168 Randomized Control Study of Percutaneous Epidural Neuroplasty and Translaminar Epidural Steroid Injection in Cervical Disc Disease With 6 Months of Follow-up. Issue Volume 61:Issue CN Supp. 1(2014)Supplement (1st August 2014)

• Record Type: Journal Article
• Authors: Oh, Chang Hyun; Ji, Gyu Yeul; Choi, Seung Hyun; Kim, Hyun Goo; Yoon, Young Sul; Shin, Dong Ah
• Is Part Of: Neurosurgery. Volume 61:Issue CN Supp. 1(2014)Supplement
• Page Start: 215
• Page End: 215
• Publication Date: 2014-08-01
• Subjects: Nervous system -- Surgery -- Periodicals; 617.48005
• DOI: 10.1227/01.neu.0000452443.21154.b7
• Languages: English
• ISSNs: 0148-396X

Abstract

Abstract: INTRODUCTION: A randomized control study of percutaneous epidural neuroplasty and translaminar epidural steroid injection in cervical disc disease with 6 months of follow-up was conducted. METHODS: Eighty patients with neck pain from single level cervical disease with and without radiculopathy were included in this study. Patients were randomly assigned into 2 groups: the C-PEN or C-ESI. Clinical outcomes were assessed according to Neck Disability Index (NDI) score and Visual Analog Scale (VAS) score for arm pain at 2, 4, and 6 months after treatment. RESULTS: The C-PEN group showed better NDI recovery and greater reduction in VAS score at postoperative 6 months ( P < .001). The C-PEN group demonstrated better NDI score at postoperative 6 months than the C-ESI group ( P = .014), while there were no differences at 2 and 4 months. Additionally, the C-PEN group showed lower VAS scores at all follow-up intervals, in comparison to the C-ESI group ( P < .050). Symptom relief was sustained for a significantly longer duration in the C-PEN group than in the C-ESI group (23.4 weeks vs 20.5 weeks, P < .001). CONCLUSION: C-PEN was superior to C-ESI in terms of better NDI recovery and greater reduction in VAS score in treating single level cervical disc herniation. Better outcomes with C-PEN may have been achieved via a more localized treatment with a selective block in the epidural space closer to the dorsal root ganglion and ventral aspect of the nerve root.