caa a22 4500 53018530X CHVBK 20181128043723.0 cr unu---uuuuu 181026e201812 xx s 000 0 eng 10.1007/s00256-018-3027-0 doi (SERVAL)BIB_B53B6D93DB68 30032466 pmid 000449308000005 isiid Comparison of three CT-guided epidural steroid injection approaches in 104 patients with cervical radicular pain: transforaminal anterolateral, posterolateral, and transfacet indirect [Elektronische Daten] [S. Bise, L. Pesquer, M. Feldis, M. Bou Antoun, A. Silvestre, A. Hocquelet, B. Dallaudière] The treatment of persistent cervical radicular pain (CRP) by CT-guided epidural steroid injections (CTESI) by a transforaminal anterolateral (TFA) approach is associated with rare but serious complications. Two recently described transforaminal posterolateral (TFP) and transfacet indirect (TFT) approaches may be safer options, but have not been extensively evaluated. We compared the efficacy of three CTESI approaches (TFA, TFP, and TFT) in the treatment of persistent CRP (&gt;6weeks). Patients were prospectively assessed for pain using the visual analog scale (VAS) and for functional disability by the Neck Disability Index (NDI) before treatment, then 6weeks and 6months after CTESI. A total of 104 patients were included (n = 30 TFA, n = 36 TFP, and n = 38 TFT approaches). Each group was found to have a statistically significant improvement at 6weeks (median VAS values: 7 (2-9) at D0 and 2 (3-6) at 6weeks p &lt; 0.01; median NDI values: 38 (24-50) at D0 and 29 (18-42) at 6weeks (p &lt; 0.01)), and at 6months (median VAS values: 7 (2-9) at D0 and 4 (2-6) at 6months (p &lt; 0.01); median NDI values: 38 (24-50) at D0 and 28 (13-40) at 6months (p &lt; 0.01)). No significant difference was observed in the decrease in VAS and NDI scores among the three approaches at 6weeks (p = 0.635 and p = 0.54 for VAS and NDI respectively) or 6months (p = 0.704 and p = 0.315 for VAS and NDI respectively). No major complications were noted. The results of CTESI using the TFP or TFT approach are similar to those for TFA in the treatment of persistent CRP and could be a safer option. Bise S. aut Pesquer L. aut Feldis M. aut Bou Antoun M. aut Silvestre A. aut Hocquelet A. aut Dallaudière B. aut Skeletal radiology 47/12(2018-12), 1625-1633 47:12<1625-1633 2018 47 1 article serval SERVAL 700 1- Bise S. aut SERVAL 700 1- Pesquer L. aut SERVAL 700 1- Feldis M. aut SERVAL 700 1- Bou Antoun M. aut SERVAL 700 1- Silvestre A. aut SERVAL 700 1- Hocquelet A. aut SERVAL 700 1- Dallaudière B. aut SERVAL 773 0- Skeletal radiology 47/12(2018-12), 1625-1633 47:12<1625-1633 2018 47 BK010053 XK010053 XK010000 SERVAL SERVAL SERVAL article