基于导管的宫颈硬膜外类固醇注射的安全性:回顾性回顾。

IF 1.4 Q3 ORTHOPEDICS
Orthopedic Reviews Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI:10.52965/001c.137668
Jamal Hasoon, Saiyid Mahmood, Syed Mahmood, Alan D Kaye, Christopher L Robinson
{"title":"基于导管的宫颈硬膜外类固醇注射的安全性:回顾性回顾。","authors":"Jamal Hasoon, Saiyid Mahmood, Syed Mahmood, Alan D Kaye, Christopher L Robinson","doi":"10.52965/001c.137668","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cervical epidural steroid injections (CESIs) are frequently utilized for the treatment of cervical radiculopathy and axial neck pain. Given the anatomical complexity of the cervical spine, techniques that enhance precision while maintaining safety are essential. This case series evaluates the safety of a catheter-based approach for CESI, allowing targeted medication delivery to the affected spinal level.</p><p><strong>Methods: </strong>A retrospective review was conducted of 9 patients who underwent cervical ESIs using a catheter-based technique. Under fluoroscopic guidance, the epidural space was accessed with a touhy needle, and a flexible catheter was advanced to the level of pathology for medication administration. All patients were monitored during and after the procedure for any complications.</p><p><strong>Results: </strong>All 9 procedures were successfully completed without any reported complications. There were no cases of dural puncture, neurological injury, or other adverse events associated with the procedure.</p><p><strong>Conclusion: </strong>This case series supports the safety and feasibility of catheter-based cervical epidural steroid injections. The technique allowed for accurate targeting of pathology without any observed complications. These preliminary findings warrant further investigation in larger, controlled studies to confirm safety and efficacy.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"137668"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085272/pdf/","citationCount":"0","resultStr":"{\"title\":\"Safety of Catheter-Based Cervical Epidural Steroid Injections: A Retrospective Review.\",\"authors\":\"Jamal Hasoon, Saiyid Mahmood, Syed Mahmood, Alan D Kaye, Christopher L Robinson\",\"doi\":\"10.52965/001c.137668\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cervical epidural steroid injections (CESIs) are frequently utilized for the treatment of cervical radiculopathy and axial neck pain. Given the anatomical complexity of the cervical spine, techniques that enhance precision while maintaining safety are essential. This case series evaluates the safety of a catheter-based approach for CESI, allowing targeted medication delivery to the affected spinal level.</p><p><strong>Methods: </strong>A retrospective review was conducted of 9 patients who underwent cervical ESIs using a catheter-based technique. Under fluoroscopic guidance, the epidural space was accessed with a touhy needle, and a flexible catheter was advanced to the level of pathology for medication administration. All patients were monitored during and after the procedure for any complications.</p><p><strong>Results: </strong>All 9 procedures were successfully completed without any reported complications. There were no cases of dural puncture, neurological injury, or other adverse events associated with the procedure.</p><p><strong>Conclusion: </strong>This case series supports the safety and feasibility of catheter-based cervical epidural steroid injections. The technique allowed for accurate targeting of pathology without any observed complications. These preliminary findings warrant further investigation in larger, controlled studies to confirm safety and efficacy.</p>\",\"PeriodicalId\":19669,\"journal\":{\"name\":\"Orthopedic Reviews\",\"volume\":\"17 \",\"pages\":\"137668\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-05-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085272/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopedic Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52965/001c.137668\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedic Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52965/001c.137668","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

摘要

背景:宫颈硬膜外类固醇注射(CESIs)常用于治疗颈神经根病和轴性颈痛。鉴于颈椎解剖结构的复杂性,在保证安全性的同时提高精确性的技术是必不可少的。本病例系列评估了导管为基础的CESI入路的安全性,允许靶向药物输送到受影响的脊柱水平。方法:回顾性分析9例采用导管技术行宫颈穿刺的患者。在透视引导下,硬膜外间隙用柔软的针头进入,并将柔性导管推进到病理水平进行给药。所有患者在手术期间和手术后均被监测是否有任何并发症。结果:9例手术均顺利完成,无并发症报告。没有硬脑膜穿刺、神经损伤或其他与手术相关的不良事件。结论:本病例系列支持导管为基础的宫颈硬膜外类固醇注射的安全性和可行性。该技术允许准确靶向病理,没有任何观察到的并发症。这些初步发现值得在更大规模的对照研究中进一步调查,以确认安全性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Safety of Catheter-Based Cervical Epidural Steroid Injections: A Retrospective Review.

Background: Cervical epidural steroid injections (CESIs) are frequently utilized for the treatment of cervical radiculopathy and axial neck pain. Given the anatomical complexity of the cervical spine, techniques that enhance precision while maintaining safety are essential. This case series evaluates the safety of a catheter-based approach for CESI, allowing targeted medication delivery to the affected spinal level.

Methods: A retrospective review was conducted of 9 patients who underwent cervical ESIs using a catheter-based technique. Under fluoroscopic guidance, the epidural space was accessed with a touhy needle, and a flexible catheter was advanced to the level of pathology for medication administration. All patients were monitored during and after the procedure for any complications.

Results: All 9 procedures were successfully completed without any reported complications. There were no cases of dural puncture, neurological injury, or other adverse events associated with the procedure.

Conclusion: This case series supports the safety and feasibility of catheter-based cervical epidural steroid injections. The technique allowed for accurate targeting of pathology without any observed complications. These preliminary findings warrant further investigation in larger, controlled studies to confirm safety and efficacy.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Orthopedic Reviews
Orthopedic Reviews ORTHOPEDICS-
CiteScore
2.70
自引率
4.80%
发文量
122
审稿时长
10 weeks
期刊介绍: Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信