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Long-term effective...
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Aldin, Z.Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
Long-term effectiveness of transforaminal anterolateral approach CT-guided cervical epidural steroid injections for cervical radiculopathy treatment
- Artikel/kapitelEngelska2024
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Elsevier,2024
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Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-221658
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-221658URI
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https://doi.org/10.1016/j.crad.2024.01.022DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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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.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Diss, J.K.Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
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Mahmood, H.Imaging Department, Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea and Westminster Hospital, Chelsea, London, United Kingdom
(författare)
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Sadik, T.Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
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Basra, H.Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
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Ahmed, M.Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
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Danawi, Z.Department of Trauma and Orthopaedics, Southend University Hospital, Southend, Essex, United Kingdom
(författare)
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Gul, A.Orthopaedic/Spinal Surgery Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United Kingdom
(författare)
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Sayed-Noor, A.SUmeå universitet,Ortopedi,Clinical Sciences Department, College of Medicine, University of Sharjah, United Arab Emirates(Swepub:umu)arss0001
(författare)
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Radiology Department, Princess Alexandra NHS Trust, Hamstel Road, Harlow, Essex, United KingdomImaging Department, Chelsea and Westminster Hospital NHS Foundation Trust, Chelsea and Westminster Hospital, Chelsea, London, United Kingdom
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Clinical Radiology: Elsevier79:5, s. e775-e7830009-92601365-229X
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