Cervical Epidural Steroid Injection : Techniques and Evidence - 23/11/17

Doi : 10.1016/j.pmr.2017.08.001

Lawrence McLean House, MD ^a, Kevin Barrette, MD ^b, Ryan Mattie, MD ^c, Zachary L. McCormick, MD ^d,^⁎
^a Department of Anesthesia and Perioperative Care, University of California San Francisco, 513 Parnassus Avenue, 436, San Francisco, CA 94143, USA
^b Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, Stanford University, 450 Broadway Street, M/C 6342, Redwood City, CA 94063, USA
^c Department of Anesthesiology, University of California San Francisco, 521 Parnassus Avenue, San Francisco, CA 94143, USA
^d Division of Physical Medicine and Rehabilitation, University of Utah, 30 N 1900 E, Rm 1C441, Salt Lake City, UT 84132, USA

^∗Corresponding author.

Résumé

Cervical epidural steroid injections are a common treatment of cervical radicular pain. Important safety considerations include attention to the possibility of spinal cord infarction and spinal epidural hematoma. When appropriate, radiographic, technical, and pharmacologic principals are used, these procedures are relatively safe. Cervical epidural steroid injections are effective for the short-term treatment of radicular pain. More rigorously designed clinical outcomes studies of both cervical interlaminar and transforaminal epidural steroid injections are needed.

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Keywords : Injections, Epidural, Neck pain, Evidence-based medicine