Ultrasound-guided selective nerve root block versus fluoroscopy-guided transforaminal block for the treatment of radicular pain in the lower cervical spine: A randomized, blinded, controlled study

2012 ◽  
Vol 42 (1) ◽  
pp. 69-78 ◽  
Author(s):  
Haemi Jee ◽  
Ji Hae Lee ◽  
Jongwoo Kim ◽  
Ki Deok Park ◽  
Woo Yong Lee ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Nerve Root ◽  
Radicular Pain ◽  
Controlled Study ◽  
Lower Cervical Spine ◽  
Ultrasound Guided ◽  
Nerve Root Block ◽  
Selective Nerve Root Block

scholarly journals Ultrasound-Guided Selective Nerve Root Block versus Fluoroscopy-Guided Interlaminar Epidural Block versus Fluoroscopy-Guided Transforaminal Epidural Block for the Treatment of Radicular Pain in the Lower Cervical Spine: A Retrospective Comparative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Jin Hyuk Jang ◽  
Woo Yong Lee ◽  
Jong woo Kim ◽  
Kyoung Rai Cho ◽  
Sang Hyun Nam ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Retrospective Study ◽  
Steroid Injection ◽  
Treatment Success ◽  
Radicular Pain ◽  
Epidural Block ◽  
Functional Improvement ◽  
Lower Cervical Spine ◽  
Selective Nerve Root Block ◽  
Epidural Steroid

Background. Recently, ultrasound- (US-) guided selective nerve root block (SNRB) has been reported to have similar effects compared to fluoroscopy- (FL-) guided cervical epidural steroid injection (CESI). There is no published study comparing the therapeutic efficacy and safety of interlaminar- (IL-) CESI and transforaminal- (TF-) CESI with US-guided SNRB. Our retrospective study aimed to compare the mid-term effects and advantages of the US-guided SNRB, FL-guided IL-CESI, and TF-CESI for radicular pain in the lower cervical spine through assessment of pain relief and functional improvement. Methods. Patients with radicular pain in the lower cervical spine who received guided SNRB (n = 44) or FL-guided IL (n = 41) or TF-CESI (n = 37) were included in this retrospective study. All procedures were performed using a FL or US. The complication frequencies during the procedures, adverse event, treatment effects, and functional improvement were compared at 1, 3, and 6 months after the last injection. Results. Both the Neck Disability Index (NDI) and Verbal Numeric Scale (VNS) scores showed improvements at 1, 3, and 6 months after the last injection in all groups, with no significant differences between groups P<0.05. Furthermore, the treatment success rate at all time points was not significantly different between groups. Logistic regression analysis revealed that the injection method (US- or FL-guided), cause, sex, age, number of injections, and pain duration were not independent predictors of treatment success. Blood was aspirated before injection in 7% (n = 3), 14% (n = 6), and 0% patients in the FL-guided IL, TF, and US-guided groups, respectively. In 2 patients of FL-guided IL and 7 of FL-guided TF group, intravascular contrast spread was noted during injection. Conclusions. Our results suggest that, compared with FL-guided IL and TF-CESI, US-guided SNRB has a low intravascular injection rate; it is unlikely that serious complications will occur. Also, US-guided SNRB requires a shorter administration duration while providing similar pain relief and functional improvements. Therefore, for the treatment of patients with lower cervical radicular pain, US-guided SNRB should be considered as a prior epidural steroid injection.

scholarly journals Value of Diagnostic Lumbar Selective Nerve Root Block: A Prospective Controlled Study

2008 ◽  
Vol 29 (5) ◽  
pp. 1017-1023 ◽  
Author(s):  
J.S. Yeom ◽  
J.W. Lee ◽  
K.-W. Park ◽  
B.-S. Chang ◽  
C.-K. Lee ◽  
...  
Keyword(s):  
Nerve Root ◽  
Controlled Study ◽  
Nerve Root Block ◽  
Selective Nerve Root Block ◽  
Prospective Controlled Study

scholarly journals Selective diagnostic nerve root block for the evaluation of radicular pain in the multilevel degenerated cervical spine

2005 ◽  
Vol 15 (6) ◽  
pp. 794-801 ◽  
Author(s):  
Leif Anderberg ◽  
Mårten Annertz ◽  
Urban Rydholm ◽  
Lennart Brandt ◽  
Hans Säveland
Keyword(s):  
Cervical Spine ◽  
Nerve Root ◽  
Radicular Pain ◽  
Nerve Root Block
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