...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pain medicine : >Response to transforaminal injection of steroids and correlation to MRI findings in patients with cervical radicular pain or radiculopathy due to disc herniation or spondylosis
【24h】

Response to transforaminal injection of steroids and correlation to MRI findings in patients with cervical radicular pain or radiculopathy due to disc herniation or spondylosis

机译：椎间盘突出或脊椎病引起的颈椎神经痛或神经根病患者对经椎间孔注射类固醇的反应及其与MRI表现的相关性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To determine the effectiveness of cervical transforaminal injection of steroids (CTFIS) and to explore possible determinants of response in patients with cervical disc herniation. Design: Retrospective practice audit covering a time period of 6 months. Setting: Single spine center in which the patients underwent CTFIS, surgery, and subsequent treatment. Magnetic resonance images were reviewed independently by a radiologist and two neurosurgeons. Interventions: Consecutive patients with cervical radicular pain and a magnetic resonance imaging demonstrating nerve root affection received CTFIS. Evaluation in terms of pain reduction and in relation to the level and side of the affected nerve root, the duration of pain, neck or radicular pain, and the presence of sensory or motor deficits. The radiological features assessed were the location, grading, and cause of the impingement. Results: Forty-eight patients were included. Only 35.4% of patients achieved at least 50% reduction in pain 1 month after treatment. The initial pain on the numeric rating scale was reduced from 6.8 to 1.8. None of the clinical or radiological features was associated with a successful outcome. 22.9% of the included patients had to undergo an operation. The duration of these patients' symptoms was significantly shorter (P=0.01) than in patients without operation. Conclusion: Only a minority of patients with disc herniation or spondylosis and a proven nerve root compression benefits from CTFIS. The potential advantage for the patient must be compared with the risk of the procedure. Even with the combination of clinical and radiological findings, the prediction of a favorable outcome of CTFIS was not possible.
机译：目的：确定颈椎椎间孔注射类固醇（CTFIS）的有效性，并探讨颈椎间盘突出症患者可能的反应决定因素。设计：回顾性实践审核，为期6个月。地点：单脊柱中心，患者接受CTFIS，手术和后续治疗。放射科医生和两名神经外科医生对磁共振图像进行了独立检查。干预措施：患有颈神经根痛和磁共振成像（证明神经根受累）的连续患者接受CTFIS治疗。根据减轻疼痛的程度以及与受影响的神经根的水平和侧面，疼痛的持续时间，颈部或神经根疼痛以及是否存在感觉或运动缺陷有关的方面进行评估。所评估的放射学特征是撞击的位置，等级和原因。结果：包括48例患者。治疗后1个月，只有35.4％的患者疼痛至少减轻了50％。数字评分量表上的最初痛苦从6.8降低到1.8。没有任何临床或放射学特征与成功的预后相关。其中22.9％的患者必须接受手术。这些患者症状的持续时间比未进行手术的患者显着缩短（P = 0.01）。结论：只有少数患有椎间盘突出症或脊椎病并被证实具有神经根受压的患者可以从CTFIS中获益。必须将患者的潜在优势与手术风险进行比较。即使结合临床和放射学发现，也无法预测CTFIS的良好结局。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号