CT Guided Cervical Transforaminal Steroid Injection: 2 Months Follow-up / 대한통증학회지
The Korean Journal of Pain
;
: 51-55, 2006.
Artículo
en Coreano
| WPRIM
| ID: wpr-200720
ABSTRACT
BACKGROUND:
A cervical transforaminal steroid injection is an effective therapeutic modality for radiculopathy of a herniated cervical disc or a cervical foraminal stenosis. However, there is some debate regarding the safety of the transforaminal approach under C-arm guidance compared with the posterior interlaminar approach. We report a new technique for cervical transforaminal steroid injection guided by MDCT.METHODS:
Patients presenting with radiating pain on their shoulder or arm were diagnosed using CT or MRI of a cervical herniated disc or a foraminal stenosis. Each patient whose symptoms were compatible with the image scan was enrolled in this study. They received a cervical transforaminal steroid injection under CT guidance, and the effectiveness and complications of this technique were evaluated over a 2-month period.RESULTS:
According to the CT scan, none of the participants had an internal jugular vein or a carotid artery invasion during the procedure. No vertebral artery injection was noted, and no patient developed a hematoma after the injection. The VAS score had improved significantly by 2, 4 and 8 weeks after the injection.CONCLUSIONS:
While a conventional C-arm guided cervical transforaminal steroid injection does not appear to differentiate between the major vessels and structures in images, a CT guided approach is a more useful and safer technique for the precise placement of a needle.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Brazo
/
Radiculopatía
/
Hombro
/
Estenosis Espinal
/
Arteria Vertebral
/
Imagen por Resonancia Magnética
/
Arterias Carótidas
/
Tomografía Computarizada por Rayos X
/
Estudios de Seguimiento
/
Constricción Patológica
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Pain
Año:
2006
Tipo del documento:
Artículo
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