Counterpoint: Conventional Fluoroscopy-Guided Selective Cervical Nerve Root Block-A Safe, Effective, and Efficient Modality in the Hands of an Experienced Proceduralist.

AJNR. American Journal of Neuroradiology
F W OttJ B Rykken

Abstract

The conventional fluoroscopy-guided (CF) selective cervical nerve root block (SCNRB) is being used commonly as a treatment for cervical radicular pain as well as a diagnostic tool. This study aimed to identify any major complications and determine the safety and clinical utility of CF-SCNRB performed in a university hospital and associated outpatient clinics. Two-hundred fifty-four conventional fluoroscopy-guided selective cervical nerve root blocks were retrospectively identified from 2011 to 2018 using a radiology report search tool. Each procedure was performed by an experienced neuroradiologist performing spinal injections on a full-time basis in clinical practice. A 10-point pain scale was used for pre- and postprocedural pain-level assessment. Successful conventional, fluoroscopy-guided, selective cervical nerve root block was defined as a patient-reported pain scale reduction of at least 50% and/or alleviation of numbness or paresthesia at ≥2 weeks postinjection. All clinically important immediate and delayed complications were also recorded. Two-hundred fifty-four conventional fluoroscopy-guided selective cervical nerve root blocks were performed via an anterolateral approach with an average fluoroscopy time of 24.3 sec...Continue Reading

References

Nov 25, 2003·The American Journal of Forensic Medicine and Pathology·Leon RozinCyril H Wecht
Oct 18, 2005·Cardiovascular and Interventional Radiology·Gebhard SchmidMichael Jergas
Jul 26, 2008·AJNR. American Journal of Neuroradiology·T WolterS Knoeller
Aug 20, 2008·Radiology·Walter HudaMohammad R Khorasani
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Gbolahan O OkubadejoK Daniel Riew
Feb 6, 2009·AJNR. American Journal of Neuroradiology·R S PobielK Shrack
Aug 29, 2012·Diagnostic and Interventional Imaging·C DepriesterJ Bocquet
Jan 19, 2013·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·Juerg HodlerMartin Schubert
Jun 26, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Timothy MausFelix E Diehn
Oct 16, 2015·Regional Anesthesia and Pain Medicine·Shrif J CostandiNagy A Mekhail
Nov 22, 2016·Radiology·William E Palmer
Nov 9, 2017·American Journal of Physical Medicine & Rehabilitation·Min Cheol Chang
Aug 1, 2014·Neurology. Clinical Practice·J D Bartleson, Timothy P Maus
Mar 13, 2019·Journal of Medical Imaging and Radiation Oncology·Matthew W LukiesWarren Clements

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