Comparative Trial of T2 Paravertebral Block Versus Cervical Epidural Injection with Interlaminar Approach for the Treatment of Unilateral Cervical Radicular Pain

A Prospective Randomized Comparative Trial of T2 Paravertebral Block Versus Cervical Epidural Injection with Interlaminar Approach for the Treatment of Unilateral Cervical Radicular Pain

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0002670

Enrollment

Registered

2018-01-26

Start date

2017-10-24

Completion date

Unknown

Last updated

2019-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug, Procedure/Surgery : The patients who met the selection criteria are allotted into two groups using the computer-generated randomizing table. One group (Group E) uses the conventional cervical ep

lidocaine is injected at T2 level for local anesthesia and a 22-gauge, 10-cm Tuohy needle is inserted in lateral to medial direction through in-plane approach. When the needle enters the paravertebral

lidocaine is injected. In group E, the lesion is identified under the C-arm fluoroscopy. After the local anesthesia with 1&#37

lidocaine, a 22-gauge, 10-cm Tuohy needle is inserted to reach the epidural space. 0.5 to 1mL of dye is injected to confirm the epidural space, followed by 5mL of 0.4&#37

lidocaine.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Adult male or female above 20 2. Unilateral cervical radicular pain in C5-T1 region 3. Numeric rating scale 5 or above 4. MRI findings that match the patient’s symptoms 5. Pain persisting more than 4 weeks despite conservative care

Exclusion criteria

Exclusion criteria: 1. Patient refusal 2. Pregnancy 3. Signs of acute infection, or local infection in the procedural site 4. Bleeding tendency or coagulopathy 5. History of side effects to the agents used in the procedures 6. Presence of cervical spinal cord lesions 7. Patients with cerebrovascular diseases, demyelinating diseases or neuromuscular diseases 8. Currently under steroids 9. History of steroid injection within 6 months 10. History of cervical spine surgery 11. Requires sedation to perform the procedures 12. Cervical radicular pain by trauma

Design outcomes

Primary

Measure	Time frame
The clinical effectiveness, such as the degree of pain relief or the improvement in functional ability	—

Secondary

Measure	Time frame
The incidence of complications;Time taken to perform the procedure;Spreading pattern of the contrast;The amount of exposure to radiation between the two groups	—

Countries

Korea, Republic of

Contacts

Public ContactYoung Hoon Kim

The Catholic University of Korea, Seoul St. Mary's Hospital

anekyh@hotmail.com+82-2-2258-1330

Outcome results