Article Sidebar

PDF
Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 121
Views PDF: 106
DOI: https://doi.org/10.55046/vjrnm.26.443.2016
Issue
No. 26 (2016)
Section
Scientific research
How to Cite
Nguyen, Q. G., Pham, M. C., Nguyen, D. T., & Pham, M. T. (2022). Primary result: the short - term efficacy of selective nerve root block for lumbar radicular pain under ct guidance. Vietnamese Journal of Radiology and Nuclear Medicine, 26, 18-25. https://doi.org/10.55046/vjrnm.26.443.2016

Primary result: the short - term efficacy of selective nerve root block for lumbar radicular pain under ct guidance

Dr Nguyen Quynh Giang1, Dr Nguyen Manh Cuong1, Dr Nguyen Duy Trinh1, professor Pham Minh Thong1
1 Faculty of College of Medicine, Hospital Bach Mai

Main Article Content

Abstract

Purpose: Evaluating the short-term efficacy and the safety of SNRB method in treating lumbar discal herniation pain.
Methods:prospective, 24 patients with lumbar disc herniation treated by SNRBfrom February to June 2016, the contrast media
is used to identify the nerve root before ịnjecting compound of Corticosteroid and Lidocain under CT guidance. Measurements
of pain (with pain scale Visual Analogue Score - VAS) and mobility (Disability Index OSWESTRY - ODI) were compared at 1 day, 2
week, 1 month and 3 months after the procedure.
Results: 27 roots are blocked/24 patients, pain scores were significantly reduced compared with before treatment at every
follow-up period. The preprocedural mean VAS score was 5.9. At follow-up, mean VAS scores ranged from 1.9 to 2.4. The pretreatment mean ODI score was 43,6 and it ranged from 9,8 to 19 at follow-up, none grave complication.
Conclusion:S.N.R.B for lumbar radicular pain is a simple and safe procedure, but its effect is quite high. It is recommended
to perform before surgery.

Article Details

Keywords

SNRB, discal herniation

References

1. Hồ Hữu Lương (2006), Đau thắt lưng và thoát vị đĩa đệm, Nhà xuất bản Y học.
2. Park JB Riwe KD, Cho YS, et al. Nerver root blocks in the treatment of lumbar radicular pain. A minimum five - year follow - up.J Bone Joint Surg Am. Aug 2006;88(8), pp1722 -5.
3. Botwin KP et al, “Fluorosscopically Guided Lumbar Transfomational Epidural Steroid and Injections in Degenerative Lumbar Stenosis An Outcome Study”, Am. J. Phý. Med. Rehabil., 2002, Vol. 81, No. 12, pp898 -905.
4. Trần Thị Lan Nhung (2006), Bước đầu nghiên cứu hiệu quả điều trị đau vùng thắt lưng do thoát vị đĩa đệm với phương pháp kéo nắn bằng tay, Khóa luận tốt nghiệp Bác sỹ Y khoa.
5. Karppinen J, Ohinmaa A, Malmivaara A, Kurunlahti M, Kyllönen E, Pienimäki T, Nieminen P, Tervonen O, Vanharanta H. Cost effectiveness of periradicular infiltration for sciatica: subgroup analysis of a randomized controlled trial. Spine. 2001;26:2587–2595.
6. Bùi Quang Tuyển (2007), Phẫu thuật thoát vị đĩa đệm cột sống thắt lưng, Nhà xuất bản y học Hà Nội.
7. Windsor RE, Storm S, Sugar R. Prevention and management of complications from common spinal injections. Pain Physician. 2003;6:473–83.
8. Marcelo F. Gruenberg, Matias Petracchi, Marcelo Valacco, and Carlos Solas. Use of CT-guided periradicular injection for the treatment of foraminal and extraforaminal disc herniations, Evid Based Spine Care J. 2011 Aug; 2(3): 19–24.
9. Tafazal S, Ng L, Chaudhary N, Sell P. Corticosteroids in periradicular infiltration for radicular pain: a randomised double blind controlled trial. One year results and subgroup analysis. Eur Spine J. 2009;8:1220–1225. doi: 10.1007/s00586-009-1000-2.
10. Nazia Tauheed, Hammad Usmani et al. A comparison of the analgesic efficacy of transforaminal methylprednisolone alone and with low doses of clonidine in lumbo-sacral radiculopathy, Saudi J Anaesth. 2014 Jan-Mar; 8(1): 51–58.