FLUOROSCOPY GUIDED TRANSFORAMINAL STEROID INJECTION ON CERVICAL RADICULAR PAIN
Journal Title: Journal of Turkish Spinal Surgery - Year 2015, Vol 26, Issue 2
Abstract
Purpose: The aim of this study is to evaluate the benefit rate of cervical radicular pain from fluoroscopy guided transforaminal cervical steroid injection. Materials-Methods: We collected data of 78 patients retrospectively from patient files. Only adults at least 18 years of age with upper extremity pain of at least 1 month duration at C5-6 or C6-7 levels of cervical spine were included. Each patient underwent a standard physical examination and was asked to complete a 100-mm visual analogue scale (VAS) questionnaire before transforaminal cervical steroid injection and 1, 3, 6 and 12 months after procedure. Results: Mean pre- and post-injection VAS scores at 1st, 3rd, 6th, and 12th months were 8.34 ± 0.68 (7.24-9.64), 3.88 ± 1.45 (2.22-7.35), 3.95 ± 1.29 (2.12-6.87), 4.35 ± 1.12 (2.53-7.12), 4.43 ± 1.10 (2.10-6.15), respectively. The changes in pre- and post-injection VAS scores through follow-ups were statistically significant (p<0.001). Post-hoc tests (Wilcoxon signed-ranks test) revealed that the pre-injection VAS levels were significantly higher than the post-injection VAS scores. The changes in VAS scores at 1st, 3rd, 6th, and 12th months when compared to the pre-injection VAS scores were 53.9 %, 52.9 %, 48.1 %, and 47.1 %, respectively. Conclusion: Fluoroscopy guided transforaminal cervical steroid injection has been postulated to be effective on cervical radicular pain because accurate delivery of medication to the site of pathology is possible.
Authors and Affiliations
Hüsnü SÜSLÜ, Hanife Gülden DÜZKALIR, Selçuk ÖZDOĞAN, Özgür ŞENOL, Necati TATARLI, Ali Haluk DÜZKALIR, Cumhur Kaan YALTIRIK
Keywords
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