Outcome of Cervical Radiculopathy treated with Periradicular/Epidural Corticosteroid Injections: A Prospective Study with Independent Clinical Review

Bush, Keith; Hillier, S

doi:10.1080/1355297x.1997.11719841

Cited by 43 publications

(70 citation statements)

References 1 publication

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“…Bush et al reported a satisfactory long term (4-112 months) recovery after serial periradicular and epidural injections in the cervical spine in their study with 68 patients [25].…”

Section: Discussionmentioning

confidence: 96%

Long Term Outcomes from CT-guided Indirect Cervical Nerve Root Blocks and their relationship to the MRI findings- A prospective Study

et al. 2015

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• Good long term outcomes after indirect nerve root infiltrations with non-particulate steroids. • The presence of nerve root compression was a predictive finding of 'improvement'. • Significantly less patients subsequently having surgery had lower NRS scores 1-month post injection. • There is less pain relief in patients with disc extrusions. • There are less improvement in patients with modic type I changes.

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“…Bush et al reported a satisfactory long term (4-112 months) recovery after serial periradicular and epidural injections in the cervical spine in their study with 68 patients [25].…”

Section: Discussionmentioning

confidence: 96%

Long Term Outcomes from CT-guided Indirect Cervical Nerve Root Blocks and their relationship to the MRI findings- A prospective Study

et al. 2015

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“…In addition, the eight patients who previously received a cervical corticoid injection had better results with IDIC, particularly the four who received a transforaminal injection, suggesting than IDIC could be more effective compared with foramen injection. None of the published studies on transforaminal injections reported better results even though our population had longer pain duration [7,8,13]. A possible effect of chance or a placebo effect cannot be excluded in these few patients, but it can also result from treatment of the origin of nerve irritation.…”

Section: Discussionmentioning

confidence: 78%

“…However, radicular inflammation is a rationale for treatment with anti-inflammatory agents and local injections of corticosteroids. Because of the encouraging results of retrospective and prospective uncontrolled studies [6][7][8][9], interlaminar and transforaminal injections of corticosteroids are being used to treat patients whose conditions have not improved with conservative therapies. However, serious complications, including severe neurological sequelae from the spinal cord or brainstem infarction, have been reported with such treatment and especially with transforaminal injections [10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Intradiscal corticosteroid injections in spondylotic cervical radiculopathy

et al. 2006

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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.

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“…Transforaminal injections and selective nerve root blocks are thought to deliver medication in a more direct manner to the site of pathology. In a prospective review of 68 subjects with cervical radiculopathy, Bush and Hillier reported that 62% of patients reported relief after transforaminal steroid injections as opposed to 16% with interlaminar epidural steroids [19]. Although these injections may be effective, they are not without significant risk, including increased neck and arm pain, dural puncture, lightheadedness, vertebral artery injury, paralysis, cord infaction, cerebellar infarction and death [20][21][22] .…”

Section: Interventional Pain Managementmentioning

confidence: 95%

Cervical spine: degenerative conditions

Todd

2011

Curr Rev Musculoskelet Med

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Degenerative cervical spine disorders will affect up to two-thirds of the population in their lifetime. While often benign and episodic in nature, cervical disorders may become debilitating resulting in severe pain and possibly neurologic sequelae. Non-operative treatment continues to play an important role in treating these patients, with medications, therapy and interventional pain injections playing increasing roles in treatment. Surgical treatment including anterior and posterior decompression and fusion have been effective treatments of many cervical disorders, but may lead to significant problems including adjacent level disease. Laminotomy/foraminotomy and total disc arthroplasty may avoid some of these problems while providing similar clinical results. Ongoing clinical trials and studies are helping to define the role of these new technologies in treatment of patients with degenerative cervical disorders, although their greater benefit has yet to be proven.

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Outcome of Cervical Radiculopathy treated with Periradicular/Epidural Corticosteroid Injections: A Prospective Study with Independent Clinical Review

Cited by 43 publications

References 1 publication

Long Term Outcomes from CT-guided Indirect Cervical Nerve Root Blocks and their relationship to the MRI findings- A prospective Study

Long Term Outcomes from CT-guided Indirect Cervical Nerve Root Blocks and their relationship to the MRI findings- A prospective Study

Intradiscal corticosteroid injections in spondylotic cervical radiculopathy

Cervical spine: degenerative conditions

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