Comparative effectiveness of the fluoroscopy guided interlaminar and transforaminal epidural steroid injections in the management of cervical radiculopathy

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0002989

Enrollment

Registered

2018-07-06

Start date

2015-11-18

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

Procedure/Surgery : Cervical epidural steroid injections have been utilized in the treatment of cervical radiculopathy, especially fluoroscopically guided interlaminar paramedian cervical epidural ste

lidocaine at the side of 2-3 mm. If the needle approached the ligamentum flavum and the resistance was felt, turned the C-arm to the opposite side at 40-50 degrees to adjust the needle to pass between

lidocaine was injected after 0.5ml of contrast medium (Omnipaque 300) was contrasted. For transforaminal approach, the C-arm was rotated into 45-60 degrees ipsilaterally to injection side to produce t

clock in the direction of the foramen. After 0.5ml of contrast material was slowly administered to confirm the epidural space, 3ml mixture of 5mg of dexamethasone in 0.5&#37

lidocaine was slowly injected.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: the patients who were suffering from degenerative cervical radiculopathy at the C5-T1 level on magnetic resonance image (MRI) for upper extremity pain with or without neck pain which did not respond to oral medication and physical therapy at least for 4 weeks

Exclusion criteria

Exclusion criteria: The patients with previous cervical spine surgery or red flags (infection, malignancy, spinal fracture and cauda equina syndrome, etc.) or yellow flags (inappropriate attitudes and beliefs about pain, inappropriate pain behavior, emotional problems and claim, etc.) were excluded. Exclusion criteria for this study also included nonavailability of MRI images pre-procedure, hypersensitivity to contrast agent, coagulopathy, pregnancy and breast feeding patients. Patients who cannot express pain and dysfunction as NRS and NDI, and those who do not want to participate in the study and have not written a informed consent, were excluded.

Design outcomes

Primary

Measure	Time frame
Pain intensity: numeric rating scale	—

Secondary

Measure	Time frame
Function: neck disabilty index	—

Countries

Korea, Republic of

Contacts

Public ContactHyun-Seok Cho

Asan Medical Center

chohs@amc.seoul.kr+82-2-3010-0807

Outcome results