Clinical Outcomes of Epidural Neuroplasty for Cervical Disc Herniation

Abstract

Cervical disc herniation is a common disorder characterized by neck pain radiating to the arm and fingers as determined by the affected dermatome. This condition has a favorable prognosis, but pain can have a serious detrimental impact on daily activities. Epidural neuroplasty has been applied as a treatment option for cervical disc herniation; however, no study has addressed the clinical outcomes. This retrospective study evaluated the clinical outcomes of epidural neuroplasty on 128 patients for the treatment of cervical disc herniation. To measure pain-related disabilities over time, the changes of pain scores in neck and arm were evaluated using a numerical rating scale (NRS) and the neck disability index (NDI). Compared with preprocedural values, the pain NRS of neck and arm demonstrated significant improvement at day 1, and 1, 3, 6, and 12 months after the procedure (P < 0.001). Likewise, the NDI was significantly reduced at 3, 6, and 12 months after the procedure (P < 0.001). There were no serious complications. Cervical epidural neuroplasty shows good clinical outcomes in the treatment of cervical disc herniation and can be considered a treatment modality for cervical disc herniation refractory to conservative treatment.

Spinal Cord Stimulation for the Treatment of Failed Neck Surgery Syndrome: Outcome of a Prospective Case Series

“…The effectiveness of adhesiolysis in decreasing FBSS pain has been supported by numerous studies . Although the evidence supporting the use of adhesiolysis in the cervical spine is less robust compared to lumbar area, available data demonstrate that cervical lysis of adhesion is safe, effective and considered part of the “standard‐of‐care” .…”

Surgical treatment of a broken neuroplasty catheter in the epidural space: a case report

“…introduced percutaneous epidural neuroplasty, which relieves pain via local epidural adhesiolysis, neurolysis of vertebral nerve roots, and lavage of inflammatory mediators by injections of local anesthetics, corticosteroids, hyaluronidase, and hypertonic saline [ 1 ]. It is now considered a non-surgical treatment modality to relieve pain arising from spinal radiculopathy, back pain, and postsurgical pain syndrome [ 4 ]. Indications of epidural neuroplasty are lumbar disc herniation, lumbar stenosis, or radiculopathies with failed conservative management including physical therapy, chiropractic manipulation, exercises, drug therapy, and fluoroscopically directed caudal or transforaminal epidural injections [ 5 – 7 ].…”

Unintended Complication of Intracranial Subdural Hematoma after Percutaneous Epidural Neuroplasty

“…PEN is not only utilized in patients suffering from failed spine surgery but also increasingly utilized for non-surgical management of back pain8).…”