title: Clinical outcomes of epidural neuroplasty for cervical disc herniation.
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.
authors.affiliation: Godoil Spine and Pain Hospital, Seoul, Korea.
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Park
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Park
authors.forename: Se Jin
authors.initials: SJ
authors.lastname: Lee
authors.forename: Nan Seol
authors.initials: NS
authors.lastname: Kim
authors.forename: Do Yle
authors.initials: DY
authors.lastname: Koh
mesh_terms: D000328:Adult; D000368:Aged; D000577:Amides / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging*; D003907:Dexamethasone / Q000008:administration & dosage; D004185:Disability Evaluation; D004824:Epidural Space / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000627:therapeutic use; D007268:Injections, Epidural; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000188:drug therapy; D010146:Pain / Q000188:drug therapy; D010147:Pain Measurement; D012189:Retrospective Studies; D000077212:Ropivacaine; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D000077212:Ropivacaine; D003907:Dexamethasone; D006821:Hyaluronoglucosaminidase
keywords: Cervical Disc Herniation; Epidural; Neuroplasty