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Long-term effective...
Long-term effectiveness of transforaminal anterolateral approach CT-guided cervical epidural steroid injections for cervical radiculopathy treatment
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- Aldin, Z. (författare)
- Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Diss, J.K. (författare)
- Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Mahmood, H. (författare)
- Imaging Department, Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea and Westminster Hospital, Chelsea, London, United Kingdom
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- Sadik, T. (författare)
- Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Basra, H. (författare)
- Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Ahmed, M. (författare)
- Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Danawi, Z. (författare)
- Department of Trauma and Orthopaedics, Southend University Hospital, Southend, Essex, United Kingdom
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- Gul, A. (författare)
- Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
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- Sayed-Noor, A.S (författare)
- Umeå universitet,Ortopedi,Clinical Sciences Department, College of Medicine, University of Sharjah, United Arab Emirates
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- Engelska.
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Ingår i: Clinical Radiology. - : Elsevier. - 0009-9260 .- 1365-229X. ; 79:5, s. e775-e783
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Aim: To evaluate the long-term clinical effectiveness of computed tomography (CT)-guided transforaminal cervical epidural steroid injection using an anterolateral approach for the treatment of cervical radiculopathy (CR) using well-established robust clinical scoring systems for neck pain and neck disability. Despite its widespread use, evidence to support the long-term benefit of routine cervical epidural steroid injection is currently very limited.Materials and methods: This study included 113 patients with magnetic resonance imaging (MRI)-confirmed CR who underwent a steroid injection at a single cervical level via a unilateral transforaminal anterolateral approach. Pain was assessed quantitatively at pre-injection, 15 minutes post-injection, 1 month, 3 months, and at 1 year. Neck disability was assessed using the Oswestry Neck Disability Index (NDI) at pre-injection, 1 month, 3 months, and 1 year time points.Results: Eighty patients completed the study. Sixty per cent reported reduced neck pain (mean pain reduction, 55%), which was clinically significant in 45% cases. Furthermore, 66% reported an improvement in neck disability (mean improvement, 51%), which was clinically significant for 56% patients. Clinically significant good outcomes in both neck pain and neck disability were evident from as early as 1-month, and importantly, were independent both of pre-treatment CR characteristics (including severity of pre-injection neck pain or disability) and of findings on pre-injection MRI imaging.Conclusion: Transforaminal anterolateral approach CT-guided epidural steroid injection resulted in a clinically significant long-term improvement in both neck pain and disability for half of the present cohort of patients with unilateral single-level CR. This improvement was independent of the severity of the initial symptoms and pre-injection MRI findings.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
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