Chronic Cervical Radiculopathy: Lateral-Approach Periradicular Corticosteroid Injection

Thirty-two patients underwent periradicular corticosteroid injections with a lateral percutaneous approach under fluoroscopic guidance, to treat 34 foci of chronic cervical radiculopathy unresponsive to medical treatment alone. The mean evolutionary trends for radicular and neck pain relief were significant at 14 days (P < .001) and at 6 months (P < .001). The procedure did not produce any complications.


  • 1 Ellenberg MR, Honet JC, Treanor WJ. Cervical radiculopathy. Arch Phys Med Rehabil 1994; 75:342-352. Crossref, MedlineGoogle Scholar
  • 2 Murtagh F. The neuroradiologist as pain therapist. Am J Neuroradiol 1998; 19:353- 355. Google Scholar
  • 3 Weiner BK, Fraser RD. Foraminal injection for lateral lumbar disk herniation. J Bone Joint Surg Br 1997; 79:804-807. Crossref, MedlineGoogle Scholar
  • 4 Zennaro H, Dousset V, Viaud B, et al. Periganglionic foraminal steroid injections performed under CT control. Am J Neuroradiol 1998; 19:349-352. MedlineGoogle Scholar
  • 5 El-Khoury GY, Ehara S, Weinstein IN, Montgomery WJ, Kathol MH. Epidural steroid injection: a procedure ideally performed with fluoroscopic control. Radiology 1988; 168:554-557. LinkGoogle Scholar
  • 6 Rowlingson JC, Kirschenbaum LP. Epidural analgesic techniques in the management of cervical pain. Anesth Analg 1986; 65:938-942. MedlineGoogle Scholar
  • 7 Shulman J. Treatment of neck pain with cervical epidural steroid injection. Reg Anesth 1986; 11:92-94. Google Scholar
  • 8 Morvan G, Mompoint D, Bard M, Levi-Valensin G. Direct intra-foraminal injection of corticosteroids in the treatment of cervico-brachial pain. In: Bard M, Laredo JD, eds. Interventional radiology in bone and joint. New York, NY: Springer Verlag, 1988; 253-257. Google Scholar
  • 9 Bush K, Hillier S. Outcome of cervical radiculopathy treated with periradicular/epidural corticosteroid injections: a prospective study with independent clinical review. Eur Spine J 1996; 5:319-325. Crossref, MedlineGoogle Scholar
  • 10 Bush K, Hillier S. The pathomorphologic changes that accompany the resolution of cervical radiculopathy: a prospective study with repeat magnetic resonance imaging. Spine 1997; 22:183-187. Crossref, MedlineGoogle Scholar
  • 11 Persson LCG, Carlsson CA, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. Spine 1997; 22:751-758. Crossref, MedlineGoogle Scholar
  • 12 Radhakrishnan K, Litchy WJ, O’Fallon WM, Kurland LT. Epidemiology of cervi-cal radiculopathy: a population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994; 2:325-335. Google Scholar
  • 13 Sampath P, Bendebba M, Davis JD, Drucker T. Outcome in patients with cervical radiculopathy: prospective, multicenter study with independent clinical review. Spine 1999; 24:591-597. Crossref, MedlineGoogle Scholar
  • 14 Takahashi H, Suguro T, Okazima Y, Motegi M, Okada Y, Kakiuchi T. Inflammatory cytokines in the herniated disk of the lumbar spine. Spine 1996; 21:218-224. Crossref, MedlineGoogle Scholar
  • 15 Olmarker K, Myers RR. Pathogenesis of sciatic pain: role of herniated nucleus pulposus and deformation of spinal nerve root and dorsal root ganglion. Pain 1998; 78:99-105. Crossref, MedlineGoogle Scholar
  • 16 Yabuki S, Kikuchi S, Olmarker K, Myers RR. Acute effects of nucleus pulposus on blood flow and endoneurial fluid pressure in rat dorsal root ganglia. Spine 1998; 23:2517-2523. Crossref, MedlineGoogle Scholar
  • 17 Piperno M, Hellio le Graverand MP, Reboul P, et al. Phospholipase A2 activity in herniated lumbar discs: clinical correlations and inhibition by piroxicam. Spine 1997; 22:2061-2065. Crossref, MedlineGoogle Scholar
  • 18 Rappaport ZH, Devor M. Experimental pathophysiological correlates of clinical symptomatology in peripheral neuropathic pain syndromes. Stereotact Funct Neurosurg 1990; 54–55:90-95. MedlineGoogle Scholar
  • 19 Grant G. Primary afferent projections to the spinal cord. In: Paxinos G, eds. The rat nervous system. 2nd ed. San Diego, Calif: Academic Press, 1995; 61-66. Google Scholar
  • 20 McMahon S, Koltzenburg M. The changing role of primary afferent neurons in pain. Pain 1990; 43:269-272. Crossref, MedlineGoogle Scholar
  • 21 Johansson A, Hao J, Sjobund B. Local corticosteroid application blocks transmission in normal nociceptive C fibres. Acta Anaesthesiol Scand 1990; 34:335-338. Crossref, MedlineGoogle Scholar

Article History

Published in print: Mar 2001