Percutaneous techniques for cervical pain of discal origin.

Détails

ID Serval
serval:BIB_427891DCD6E0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Percutaneous techniques for cervical pain of discal origin.
Périodique
Seminars in musculoskeletal radiology
Auteur(s)
Gangi A., Tsoumakidou G., Buy X., Cabral J.F., Garnon J.
ISSN
1098-898X (Electronic)
ISSN-L
1089-7860
Statut éditorial
Publié
Date de publication
04/2011
Peer-reviewed
Oui
Volume
15
Numéro
2
Pages
172-180
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Cervical discogenic pain is an important cause of suffering and disability in the adult population. Pain management in cervical disc herniation relies initially on conservative care (rest, physiotherapy, and oral medications). Once conservative treatment has failed, different percutaneous minimally invasive radiological procedures can be applied to relief pain. This article offers a systematic review on the percutaneous minimally invasive techniques that can be advocated for the treatment of cervical pain of discal origin. Periradicular steroid injection under image guidance (computed tomography or magnetic resonance imaging) is the first technique to be considered. The steroid injection aims at reducing the periradicular inflammation and thus relieves the radicular pain. The steroid injections present satisfying short-term results, but pain can recur in the long term. Whenever the steroid injections fail to relieve pain from a contained cervical disc herniation, the more invasive percutaneous disc decompression techniques should be proposed. Percutaneous radiofrequency nucleoplasty is the most often applied technique on the cervical level with a low risk of thermal damage. When the indications and instructions are respected, radiofrequency nucleoplasty presents accepted safety and efficacy levels.
Mots-clé
Catheter Ablation/methods, Decompression, Surgical/methods, Diskectomy, Percutaneous/methods, Humans, Injections, Intra-Articular, Intervertebral Disc Displacement/pathology, Intervertebral Disc Displacement/therapy, Magnetic Resonance Imaging, Interventional, Neck Pain/pathology, Neck Pain/therapy, Patient Selection, Postoperative Complications, Radiography, Interventional, Steroids/administration & dosage, Steroids/adverse effects, Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
09/10/2018 12:56
Dernière modification de la notice
20/10/2018 6:26
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