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Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection

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Author(s)
Ji Hee HongSe Nyung Huh
Keimyung Author(s)
Hong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Anesth Pain Med
Issued Date
2023
Volume
18
Issue
4
Keyword
Analgesic efficacyCervical interlaminar epidural injectionErector spinae plane blockNeck and arm painNeck disability indexNumerical rating scale
Abstract
Background:
The high thoracic erector spinae plane block (ESPB) has been used for the management of chronic shoulder pain or arthroscopic shoulder surgery. No study has evaluated the analgesic efficacy of ESPB in patients with cervical radiculopathy although it is a favored and easy technique compared to neuraxial block. The purpose of this study was to compare the treatment outcome of cervical radiculopathy using high thoracic ESPB or cervical interlaminar epidural injection (CEPI).

Methods:
This study included 82 patients with neck and arm pain who received CEPI (CEPI group) using 4 ml of 0.1% ropivacaine or high thoracic ipsilateral ESPB (ESPB group) at the T2 or T3 level using 20 ml of 0.1% ropivacaine 20 ml. The degree of pain relief and disability were assessed using an 11-point numerical scale (NRS) and neck disability index (NDI), respectively.

Results:
The CEPI and ESPB groups demonstrated an equal number of patients with excellent pain relief (NRS reduction ≥ 50%). Significant reduction of NRS was found in both groups, and the effect of time was statistically significant in the groups (P < 0.001). The number of patients who showed an excellent improvement in NDI (NDI reduction ≥ 30%) was 20 (48.8%) and 22 (53.7%) in the CEPI and ESPB groups, respectively.

Conclusions:
Both the CEPI and ESPB demonstrated significant relief in neck and arm pain with improvement in disability.
Keimyung Author(s)(Kor)
홍지희
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2383-7977
Source
https://anesth-pain-med.org/journal/view.php?doi=10.17085/apm.23064
DOI
10.17085/apm.23064
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45309
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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