CT Guided Cervical Transforaminal Steroid Injection: 2 Months Follow-up / 대한통증학회지
The Korean Journal of Pain
; : 51-55, 2006.
Article
de Ko
| WPRIM
| ID: wpr-200720
Bibliothèque responsable:
WPRO
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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Bras
/
Radiculopathie
/
Épaule
/
Sténose du canal vertébral
/
Artère vertébrale
/
Imagerie par résonance magnétique
/
Artères carotides
/
Tomodensitométrie
/
Études de suivi
/
Sténose pathologique
Type d'étude:
Guideline
/
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
The Korean Journal of Pain
Année:
2006
Type:
Article