Selective nerve-root block for the relief of pain resulting from osteoporotic vertebral fractures

VernacularTitle:选择性神经根阻滞术治疗骨质疏松椎体压缩性骨折疼痛的效果
Author: Xiangyun XUE ; Xiaohua ZUO ; Qianxi ZHANG ; Hongxia ZHAO ; Qian WANG ; Botao CHENG ; Ke MA ; Jing ZONG
Publication Type:Journal Article
Keywords: Nerve block; Osteoporosis; Fractures,compression
From: Chinese Journal of Anesthesiology 2012;(11):1302-1303
CountryChina
Language:Chinese
Abstract: Twenty-three patients with pain from osteoporotic vertebral fractures,aged 65-90 yr,weighing 51-78 kg,received an image intensifier-assisted nerve-root block with a 6-8 ml mixture of 0.5 ％ lidocaine,mecobalamine 0.5 mg and betamethasone sodium phosphate injection 5.26 mg in a prone or lateral position.The VAS scores before operation,at 0,1 week,1 and 3 months after operation were 8.6 ± 0.9,1.5 ± 0.7,2.8 ± 0.9,1.6 ± 0.5 and 2.5 ± 0.7,respectively.VAS scores were significantly lower at each time pint after operation than before operation (P ＜ 0.05).According to modified MacNab standard,the effectiveness of treatment was rated as excellent/good in 87％ of the patients.No complication such as bleeding,hematoma,infection,pneumothorax,hemopneumothorax,headache was found during or after operation.Selective nerve-root block is effective in the treatment of pain resulting from osteoporotic vertebral fractures in patients.