[Evaluation of the efficacy of foraminal infusions of corticosteroids guided by computed tomography in the treatment of radicular pain by foraminal injection]

J Radiol. 1999 Sep;80(9):917-25.
[Article in French]

Abstract

Purpose: To evaluate the efficacy of foraminal steroid injections performed under CT guidance for the management of radicular pain.

Methods: Periganglionic infiltrations were performed in 160 patients with radicular pain refractory to medical treatment. Imaging showed either degenerative foraminal stenosis, herniated disk or postsurgical fibrosis.

Results: 102 patients (63.8%) had significant pain reduction. Pain relief was lasting in 68 (66.6%). CT showed the position of the needle tip, as well as the diffusion of the therapeutic compounds.

Conclusion: We consider that CT-guided periganglionic steroid injections should be an integral part of the management strategy for radicular pain resistant to medical treatment.

Publication types

  • Evaluation Study

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage*
  • Adult
  • Aged
  • Aged, 80 and over
  • Back Pain / diagnostic imaging*
  • Back Pain / drug therapy*
  • Cervical Vertebrae / diagnostic imaging
  • Female
  • Fibrosis / complications
  • Ganglia, Spinal / diagnostic imaging*
  • Humans
  • Injections, Epidural / methods*
  • Intervertebral Disc Displacement / complications
  • Low Back Pain / diagnostic imaging
  • Low Back Pain / drug therapy
  • Lumbar Vertebrae / diagnostic imaging
  • Male
  • Middle Aged
  • Neck Pain / diagnostic imaging
  • Neck Pain / drug therapy
  • Osteoarthritis / complications
  • Pain Measurement
  • Pain, Intractable / diagnostic imaging
  • Pain, Intractable / drug therapy*
  • Radiculopathy / diagnostic imaging
  • Radiculopathy / drug therapy
  • Radiculopathy / etiology
  • Retrospective Studies
  • Surveys and Questionnaires
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones