Intradiscal corticosteroid injections in spondylotic cervical radiculopathy

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 ha...

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Bibliographic Details
Published in:European radiology 2007-05, Vol.17 (5), p.1156-1161
Main Authors: Fayad, Fouad, Rannou, François, Drapé, Jean Luc, Rahmani, Lamia, Lefevre-Colau, Marie-Martine, Nys, Alain, Poiraudeau, Serge, Ledoux, Michel, Chevrot, Alain, Revel, Michel
Format: Article
Language:English
Subjects:
Acetic acid
Adult
Aged
Analgesics
Contrast Media
Corticoids
Corticosteroids
Cysts
Data analysis
Female
Fluoroscopy
Glucocorticoids - administration & dosage
Humans
Inflammation
Injection
Magnetic Resonance Imaging
Male
Middle Aged
Neck pain
Neck Pain - diagnosis
Neck Pain - drug therapy
Nonsteroidal anti-inflammatory drugs
Pain
Pain Measurement
Patients
Physical therapy
Prednisolone
Prednisolone - administration & dosage
Radiculopathy - diagnosis
Radiculopathy - drug therapy
Retrospective Studies
Spondylarthropathies - diagnosis
Spondylarthropathies - drug therapy
Statistical analysis
Statistics, Nonparametric
Steroids
Tomography, X-Ray Computed
Treatment Outcome
Triiodobenzoic Acids
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Summary: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.
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-006-0416-x