Clinical Outcomes of Epidural Neuroplasty for Cervical Disc Herniation.
10.3346/jkms.2013.28.3.461
- Author:
Eun Jung PARK
1
;
Sun Young PARK
;
Se Jin LEE
;
Nan Seol KIM
;
Do Yle KOH
Author Information
1. Godoil Spine and Pain Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Cervical Disc Herniation;
Epidural;
Neuroplasty
- MeSH:
Adult;
Aged;
Amides/administration & dosage;
Anesthetics, Local/administration & dosage;
Anti-Inflammatory Agents/administration & dosage;
Cervical Vertebrae/*radiography;
Dexamethasone/administration & dosage;
Disability Evaluation;
Epidural Space/radiography;
Female;
Follow-Up Studies;
Humans;
Hyaluronoglucosaminidase/therapeutic use;
Injections, Epidural;
Intervertebral Disc Displacement/radiography/*surgery;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Neck Pain/drug therapy;
Pain/drug therapy;
Pain Measurement;
Questionnaires;
Retrospective Studies;
Tomography, X-Ray Computed;
Treatment Outcome
- From:Journal of Korean Medical Science
2013;28(3):461-465
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cervical disc herniation is a common disorder characterized by neck pain radiating to the arm and fingers as determined by the affected dermatome. This condition has a favorable prognosis, but pain can have a serious detrimental impact on daily activities. Epidural neuroplasty has been applied as a treatment option for cervical disc herniation; however, no study has addressed the clinical outcomes. This retrospective study evaluated the clinical outcomes of epidural neuroplasty on 128 patients for the treatment of cervical disc herniation. To measure pain-related disabilities over time, the changes of pain scores in neck and arm were evaluated using a numerical rating scale (NRS) and the neck disability index (NDI). Compared with preprocedural values, the pain NRS of neck and arm demonstrated significant improvement at day 1, and 1, 3, 6, and 12 months after the procedure (P < 0.001). Likewise, the NDI was significantly reduced at 3, 6, and 12 months after the procedure (P < 0.001). There were no serious complications. Cervical epidural neuroplasty shows good clinical outcomes in the treatment of cervical disc herniation and can be considered a treatment modality for cervical disc herniation refractory to conservative treatment.
