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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.
Asunto(s)

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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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