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


CONCLUSIONS
We consider that CT-guided periganglionic steroid injections should be an integral part of the management strategy for radicular pain resistant to medical treatment.
Berger
O
O
Service de Radiologie, Hôpital d'Instruction des Armées Robert Picqué, Bordeaux-Armées, France.
Dousset
V
V
Delmer
O
O
Pointillart
V
V
Vital
J M
JM
Caillé
J M
JM
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001416:Back Pain / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D005260:Female; D005355:Fibrosis / Q000150:complications; D005727:Ganglia, Spinal / Q000000981:diagnostic imaging*; D006801:Humans; D007268:Injections, Epidural / Q000379:methods*; D007405:Intervertebral Disc Displacement / Q000150:complications; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000188:drug therapy; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000000981:diagnostic imaging / Q000188:drug therapy; D010003:Osteoarthritis / Q000150:complications; D010147:Pain Measurement; D010148:Intractable Pain / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011843:Radiculopathy / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones