</creatorcontrib><creatorcontrib>Leem, Jeong-Gil</creatorcontrib><creatorcontrib>Shin, Jin-Woo</creatorcontrib><creatorcontrib>Kim, Doo-Hwan</creatorcontrib><creatorcontrib>Hahm, Kyung-Don</creatorcontrib><creatorcontrib>Choi, Seong-Soo</creatorcontrib><title>Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Post-laminectomy syndrome (PLS) is characterized by chronic pain and complex pathological entity after back surgery. An epidural adhesiolysis is considered an effective treatment option for lumbar PLS. In this study, we retrospectively analyzed the outcome and evaluated the predictive factors of combined epidural adhesiolysis and balloon decompression using inflatable balloon catheters in lumbar PLS cases. One hundred and forty-seven subjects were retrospectively assessed and analyzed. The percentages of patients who exhibited treatment response were 32.0%, 24.5%, and 22.4% of the study population at 1, 3, and 6 months, respectively. In multivariate logistic regression analysis, the pain duration was independently associated with the treatment response six months after combined epidural adhesiolysis and balloon decompression (odds ratio = 0.985, 95% confidence interval = 0.971-0.999;
= 0.038). In addition, the receiver operating characteristic curve analysis showed that the area under the curve of pain duration after lumbar surgery was 0.680 (95% confidence interval = 0.597-0.754,
= 0.002), with an optimal cut-off value of ≤14 months, sensitivity of 51.5%, and specificity of 81.4% Our results suggest that an early intervention using combined epidural adhesiolysis and balloon decompression in lumbar PLS patients may be associated with a favorable outcome, even though it has limited effectiveness.</description><subject>Back pain</subject><subject>Back surgery</subject><subject>Catheters</subject><subject>Clinical medicine</subject><subject>Epidural</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Regression analysis</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkd9qFTEQxoMottTe-AAS8EaE1fzb3cQL4bS0tnCgxep1yGaznhx2k2MmW9lX8KlNObXWzk0G8uObb-ZD6DUlHzhX5OPWTooISoV4hg4ZaduKcMmfP-oP0DHAlpSSUjDavkQHnHHaMEkP0e-zYXA2-1sXHACOAzahx-fG5pgArwCi9Sa7Hv_yeYNPzDjGGPCq3zjwcVzAA_YBX5vsXciwp9bz1JmEryPkam0mH8qAOC34Zgl9ipP7hFf4q8spwm4_Gt_kuV9eoReDGcEd379H6Pv52bfTi2p99eXydLWurCBNrqRVXddSKwYqlCFGuEbUlFrHqJWy74QUtSn3UFR0dFCuaaWpG8sa0hveM8uP0Oe97m7uJtfbYjyZUe-Sn0xadDRe__8T_Eb_iLe6ZZwoQYvAu3uBFH_ODrKePFg3jia4OINmXPG65YS0BX37BN3GOYWynmbNXWqKibpQ7_eULTeB5IYHM5Tou5T1v5QL_Oax_Qf0b6b8DytOpLM</recordid><startdate>20200416</startdate><enddate>20200416</enddate><creator>Oh, Yul</creator><creator>Shin, Dong Ah</creator><creator>Kim, Dong Joon</creator><creator>Cho, Woojong</creator><creator>Na, Taejun</creator><creator>Leem, Jeong-Gil</creator><creator>Shin, Jin-Woo</creator><creator>Kim, Doo-Hwan</creator><creator>Hahm, Kyung-Don</creator><creator>Choi, Seong-Soo</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0423-3616</orcidid><orcidid>https://orcid.org/0000-0002-2333-0235</orcidid><orcidid>https://orcid.org/0000-0002-5225-4083</orcidid></search><sort><creationdate>20200416</creationdate><title>Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study</title><author>Oh, Yul ; Shin, Dong Ah ; Kim, Dong Joon ; Cho, Woojong ; Na, Taejun ; Leem, Jeong-Gil ; Shin, Jin-Woo ; Kim, Doo-Hwan ; Hahm, Kyung-Don ; Choi, Seong-Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-8c9bb71c4f149a0a4e64511ce21c88db4845a114914b1f9e678a56c260da3d2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Back pain</topic><topic>Back surgery</topic><topic>Catheters</topic><topic>Clinical medicine</topic><topic>Epidural</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Regression analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Yul</creatorcontrib><creatorcontrib>Shin, Dong Ah</creatorcontrib><creatorcontrib>Kim, Dong Joon</creatorcontrib><creatorcontrib>Cho, Woojong</creatorcontrib><creatorcontrib>Na, Taejun</creatorcontrib><creatorcontrib>Leem, Jeong-Gil</creatorcontrib><creatorcontrib>Shin, Jin-Woo</creatorcontrib><creatorcontrib>Kim, Doo-Hwan</creatorcontrib><creatorcontrib>Hahm, Kyung-Don</creatorcontrib><creatorcontrib>Choi, Seong-Soo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Yul</au><au>Shin, Dong Ah</au><au>Kim, Dong Joon</au><au>Cho, Woojong</au><au>Na, Taejun</au><au>Leem, Jeong-Gil</au><au>Shin, Jin-Woo</au><au>Kim, Doo-Hwan</au><au>Hahm, Kyung-Don</au><au>Choi, Seong-Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2020-04-16</date><risdate>2020</risdate><volume>9</volume><issue>4</issue><spage>1144</spage><pages>1144-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Post-laminectomy syndrome (PLS) is characterized by chronic pain and complex pathological entity after back surgery. An epidural adhesiolysis is considered an effective treatment option for lumbar PLS. In this study, we retrospectively analyzed the outcome and evaluated the predictive factors of combined epidural adhesiolysis and balloon decompression using inflatable balloon catheters in lumbar PLS cases. One hundred and forty-seven subjects were retrospectively assessed and analyzed. The percentages of patients who exhibited treatment response were 32.0%, 24.5%, and 22.4% of the study population at 1, 3, and 6 months, respectively. In multivariate logistic regression analysis, the pain duration was independently associated with the treatment response six months after combined epidural adhesiolysis and balloon decompression (odds ratio = 0.985, 95% confidence interval = 0.971-0.999;
= 0.038). In addition, the receiver operating characteristic curve analysis showed that the area under the curve of pain duration after lumbar surgery was 0.680 (95% confidence interval = 0.597-0.754,
= 0.002), with an optimal cut-off value of ≤14 months, sensitivity of 51.5%, and specificity of 81.4% Our results suggest that an early intervention using combined epidural adhesiolysis and balloon decompression in lumbar PLS patients may be associated with a favorable outcome, even though it has limited effectiveness.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32316281</pmid><doi>10.3390/jcm9041144</doi><orcidid>https://orcid.org/0000-0002-0423-3616</orcidid><orcidid>https://orcid.org/0000-0002-2333-0235</orcidid><orcidid>https://orcid.org/0000-0002-5225-4083</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Back pain Back surgery Catheters Clinical medicine Epidural Patients Physical therapy Regression analysis |
| title | Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study |
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