title: Intradiscal corticosteroid injections in spondylotic cervical radiculopathy.
abstract: The purpose of this study was to evaluate treatment outcomes with intradiscal injection of corticosteroids (IDIC) in cervical spondylotic radiculopathy. Twenty consecutive patients were treated with intradiscal injection of 25 mg of acetate of prednisolone under fluoroscopic control. All patients had previously received a nonsurgical treatment for at least 3 months without success. Outcomes were assessed 1, 3 and 6 months after IDIC. Radicular pain reduction as scored on a visual analogue scale (VAS 100-mm length) was statistically significant at 1 month (19.0+/-28.0 mm; p=0.008), 3 months (25.2+/-27.5 mm; p=0.002), and 6 months (24.6+/-28.4 mm; p=0.001). In all, 40% of treated patients described at least 50% pain improvement 6 months after treatment. Four patients had complete relief of radicular pain. In conclusion, IDIC should be an alternative in the nonsurgical management of cervical spondylotic radiculopathy.
authors.affiliation: Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis, Hôpital Cochin (AP-HP) Université Paris 5, 27 Rue du Faubourg Saint Jacques, 75014, Paris, France. fouad.fayad@cch.aphp.fr
authors.forename: Fouad
authors.initials: F
authors.lastname: Fayad
authors.forename: François
authors.initials: F
authors.lastname: Rannou
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Drapé
authors.forename: Lamia
authors.initials: L
authors.lastname: Rahmani
authors.forename: Marie-Martine
authors.initials: MM
authors.lastname: Lefevre-Colau
authors.forename: Alain
authors.initials: A
authors.lastname: Nys
authors.forename: Serge
authors.initials: S
authors.lastname: Poiraudeau
authors.forename: Michel
authors.initials: M
authors.lastname: Ledoux
authors.forename: Alain
authors.initials: A
authors.lastname: Chevrot
authors.forename: Michel
authors.initials: M
authors.lastname: Revel
mesh_terms: D000328:Adult; D000368:Aged; D003287:Contrast Media; D005260:Female; D005471:Fluoroscopy; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000175:diagnosis / Q000188:drug therapy*; D010147:Pain Measurement; D011239:Prednisolone / Q000008:administration & dosage*; D011843:Radiculopathy / Q000175:diagnosis / Q000188:drug therapy*; D012189:Retrospective Studies; D025242:Spondylarthropathies / Q000175:diagnosis / Q000188:drug therapy*; D018709:Statistics, Nonparametric; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014283:Triiodobenzoic Acids
chemical_list: D003287:Contrast Media; D005938:Glucocorticoids; D014283:Triiodobenzoic Acids; D011239:Prednisolone; C044834:iodixanol