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, 28 (3), 461-5

Clinical Outcomes of Epidural Neuroplasty for Cervical Disc Herniation


Clinical Outcomes of Epidural Neuroplasty for Cervical Disc Herniation

Eun Jung Park et al. J Korean Med Sci.


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.

Keywords: Cervical Disc Herniation; Epidural; Neuroplasty.


Fig. 1
Fig. 1
Antero-posterior fluoroscopic view showing a catheter inserted in the affected neural foramen. The contrast dye fully escapes via lateral runoff through the neural foramen along the neural sheath after proper adhesiolysis.

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    1. Daffner SD, Hilibrand AS, Hanscom BS, Brislin BT, Vaccaro AR, Albert TJ. Impact of neck and arm pain on overall health status. Spine (Phila Pa 1976) 2003;28:2030–2035. - PubMed
    1. Vinas FC, Wilner H, Rengachary S. The spontaneous resorption of herniated cervical discs. J Clin Neurosci. 2001;8:542–546. - PubMed
    1. Bush K, Chaudhuri R, Hillier S, Penny J. The pathomorphologic changes that accompany the resolution of cervical radiculopathy: a prospective study with repeat magnetic resonance imaging. Spine (Phila Pa 1976) 1997;22:183–186. - PubMed
    1. Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine (Phila Pa 1976) 1996;21:1877–1883. - PubMed
    1. Benyamin RM, Singh V, Parr AT, Conn A, Diwan S, Abdi S. Systematic review of the effectiveness of cervical epidurals in the management of chronic neck pain. Pain Physician. 2009;12:137–157. - PubMed

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