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Titolo:
Therapeutic efficacy of selective nerve root blocks in the treatment of lumbar radicular leg pain
Autore:
Narozny, M; Zanetti, M; Boos, N;
Indirizzi:
Orthpaed Univ Hosp Balgrist, Div Muskuloskeletal Radiol, CH-8008 Zurich, Switzerland Orthpaed Univ Hosp Balgrist Zurich Switzerland CH-8008 rich, Switzerland
Titolo Testata:
SWISS MEDICAL WEEKLY
fascicolo: 5-6, volume: 131, anno: 2001,
pagine: 75 - 80
SICI:
1424-7860(20010210)131:5-6<75:TEOSNR>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOW-BACK-PAIN; NUCLEUS PULPOSUS; SCIATICA; INFILTRATION; INJECTIONS; INJURY;
Keywords:
disc herniation; foraminal stenosis; selective nerve root injection; non-operative treatment; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Boos, N Orthpaed Univ Hosp Balgrist, Div Muskuloskeletal Radiol, Forchstr 340, CH-8008 Zurich, Switzerland Orthpaed Univ Hosp Balgrist Forchstr 340 Zurich Switzerland CH-8008
Citazione:
M. Narozny et al., "Therapeutic efficacy of selective nerve root blocks in the treatment of lumbar radicular leg pain", SWISS MED W, 131(5-6), 2001, pp. 75-80

Abstract

The objective of this study was to investigate the clinical effectiveness of nerve root blocks (i.e., periradicular injection of bupivacaine and triameinolone) for lumbar monoradiculopathy in patients with a mild neurological deficit. We have retrospectively analysed 30 patients (29-82 years) with a minor sensory/motor deficit and an unequivocal MRI finding (20 disc herniations, 10 foraminal stenoses) treated with a selective nerve root block. Based on the clinical and imaging findings, surgery (decompression of the nerve root) was justifiable in all cases. Twenty-six patients (87%) had rapid(1-4 days) and substantial regression of pain, five required a repent injection. 60% of the patients with disc herniation or foraminal stenosis had permanent resolution of pain, so that an operation was avoided over an average of 16 months (6-23 months) follow-up. Nerve root blocks are very effective in the non-operative treatment of minor monoradiculopathy and should he recommended as the initial treatment of choice for this condition.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/01/20 alle ore 19:04:14