Cervical foraminal selective nerve root block: a 'two-needle technique' with results.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Naresh Kumar, Veda Gowda

Abstract

Several techniques have been described for selective nerve root blocks. We describe a novel 'two-needle technique', performed through the postero-lateral route with the patient in lateral position under C-arm guidance. The aim of the current study is to highlight the effectiveness and safety of cervical selective nerve root block for radiculopathy using this technique. We present results of a retrospective 2-year follow-up study of 33 injections carried out on 33 patients with radiculopathy due to cervical disc disease and or foraminal stenosis using this procedure. Patients with myelopathy, gross motor weakness and any other pathology were excluded. The outcome was measured comparing 'Visual Analogue Score' (VAS) and 'Neck Disability Index' (NDI) before the procedure with those at 6 weeks and 12 months after the procedure. Thirty patients were included in the final analysis. Average pre-operative VAS score was 7.4 (range 5-10), which improved to 2.2 (range 0-7) at 6 weeks and 2.0 (range 0-4) at 1 year and the mean NDI score prior to intervention was 66.9 (range 44-84), which improved to 31.7 (range 18-66) at 6 weeks and 31.1 (range 16-48) at 1 year. The improvements were statistically significant. Patients with involvement of ...Continue Reading

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Citations

Aug 31, 2010·AJNR. American Journal of Neuroradiology·T WolterC Hader
Dec 7, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrew EngelUNKNOWN Standards Division of the International Spine Intervention Society
Aug 1, 2015·Revista Brasileira De Ortopedia·Rodrigo RezendeJosé Lucas Batista Júnior
Mar 25, 2011·Journal of Korean Neurosurgical Society·Kyoung-Tae Kim, Young-Baeg Kim
Jun 11, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Aaron CongerZachary L McCormick
Dec 21, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Ryan T FitzgeraldHeather R Collins

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