A Comparison of the Spread Level of the Cervical Epidural Block in Terms of Volume / 대한통증학회지
The Korean Journal of Pain
;
: 46-49, 2007.
Article
in Korean
| WPRIM
| ID: wpr-10763
ABSTRACT
BACKGROUND:
Cervical epidural injection, performed via the interlaminar approach, represents a useful interventional pain management procedure indicated in patients with a cervical herniated disk. Due to thedecreased epidural space in the cervical region, cervical epidural injections may result in potentially serious complications, especially during a large volume injection.METHODS:
Thirty-four patients with neck pain due to a cervical herniated disk that were referred to the pain clinic for cervical epidural steroid injection were randomized into two groups. One group received a cervical epidural injection of 4 ml drug and the other group received 2 ml drug. The injected mixture included triamcinolon, ropivacaine and omnipaque. Spread levels of the drug after injection were estimated with the use of C-arm fluoroscopy.RESULTS:
Spread levels to the cephalad for patients in the two groups were 4.88 +/- 0.78 segments and 4.53 +/- 0.49 segments, respectively. Spread levels to the caudad for patients in the two groups were 4.59 +/- 0.93 segments and 4.47 +/- 0.51 segments, respectively. The results showed no significant difference in the spread level between the two groups.CONCLUSIONS:
Use of a small volume of drug (2 ml) can provide a sufficient spread level of the injected drug that is desirable for patients with a cervical herniated disk.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Injections, Epidural
/
Iohexol
/
Fluoroscopy
/
Pain Clinics
/
Neck Pain
/
Epidural Space
/
Pain Management
/
Intervertebral Disc Displacement
Type of study:
Controlled clinical trial
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Pain
Year:
2007
Type:
Article
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