| Autor: |
Clément Ravenel, Charlotte Martin-Peltier, Maxime Lacroix, Fadila Mihoubi-Bouvier, Christelle Nguyen, Romain Touzé, Jean-Luc Drapé |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Research in Diagnostic and Interventional Imaging, Vol 11, Iss , Pp 100050- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2772-6525 |
| DOI: |
10.1016/j.redii.2024.100050 |
| Popis: |
Background: Traditionally, transforaminal steroid injection is performed in the management of cervical radiculopathy in medical failure treatment but carried a true risk of catastrophic complication. Another approach currently used is to perform intra-articular facet steroid injection to reach the epidural space. Purpose: The aim of this study was to describe the evolution of symptoms following intra-articular facet steroid injection in cervical radiculopathy. Material and methods: We conducted a retrospective study. We assessed all patients who had a CT-guided intra-articular facet steroid injection in our center (xx, xx, xx) from December 2015 to February 2021. Cervical MR pretherapeutic images were analyzed and classified according to cervical pain etiology: uncodiscarthrosis, disk herniation or congestive cervical posterior osteo-arthritis. All patients had clinical initial evaluation and then follow-up at 1 and 6 months. Pain severity was rated on a visual analog scale and expressed as a percentage of improvement. Results: Ninety-three patients were included. There were 56 patients with uncodiscarthrosis, 29 with a disk herniation and 8 with a cervical posterior congestive osteoarthritis. A significant improvement of the visual analog scale percentage was found for all patient at 1 and 6 months (p < 0.01). Visual analog scale percentage improvement was about 50 % for all etiologies. For all patients, no severe complications were reported. Conclusion: Intra-articular facet steroid injection may be considered for the treatment of cervical radiculopathy when other medical treatments have failed. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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