Selective Nerve Root Injections Can Predict Surgical Outcome For Lumbar and Cervical Radiculopathy

Sasso, Rick C.; Macadaeg, Kevin; Nordmann, Daniel; Smith, Mark D.

doi:10.1097/01.bsd.0000146761.36658.45

Cited by 76 publications

(68 citation statements)

References 39 publications

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“…Two studies were within-patient case-control studies, 38,39 one was a prospective diagnostic cohort study 28 and two were retrospective diagnostic cohort studies 40,41 ( Table 2). Publication dates ranged from 1973 to 2008.…”

Section: Chapter 4 Results Of the Systematic Review Of Diagnostic Accmentioning

confidence: 99%

“…28,38,40,41 Needle provocation of the nerve root was conducted in four studies. 28,38,40,41 Similarly, three studies 28,38,39 carried out up to three control injections at adjacent asymptomatic levels (two 38,39 being the within-patient case-control studies). The third 28 used the control injections in order to try to increase the sensitivity and specificity of patient responses to injections at the level thought to be symptomatic.…”

Section: Chapter 4 Results Of the Systematic Review Of Diagnostic Accmentioning

confidence: 99%

See 1 more Smart Citation

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

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Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 09/111/01. The contractual start date was in August 2010. The draft report began editorial review in February 2012 and was accepted for publication in October 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health.

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Section: Chapter 4 Results Of the Systematic Review Of Diagnostic Accmentioning

confidence: 99%

Section: Chapter 4 Results Of the Systematic Review Of Diagnostic Accmentioning

confidence: 99%

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

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“…[4][5][6][7][8][9] In addition, studies have supported the relevance of selective nerve root blockade to clinical and MR imaging findings. 10,11 Various techniques have been described for the transforaminal or selective cervical nerve block, but there is agreement that image guidance is imperative for both accuracy and safety. 1,[12][13][14][15][16][17] Imaging techniques include CT, 14,15,18 CT fluoroscopy, 19,20 and fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

Selective Cervical Nerve Root Blockade: Prospective Study of Immediate and Longer Term Complications

Pobiel¹,

Schellhas²,

Eklund³

et al. 2009

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Selective cervical nerve root blockade (SCNRB) is a useful procedure for evaluating and treating patients with cervical radiculopathy. Reports of complications related to injections within the cervical nerve root foramen have raised serious doubts regarding the safety of this procedure. This study was performed to prospectively evaluate the safety of fluoroscopically guided outpatient diagnostic and therapeutic SCNRB.

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“…The terms foraminal block and SNRB are often interchanged and comparisons are drawn between the two. Despite this, however, a good correlation with SNRB as compared to operative findings and surgical outcome has been shown [13][14][15][16]. A number of studies have also demonstrated improved accuracy of SNRB using smaller volumes of injectate [10,17].…”

Section: Introductionmentioning

confidence: 99%

The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity

et al. 2014

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Selective Nerve Root Injections Can Predict Surgical Outcome For Lumbar and Cervical Radiculopathy

Cited by 76 publications

References 39 publications

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Selective Cervical Nerve Root Blockade: Prospective Study of Immediate and Longer Term Complications

The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity

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