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- Title
Intradiscal corticosteroid injections in spondylotic cervical radiculopathy.
- Authors
Fayad, Fouad; Rannou, François; Drapé, Jean; Rahmani, Lamia; Lefevre-Colau, Marie-Martine; Nys, Alain; Poiraudeau, Serge; Ledoux, Michel; Chevrot, Alain; Revel, Michel; Rannou, François; Drapé, Jean Luc
- Abstract
The purpose of this study was to evaluate treatment outcomes with intradiscal injection of corticosteroids (IDIC) in cervical spondylotic radiculopathy. Twenty consecutive patients were treated with intradiscal injection of 25 mg of acetate of prednisolone under fluoroscopic control. All patients had previously received a nonsurgical treatment for at least 3 months without success. Outcomes were assessed 1, 3 and 6 months after IDIC. Radicular pain reduction as scored on a visual analogue scale (VAS 100-mm length) was statistically significant at 1 month (19.0+/-28.0 mm; p=0.008), 3 months (25.2+/-27.5 mm; p=0.002), and 6 months (24.6+/-28.4 mm; p=0.001). In all, 40% of treated patients described at least 50% pain improvement 6 months after treatment. Four patients had complete relief of radicular pain. In conclusion, IDIC should be an alternative in the nonsurgical management of cervical spondylotic radiculopathy.
- Subjects
INTRADISCAL injections; DRUG administration; CORTICOSTEROIDS; MEDICAL imaging systems; MEDICAL radiography; RADIOGRAPHY; COMPUTED tomography; FLUOROSCOPY; GLUCOCORTICOIDS; GROWTH factors; MAGNETIC resonance imaging; NECK pain; NONPARAMETRIC statistics; RADICULOPATHY; PAIN measurement; SPONDYLOARTHROPATHIES; TREATMENT effectiveness; CONTRAST media; RETROSPECTIVE studies; PREDNISOLONE; DIAGNOSIS
- Publication
European Radiology, 2007, Vol 17, Issue 5, p1156
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-006-0416-x