PMID- 35929031
OWN - NLM
STAT- MEDLINE
DCOM- 20230202
LR  - 20230202
IS  - 2651-5032 (Electronic)
IS  - 1019-5149 (Linking)
VI  - 33
IP  - 1
DP  - 2023
TI  - Efficacy of Combined Dorsal Root Ganglion Pulsed Radiofrequency and Cervical 
      Epidural Steroid Injection on Radicular Neck Pain.
PG  - 58-62
LID - 10.5137/1019-5149.JTN.36295-21.3 [doi]
AB  - AIM: To evaluate the efficacy and safety of combined transforaminal anterior 
      epidural steroid injection (TAESI) and dorsal root ganglion pulsed radiofrequency 
      (DRG-PRF) therapy on the radicular neck pain. MATERIAL AND METHODS: The results 
      of 84 patients with cervical radicular pain who underwent combined DRG-PRF and 
      TAESI under fluoroscopy were evaluated retrospectively. Primer outcome is the 
      pain measurements of the patients before and after the procedure at the 1 < sup > 
      st < /sup > , 3 < sup > rd < /sup > , and 6 < sup > th < /sup > months were 
      evaluated with the Verbal Pain Scale (VPS). Our secondary outcome was the 
      evaluation of patient satisfaction in the 1 < sup > st < /sup > , 3 < sup > rd < 
      /sup > , and 6 < sup > th < /sup > months after the interventional treatment, and 
      it was considered significant if it was evaluated as ?good? above 50%. RESULTS: 
      We found statistically significant decrease in the pain scores of the patients in 
      the 1 < sup > st < /sup > , 3 < sup > rd < /sup > , and 6 < sup > th < /sup > 
      months compared to the pre-intervention (VPS 0) (p < 0.001). After the procedure, 
      the patients expressed their satisfaction level as 69.1% at the 1 < sup > st < 
      /sup > month, 71.5% at the 3 < sup > rd < /sup > month, and 72.6% at the 6th 
      month as ?very good/good?. While the operation was mostly performed at the C5-6 
      level on both sides, it was seen that 61.9% of the operations were applied from 
      the right side and 38.1% from the left side. No adverse effects or fatal 
      neurological complications were observed. CONCLUSION: Although the efficacy and 
      complications of cervical TAESI and DRG-PRF treatment are controversial in the 
      literature, we think that this combined treatment can provide effective pain 
      palliation in experienced hands with appropriate patient selection, considering 
      the risk / benefit ratio.
FAU - Kinci, Ayse
AU  - Kinci A
AD  - Babaeski State Hospital, Department of Anesthesiology and Reanimation, 
      Kirklareli, Turkey.
FAU - Sari, Sinem
AU  - Sari S
FAU - Ertilav, Esra
AU  - Ertilav E
FAU - Aydin, Osman Nuri
AU  - Aydin ON
LA  - eng
PT  - Journal Article
PL  - Turkey
TA  - Turk Neurosurg
JT  - Turkish neurosurgery
JID - 9423821
RN  - 0 (Steroids)
SB  - IM
MH  - Humans
MH  - *Neck Pain/therapy
MH  - Ganglia, Spinal
MH  - *Pulsed Radiofrequency Treatment/methods
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Steroids
EDAT- 2022/08/06 06:00
MHDA- 2023/02/03 06:00
CRDT- 2022/08/05 02:32
PHST- 2022/08/06 06:00 [pubmed]
PHST- 2023/02/03 06:00 [medline]
PHST- 2022/08/05 02:32 [entrez]
AID - 10.5137/1019-5149.JTN.36295-21.3 [doi]
PST - ppublish
SO  - Turk Neurosurg. 2023;33(1):58-62. doi: 10.5137/1019-5149.JTN.36295-21.3.