Stellate ganglion block versus cervical epidural steroid injection for cervical radiculopathy: a comparative-effectiveness study

Regional Anesthesia & Pain Medicine Pub Date : 2022-03-31 DOI:10.1136/rapm-2022-103532

Yongsoo Lee, Doo-Hwan Kim, Jieun Park, J. Shin, Seong-Soo Choi

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引用次数: 1

Abstract

© American Society of Regional Anesthesia & Pain Medicine 2022. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION Cervical epidural steroid injection (CESI) and stellate ganglion block (SGB) are often performed as a treatment for cervical radicular pain. 2 Both can improve blood flow by sympathetic blockade, despite weak evidences demonstrating a sympathetic component to patients with cervical radicular pain. Although fluoroscopyguided CESI is recommended to prevent serious adverse events, concerns have been raised regarding radiation exposure. SGB is now more commonly performed using ultrasound due to good imaging of soft tissues and bony surfaces and no risk of radiation. 5 Despite mention of the effectiveness of SGB on cervical radicular pain in case reports or observational studies with fewer than 20 patients, randomized, controlled, comparative trials are lacking. Therefore, we evaluated and compared the effectiveness of fluoroscopyguided CESI and ultrasoundguided SGB in patients with unilateral cervical radicular pain.

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星状神经节阻滞与硬膜外类固醇注射治疗颈椎病:一项比较疗效的研究

©美国区域麻醉与疼痛医学学会2022。禁止商业重用。请参阅权利和权限。英国医学杂志出版。宫颈硬膜外类固醇注射(CESI)和星状神经节阻滞(SGB)是治疗颈神经根性疼痛的常用方法。两者都可以通过交感阻滞改善血流量，尽管有微弱的证据表明交感成分对颈神经根性疼痛患者有作用。虽然建议在透视引导下进行CESI以防止严重的不良事件，但人们对辐射暴露提出了担忧。由于软组织和骨表面的良好成像和无辐射风险，SGB现在更常使用超声进行。尽管在病例报告或少于20例患者的观察性研究中提到了SGB治疗颈根性疼痛的有效性，但缺乏随机、对照和比较试验。因此，我们评估并比较了透视引导下CESI和超声引导下SGB治疗单侧颈椎根性疼痛的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Regional Anesthesia & Pain Medicine

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