Therapeutic selective nerve root block in the nonsurgical treatment of atraumatic cervical spondylotic radicular pain: A retrospective analysis with independent clinical review

Archives of Physical Medicine and Rehabilitation

Volumn 81, Issue 6, 2000, Pages 741-746

  Slipman, Curtis W ^a   Lipetz, Jason S ^a   Jackson, Howard B ^a   Rogers, Denis P ^a   Vresilovic, Edward J ^a  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Radiculopathy, cervical; Rehabilitation; Selective nerve root block; Spinal osteophytosis; Spinal stenosis

Indexed keywords

ADULT; AGE; ANALGESIA; ARTICLE; CERVICAL SPONDYLOSIS; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; MALE; NERVE BLOCK; NERVE ROOT; PAIN ASSESSMENT; PATIENT SATISFACTION; PHYSIOTHERAPY; RADICULAR PAIN; WORK CAPACITY;

EID: 0034077640     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1053/apmr.2000.5565     Document Type: Article

References (52)

1. Rowland LP, McCormick PC. Cervical spondylotic myelopathy. In: Rowland LP, editor. Merrit's textbook of neurology. 9th ed. Baltimore: Williams and Wilkins; 1995. p. 455-7.
2. O'Duffy JD. Spinal stenosis: development of the lesion, clinical classification, and presentation. In: Frymoyer JW, editor. The adult spine: principles and practice. Philadelphia: Lippincott-Raven; 1997. p. 774-7.
3. Rauschning W. Anatomy and pathology of the cervical spine. In: Frymoyer JW, editor. The adult spine: principles and practice. Philadelphia: Lippincott-Raven; 1997. p. 1062-73.
4. Stookey B. Compression of the spinal cord due to ventral extradural cervical chondromas. Arch Neural Psychiatry 1928;20: 275-91.
5. Odom GL, Finney W, Woodhall B. Cervical disk lesions. JAMA 1958;166:23-38.
6. Lees F, Turner JWA. Natural history and prognosis of cervical spondylosis. BMJ 1963;2:1607-10.
7. Hanflig SS. Pain in the shoulder girdle, arm and precordium due to cervical arthritis. JAMA 1936;106:523-7.
8. Boden SD, McCowin PR, Davis DO, Dina TS, Mark AS, Wiesel S. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 1990;72:1178-84.
9. Friedenberg ZB, Miller MT. Degenerative disc disease of the cervical spine. A comparative study of asymptomatic and symptomatic patients. J Bone Joint Surg Am 1963;45:1171-8.
10. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine 1986;11:521-4.
11. Ellenberg MR, Honet JC, Treanor WJ. Cervical radiculopathy. Arch Phys Med Rehabil 1994;75:342-52.
12. Herkowitz HN. A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the surgical management of multilevel spondylotic radiculopathy. Spine 1988;13: 774-80.
13. Snyder GM, Bernhardt M. Anterior cervical fractional interspace decompression for treatment of cervical radiculopathy. A review of the first 66 cases. Clin Orthop Rel Res 1989;246:92-9.
14. Kozak JA, Hanson GW, Rose JR, Trettin DM, Tullos HS. Anterior discectomy, microscopic decompression, and fusion: a treatment for cervical spondylotic radiculopathy. J Spinal Dis 1989;2:43-6.
15. Zeidman SM, Ducker TB. Posterior cervical laminoforaminotomy for radiculopathy: review of 172 cases. Neurosurgery 1993;33: 356-62.
16. Henderson CM, Hennessy RG, Shuey HM, Shackelford EG. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery 1983;13:504-12.
17. Bohlman HH, Emery SE, Goodfellow DB, Jones PK. Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long term follow up of one hundred and twenty-two patients. J Bone Joint Surg Am 1993;75:1298-307.
18. Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine 1996;21: 1877-83.
19. 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;5:319-25.
20. Bush K, Chaudhuri R, Hillier S, Penny J. The pathomorphologic changes that accompany the resolution of cervical radiculopathy. Spine 1997;22:183-7.
21. Maigne JY, Deligne L. Computed tomographic follow up study of 21 cases of nonoperatively treated cervical intervertebral soft disc herniation. Spine 1994;19:189-91.
22. Arnasson O, Carlsson CA, Pellettieri L. Surgical and conservative treatment of surgical spondylotic radiculopathy and myelopathy. Acta Neurochir 1987;84:48-53.
23. Spurling RG, Scoville WB. Lateral rupture of the cervical intervertebral discs. A common cause of shoulder and arm pain. Surg Gynecol Obstet 1944;78:350-8.
24. Wells P. Cervical dysfunction and shoulder problems. Physiotherapy 1982;68:66-73.
25. Rydevik B, Brown M, Lundborg G. Pathoanatomy and pathophysiology of nerve root compression. Spine 1984;9:7-15.
26. Rydevik B, Holm S. Pathophysiology of the intervertebral disc and adjacent neural structures. In: Rothman RH, Simeone FA, editors. The spine. 3rd ed. Philadelphia: W.B. Saunders; 1990. p. 208-27.
27. Hoyland JA, Freemont AJ, Jayson MIV. Intervertebral foramen venous obstruction. A cause of periradicular fibrosus? Spine 1989;14:558-68.
28. Olmarker K, Rydevik B, Holm S. Edema formation in spinal nerve roots induced by experimental graded compression. An experimental study of the pig cauda equina with special reference to differences in effects between rapid and slow onset of compression. Spine 1989;14:569-73.
29. Howe JF, Loeser JD, Calvin WH. Mechanosensitivity of dorsal root ganglia and chronically injured axons: a physiological basis for the radicular pain of nerve root compression. Pain 1977;3: 25-41.
30. Weinstein J. Mechanisms of spinal pain: the dorsal root ganglion and its role as a mediator of low-back pain. Spine 1986;11:999-1001.
31. 2: an animal model of radiculopathy. Spine 1998;23:1191-6.
32. Goddard MD, Reede JD. Movements induced by straight leg raising in the lumbosacral roots, nerves and plexus, and in the intrapelvic section of the sciatic nerve. J Neurol Neurosurg Psychiatry 1965;28:12-8.
33. 2 activity in lumbar spine herniations. Spine 1990;15:674-8.
34. Lindahl O, Rexed B. Histological changes in spinal nerve roots of operated cases of sciatica. Acta Orthop Scand 1964;1:114-6.
35. Olmarker K, Blomquist J, Stromberg J, Nannmark U, Thomsen P, Rydevik B. Inflammatogenic properties of nucleus pulposus. Spine 1995;20:665-9.
36. Olmarker K, Rydevik B, Nordborg C. Autologous nucleus pulposus induces neurophysiologic and histologic changes in porcine cauda equina nerve roots. Spine 1993;18:1425-32.
37. Kayama S, Konno S, Olmarker K, Yabuki S, Kikuchi S. Incision of the anulus fibrosus induces nerve root morphologic, vascular, and function changes. An experimental study. Spine 1996;21:2539-43.
38. Takahashi H, Suguro T, Okazima Y, Molegi M, Okada Y, Kakiuchi T. Inflammatory cytokines in the herniated disc of the lumbar spine. Spine 1996;21:218-24.
39. Weinstein J, Claverie W, Gibson S. The pain of discography. Spine 1988;13:1344-8.
40. Marshall LL, Trethewie ER. Chemical irritation of nerve root in disc prolapse. Lancet 1973;2:320.
41. Hampton D, Laros G, McCarron R, Franks D. Healing potential of the anulus fibrosus. Spine 1989;14:398-401.
42. Wehlig P, Bandara G, Evans CH. Synovial cytokines impair the function of the sciatic nerve in rats: a possible element in the pathophysiology of radicular syndromes. Neuroorthop 1990;7: 55-9.
43. Woodward JL, Weinstein SM. Epidural injections for the diagnosis and management of axial and radicular pain syndromes. Phys Med Rehabil Clin North Am 1995;6:691-714.
44. 2 inhibitor which prevents prostaglandin generation. Nature 1979;278:456-9.
45. Olmarker K, Byrod G, Cornefjord M, Nordborg C, Rydevik B. Effects of methylprednisolone on nucleus pulposus induced nerve root injury. Spine 1994;19:1803-8.
46. Devor M, Govrin-Lippmann R, Raber P. Corticosteroids suppress ectopic neural discharge originating in experimental neuromas. Pain 1985;22:127-37.
47. Johansson A, Hao J, Skolund B. Local corticosteroid application blocks transmission in normal nociceptor C-fibers. Acta Scand 1990;34:335-8.
48. MacGregor RR, Thorner RE, Wright DM. Lidocaine inhibits granulocyte adherence and prevents granulocyte delivery to inflammatory sites. Blood 1980;56:203-9.
49. Yabuki S, Kikuchi S. Nerve root infiltration and sympathetic block. Spine 1995;20:901-6.
50. Yabuki S, Kawaguchi Y, Nordborg C, Kikuchi S, Rydevik B, Olmarker K. Effects of lidocaine on nucleus pulposus induced nerve root injury. A neurophysiologic and histologic study of the pig cauda equina. Spine 1998;23:2383-90.
51. Korner-Bitensky N, Wood-Dauphinee S, Siemiatycki J, Shapiro S, Becker R. Health related information postdischarge: telephone versus face to face interviewing. Arch Phys Med Rehabil 1994;75: 1287-96.
52. Daltroy LH, Cats-Baril WL, Katz JN, Fossel AH, Liang MH. The North American Spine Society Lumbar Spine Outcome Assessment Instrument Reliability and Validity Tests. Spine 1996;21: 741-8.