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Information Journal Paper

Title

Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial

Pages

  137-143

Abstract

 Objective: To compare parasagittal interlaminar cervical Epidural steroid injection (PSIL-CESI) and the classic midline interlaminar cervical Epidural steroid injection (MIL-CESI) in terms of pain relief and functional improvement in patients with unilateral Upper extremity radicular pain. Methods: This was a randomized clinical trial being conducted in a single pain center in Tehran. Twenty-six patients were allocated into two groups of 13, undergoing either PSIL-CESI or MIL-CESI. After confirmation of radiocontrast spread in the Epidural space by fluoroscopic guidance, dexamethasone 8 mg and bupivacaine 0. 125% in a volume of 5 ml were delivered to the Epidural space. Evaluation of functional state and pain intensity before and 1 month after the procedure was accomplished using the neck disability index (NDI) and the numeric rating scale (NRS) respectively. Results: Demographic and baseline characteristics of the cases showed no significant statistical difference. Improvements in the NDI and the NRS were observed in both groups; meanwhile, improvements were more pronounced in the PSIL-CESI group as compared to the MIL-CESI group (p<0. 001). With the PSIL approach the ventral spread of radiocontrast was significantly higher (38%) than with the MIL approach (0. 7%) (p<0. 001). All patients in PSIL group showed radiocontrast spread ipsilateral to the painful side and all patients in the MIL group showed a midline distribution of radiocontrast. Conclusion: PSIL-CESI provides superior pain relief and improvement of functional disability in patients with unilateral Upper extremity radicular pain in comparison to the classic MIL-CESI.

Cites

References

Cite

APA: Copy

HASHEMI, MASOUD, DADKHAH, PAYMAN, TAHERI, MEHRDAD, DEHGHAN, KASRA, & VALIZADEH, ROHOLLAH. (2019). Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 7(2), 137-143. SID. https://sid.ir/paper/335233/en

Vancouver: Copy

HASHEMI MASOUD, DADKHAH PAYMAN, TAHERI MEHRDAD, DEHGHAN KASRA, VALIZADEH ROHOLLAH. Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2019;7(2):137-143. Available from: https://sid.ir/paper/335233/en

IEEE: Copy

MASOUD HASHEMI, PAYMAN DADKHAH, MEHRDAD TAHERI, KASRA DEHGHAN, and ROHOLLAH VALIZADEH, “Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 7, no. 2, pp. 137–143, 2019, [Online]. Available: https://sid.ir/paper/335233/en

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