Intradiscal corticosteroid injections in spondylotic cervical radiculopathy

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• 作者：Fouad Fayad ; Fran?ois Rannou ; Jean Luc Drapé ; Lamia Rahmani ; Marie-Martine Lefevre-Colau ; Alain Nys ; Serge Poiraudeau ; Michel Ledoux ; Alain Chevrot and Michel Revel
• 关键词：Cervical radiculopathy ; Spinal injection ; Corticosteroids ; Intradiscal ; Discography
• 刊名：European Radiology
• 出版年：2007
• 出版时间：May, 2007
• 年：2007
• 卷：17
• 期：5
• 页码：1156-1161
• 全文大小：110 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Diagnostic Radiology
  Interventional Radiology
  Neuroradiology
  Ultrasound
  Internal Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1084

文摘

The purpose of this study was to evaluate treatment outcomes with intradiscal injection of corticosteroids (IDIC) in cervical spondylotic radiculopathy. Twenty consecutive patients were treated with intradiscal injection of 25 mg of acetate of prednisolone under fluoroscopic control. All patients had previously received a nonsurgical treatment for at least 3 months without success. Outcomes were assessed 1, 3 and 6 months after IDIC. Radicular pain reduction as scored on a visual analogue scale (VAS 100-mm length) was statistically significant at 1 month (19.0±28.0 mm; p=0.008), 3 months (25.2±27.5 mm; p=0.002), and 6 months (24.6±28.4 mm; p=0.001). In all, 40% of treated patients described at least 50% pain improvement 6 months after treatment. Four patients had complete relief of radicular pain. In conclusion, IDIC should be an alternative in the nonsurgical management of cervical spondylotic radiculopathy.