Cervical Epidural Steroid Injection Techniques and Evidence

被引:51
作者
House, Lawrence McLean [1 ]
Barrette, Kevin [2 ]
Mattie, Ryan [3 ]
McCormick, Zachary L. [4 ]
机构
[1] Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, 513 Parnassus Ave,436, San Francisco, CA 94143 USA
[2] Stanford Univ, Dept Orthopaed Surg Phys Med & Rehabil, 450 Broadway St,M-C 6342, Redwood City, CA 94063 USA
[3] Univ Calif San Francisco, Dept Anesthesiol, 521 Parnassus Ave, San Francisco, CA 94143 USA
[4] Univ Utah, Div Phys Med & Rehabil, 30 N 1900 E,Rm 1C441, Salt Lake City, UT 84132 USA
关键词
Injections; Epidural; Neck pain; Evidence-based medicine; DIGITAL-SUBTRACTION-ANGIOGRAPHY; DISCOGENIC NECK PAIN; DOUBLE-BLIND; NONPARTICULATE CORTICOSTEROIDS; DISC HERNIATION; RADICULAR PAIN; CLINICAL EFFECTIVENESS; PARTICULATE; RADICULOPATHY; FLUOROSCOPY;
D O I
10.1016/j.pmr.2017.08.001
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Cervical epidural steroid injections are a common treatment of cervical radicular pain. Important safety considerations include attention to the possibility of spinal cord infarction and spinal epidural hematoma. When appropriate, radiographic, technical, and pharmacologic principals are used, these procedures are relatively safe. Cervical epidural steroid injections are effective for the short-term treatment of radicular pain. More rigorously designed clinical outcomes studies of both cervical interlaminar and transforaminal epidural steroid injections are needed.
引用
收藏
页码:1 / +
页数:18
相关论文
共 66 条
[1]   Transforaminal steroid injections for the treatment of cervical radiculopathy:: a prospective and randomised study [J].
Anderberg, Leif ;
Annertz, Marten ;
Persson, Liselott ;
Brandt, Lennart ;
Saveland, Hans .
EUROPEAN SPINE JOURNAL, 2007, 16 (03) :321-328
[2]  
Bicket M, 2016, ANESTHESIOLOGY, V119, P907
[3]  
[Bogduk N. International Spine Intervention Society International Spine Intervention Society], 2013, Practice Guidelines for Spinal Diagnostic and Treatment Procedures, V2nd
[4]  
Bose Bikash, 2005, Spine J, V5, P558, DOI 10.1016/j.spinee.2005.03.015
[5]   Blood Supply to the Human Spinal Cord: Part I. Anatomy and Hemodynamics [J].
Bosmia, Anand N. ;
Hogan, Elizabeth ;
Loukas, Marios ;
Tubbs, R. Shane ;
Cohen-Gadol, Aaron A. .
CLINICAL ANATOMY, 2015, 28 (01) :52-64
[6]   Immediate Adverse Events in Interventional Pain Procedures: A Multi-Institutional Study [J].
Carr, Carrie M. ;
Plastaras, Christopher T. ;
Pingree, Matthew J. ;
Smuck, Matthew ;
Maus, Timothy P. ;
Geske, Jennifer R. ;
El-Yahchouchi, Christine A. ;
McCormick, Zachary L. ;
Kennedy, David J. .
PAIN MEDICINE, 2016, 17 (12) :2155-2161
[7]  
Casazza B, 2008, ED GUIDELINES INTERV
[8]   LONG-TERM RESULTS OF CERVICAL EPIDURAL STEROID INJECTION WITH AND WITHOUT MORPHINE IN CHRONIC CERVICAL RADICULAR PAIN [J].
CASTAGNERA, L ;
MAURETTE, P ;
POINTILLART, V ;
VITAL, JM ;
ERNY, P ;
SENEGAS, J .
PAIN, 1994, 58 (02) :239-243
[9]  
Chien GCC, 2012, PAIN PHYSICIAN, V15, P515
[10]   Convulsion Caused by a Lidocaine Test in Cervical Transforaminal Epidural Steroid Injection [J].
Chung, Sun G. .
PM&R, 2011, 3 (07) :674-677