Percutaneous dorsal root ganglion block for treating lumbar compression fracture-related ache.
Acta Neurochir (Wien). 2018 Apr 26;:
Authors: Huang WC, Lin MH, Lee MH, Chen KT, Cheng CY, Lin CH, Yang WH, Wang TC, Yang JT
BACKGROUND: The ache of acute compression fracture within the lumbar backbone could also be refractory to conservative therapy, and surgical procedure isn’t an optimum alternative for the aged or infirm people. Furthermore, even vertebroplasty may cause many uncomfortable side effects akin to chemical leak, adjoining section instability, and residual ache. Percutaneous dorsal root ganglion block (PDRGB) probably is another therapeutic choice. On this research, we evaluated the efficacy of ache aid and the speed of adjoining degree compression fracture in sufferers with acute compression fracture of the lumbar backbone.
METHODS: We retrospectively reviewed 40 sufferers with lumbar compression fracture from 2013 to 2015. The sufferers have been handled with navigation-assisted CT-guided PDRGB with steroid on the pathological degree and on the adjoining degree above and under. Therapeutic response was evaluated utilizing the Numerical Ranking Scale (NRS); and an optimum, acceptable, and unfavorable consequence have been analyzed.
RESULTS: Among the many 40 sufferers handled, preliminary ache aid on the primary day was dramatic, and the typical NRS didn’t change considerably as much as the first-year follow-up. The very best share of a very good consequence, at 90% (37.5% with an optimum consequence, 52.5% with an appropriate consequence), was reported at 1 week postoperatively. The share of optimum outcomes elevated even on the 1-year follow-up. No adjoining compression fracture was discovered within the group handled with PDRGB alone on the 1-year follow-up.
CONCLUSIONS: PDRGB is an easy, secure, and minimally invasive process that confirmed fast and extended enchancment of ache in lumbar osteoporotic compression fracture sufferers who failed conservative therapy or had residual ache after vertebroplasty. Nevertheless, steady treatment for osteoporosis was nonetheless required.
PMID: 29696504 [PubMed – as supplied by publisher]