2024-03-29T07:05:53Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00019168
2023-11-16T05:21:49Z
499:508:509:1674
Treatment Outcomes of Intradiscal Steroid Injection/Selective Nerve Root Block for 161 Patients with Cervical Radiculopathy
ITO, KEIGO
YUKAWA, YASUTSUGU
MACHINO, MASAAKI
INOUE, TARO
OUCHIDA, JUN
TOMITA, KEISUKE
KATO, FUMIHIKO
open access
Intradiscal Steroid Injection
Selective Nerve Root Block
Cervical Radiculopathy
Patients with cervical radiculopathy (CR) were treated with intradiscal injection of steroids (IDIS) and/ or selective nerve root block (SNRB) at our hospital. We retrospectively report the outcomes of these nonsurgical treatments for CR. 161 patients who were followed up for >2months were enrolled in this study. Patients’ clinical manifestations were classified as arm pain, arm numbness, neck and/or scapular pain, and arm paralysis. Improvement in each manifestation was classified as “disappeared,” “improved,” “poor,” or “worsened.” Responses of “disappeared” or “improved” manifestations suggested treatment effectiveness. Final clinical outcomes were evaluated using the Odom criteria. Changes in herniated disc size were evaluated by comparing the initial and final MRI scans. On the basis of these changes, the patients were divided into regression, no-change, or progression groups. We investigated the relationship between the Odom criteria and changes observed on MRI. Effectiveness rates were 89% for arm pain, 77% for arm numbness, 82% for neck and/or scapular pain, and 76% for arm paralysis. In total, 91 patients underwent repeated MRI. In 56 patients (62%), the size of the herniated disc decreased, but 31 patients (34%) exhibited no change in disc size. The regression group showed significantly better Odom criteria results than the no-change group. In conclusion, IDIS and SNRB for CR are not widely performed. However, other extremely effective therapies that can rapidly improve neuralgia should be considered before surgery.
Nagoya University School of Medicine
2015-02
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.77.1-2.213
http://hdl.handle.net/2237/21274
https://nagoya.repo.nii.ac.jp/records/19168
10.18999/nagjms.77.1-2.213
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7712.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
77
1-2
213
219
https://nagoya.repo.nii.ac.jp/record/19168/files/28_Ito.pdf
application/pdf
276.0 kB
2018-02-21