Percutaneous techniques for cervical pain of discal origin.

Details

Serval ID
serval:BIB_427891DCD6E0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Percutaneous techniques for cervical pain of discal origin.
Journal
Seminars in musculoskeletal radiology
Author(s)
Gangi A., Tsoumakidou G., Buy X., Cabral J.F., Garnon J.
ISSN
1098-898X (Electronic)
ISSN-L
1089-7860
Publication state
Published
Issued date
04/2011
Peer-reviewed
Oui
Volume
15
Number
2
Pages
172-180
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
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.
Keywords
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
Create date
09/10/2018 11:56
Last modification date
20/08/2019 13:45
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