Cervical Radiculopathy
Conditions
Brief summary
Cervical radiculopathy is one of the most important causes of chronic neck pain. Cervical epidural steroid injections including interlaminar approach are frequently used for treatment option in patients that more conservative modalities are ineffective. Paraspinal muscles have an important role in supporting neck movements and providing stability of the cervical spine. The multifidus muscle, located in the deepest part of the neck extensor muscle group, has become the muscle that is frequently emphasized in spinal pain in recent years. In the literature, it has been shown that the multifidus muscle on the affected side is atrophied in patients with cervical radiculopathy. Although many factors are known to be effective on the outcomes of cervical interlaminar epidural injection, there are limited data on the effect of the multifidus muscle area. In this retrospective study, it was planned to investigate the effect of the multifidus muscle area on the results of cervical interlaminar epidural steroid injection.
Interventions
OTHERCervical multifidus muscle area measurement at 3 levels (C4-C5, C5-C6, C6-C7)
Cervical multifidus muscle area measurement will be performed from both the side affected by radiculopathy and the unaffected side using the magnetic resonance (MR) imaging. Measurements will be made by two researchers, independent of each other.
Sponsors
Marmara University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with unilateral radicular pain due to cervical disc herniation for at least 3 months * Patients with disc herniation level C5-C6 * Patients who are unresponsive to other conservative treatments and who have undergone cervical interlaminar epidural steroid injection
Exclusion criteria
* Patients with incomplete medical records (absence of MR imaging, incomplete data of 3rd week and 3rd month follow-up periods after cervical interlaminar epidural steroid injection)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical multifidus muscle area | Through study completion, an average of 2 weeks | Multifidus muscle measurement will be performed at 3 levels (C4-C5, C5-C6, C6-C7) in the MR imaging obtained from the medical records of the participants in both groups and the values will be compared with each other. Difference between muscle areas will be evaluated for statistical significance. |
Contacts
Primary ContactSavas Sencan, M.D.
Outcome results
None listed