Intradiscal corticosteroid injections in spondylotic cervical radiculopathy.

Abstract

The purpose of this study was to evaluate treatment outcomes with intradiscal injection of corticosteroids (IDIC) in cervical spondylotic radiculopathy. Twenty consecutive patients were treated with intradiscal injection of 25 mg of acetate of prednisolone under fluoroscopic control. All patients had previously received a nonsurgical treatment for at least 3 months without success. Outcomes were assessed 1, 3 and 6 months after IDIC. Radicular pain reduction as scored on a visual analogue scale (VAS 100-mm length) was statistically significant at 1 month (19.0+/-28.0 mm; p=0.008), 3 months (25.2+/-27.5 mm; p=0.002), and 6 months (24.6+/-28.4 mm; p=0.001). In all, 40% of treated patients described at least 50% pain improvement 6 months after treatment. Four patients had complete relief of radicular pain. In conclusion, IDIC should be an alternative in the nonsurgical management of cervical spondylotic radiculopathy.

• Authors: Fouad Fayad, François Rannou, Jean Luc Drapé, Lamia Rahmani, Marie-Martine Lefevre-Colau, Alain Nys, Serge Poiraudeau, Michel Ledoux, Alain Chevrot, Michel Revel
• Journal: European radiology (Eur Radiol) Vol. 17 Issue 5 Pg. 1156-61 (May 2007) ISSN: 0938-7994 [Print] Germany
• PMID: 17036155 (Publication Type: Journal Article)

Chemical References

• Contrast Media
• Glucocorticoids
• Triiodobenzoic Acids
• Prednisolone
• iodixanol

Topics

• Adult
• Aged
• Contrast Media
• Female
• Fluoroscopy
• Glucocorticoids (administration & dosage)
• Humans
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Neck Pain (diagnosis, drug therapy)
• Pain Measurement
• Prednisolone (administration & dosage)
• Radiculopathy (diagnosis, drug therapy)
• Retrospective Studies
• Spondylarthropathies (diagnosis, drug therapy)
• Statistics, Nonparametric
• Tomography, X-Ray Computed
• Treatment Outcome
• Triiodobenzoic Acids