Must we discontinue selective cervical nerve root blocks? Report of two cases and review of the literature

被引：0
作者：
Juerg Hodler
Norbert Boos
Martin Schubert
机构：
[1] Orthopedic University Hospital Balgrist,Department of Radiology
[2] University of Zurich,Department of Spine Surgery
[3] Orthopedic University Hospital Balgrist,Spinal Cord Injury Centre
[4] University of Zurich,Institute of Diagnostic and Interventional Radiology
[5] University Hospital Balgrist,undefined
[6] University of Zurich,undefined
[7] University Hosptial Zurich,undefined
[8] University of Zurich,undefined
来源：
European Spine Journal | 2013年 / 22卷
关键词：
Cervical nerve root; Block; Injection; Safety; Technique; Corticosteroids; Complications;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We report two detrimental neurologic complications after technically correct selected cervical nerve root blocks. Based on these cases and a thorough review of the literature, the indication for cervical nerve root blocks was reconsidered and limited. Similarly, we modified our technique to further reduce the likelihood for the occurrence of such severe complications.
引用
收藏
页码：466 / 470
页数：4
相关论文
共 105 条
[1]  
Benedetti EM(2009)Epidural steroids injections: complications and management Tech Reg Anesth 13 236-250
[2]  
Siriwetchdarek R(1999)Evaluation of the efficacy of foraminal infusions of corticosteroids guided by computed tomography in the treatment of radicular pain by foraminal injection J Radiol 80 917-925
[3]  
Stanec J(2008)Complications of spinal diagnostic and treatment procedures Pain Med 9 S11-S34
[4]  
Rosenquist R(2001)A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root Pain 91 397-399
[5]  
Berger O(2010)A Whitacre-type spinal needle does not prevent intravascular injection during cervical nerve root injections South Med J 103 679-682
[6]  
Dousset V(2003)Incidence of intravascular penetration in transforaminal cervical epidural steroid injections Spine (Phila Pa 1976) 28 21-25
[7]  
Delmer O(2003)Sharp versus blunt needle: a comparative study of penetration of internal structures and bleeding in dogs Pain Pract 3 226-231
[8]  
Pointillart V(2005)Anatomy of the cervical intervertebral foramina: vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections Pain 117 104-111
[9]  
Vital JM(2004)Temporary neurologic deficit after cervical transforaminal injection of local anaesthetic Pain Med 5 202-205
[10]  
Caille JM(2006)Injection studies in spinal disorders Clin Orthop Relat Res 443 168-182
12345678910