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Chronic cervical radiculopathy: lateral-approach periradicular corticosteroid injection
J N Vallée1, A Feydy, R Y Carlier
1Department of Radiology, Raymond Poincaré Teaching Hospital, University of Paris 5, 104 Blvd Raymond Poincaré, 92380 Garches, France.
Radiology
|March 7, 2001
Summary
Cervical radiculopathy injections provided significant pain relief for patients unresponsive to other treatments. This minimally invasive procedure demonstrated excellent safety and efficacy over a six-month period.
Area of Science:
- Pain Management
- Neurosurgery
- Radiology
Background:
- Chronic cervical radiculopathy often presents treatment challenges.
- Medical management alone may be insufficient for persistent radicular pain.
Purpose of the Study:
- To evaluate the efficacy and safety of periradicular corticosteroid injections for chronic cervical radiculopathy.
- To assess pain relief trends following the procedure.
Main Methods:
- Thirty-two patients received periradicular corticosteroid injections.
- A lateral percutaneous approach under fluoroscopic guidance was utilized.
- The treatment targeted 34 foci of chronic cervical radiculopathy.
Main Results:
- Significant radicular and neck pain relief was observed at 14 days (P <.001).
- Sustained pain relief was noted at 6 months (P <.001).
- No complications were reported during or after the procedure.
Conclusions:
- Periradicular corticosteroid injections are an effective treatment for chronic cervical radiculopathy.
- The procedure offers a safe and minimally invasive option for intractable radicular pain.
- Fluoroscopic guidance ensures procedural accuracy and safety.