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Pain Management 2016
October 03-04, 2016
Volume 5, Issue 5(Suppl) J Pain Relief
ISSN: 2167-0846 JPAR, an open access journal
conferenceseries .com
October 03-04, 2016 Vancouver, Canada
International Conference on
Pain Research & Management
Lizu Xiao, J Pain Relief 2016, 5:5(Suppl)
Aposterior approach to cervical nerve root block and pulsed radiofrequency treatment for cervical
radicular pain: A retrospective study
Lizu Xiao
Guangdong Medical College, China
Aim: Catastrophic complications have been reported for selective cervical nerve root block (SCNRB) or pulsed radiofrequency
(PRF) via an anterolateral transforaminal approach. Aim of this study is to report a posterior approach to SCNRB and PRF
under fluoroscopy guidance and the clinical outcomes of this combined treatment, which has not been reported.
Methods: We retrospectively reviewed the clinical outcomes of 42 patients with CCRP who received a combination of SCNRB
and PRF through a posterior approach under fluoroscopy guidance. The thresholds of electrical stimulation and imaging of the
nerve roots after contrast injection were used to evaluate the accuracy of needle placement. The numeric rating scale (NRS) was
used to measure the pain and numbness levels as primary clinical outcomes, which were obtained in scheduled follow up visits.
Results: A total of 53 procedures were performed on 42 patients at the levels of C5 through C8. All patients reported concordant
paraesthesia in response to electrical stimulation. The average sensory and motor thresholds of stimulation were 0.28±0.14 and
0.36±0.14 volts respectively. Injection of contrast resulted in excellent spread along the target nerve root in the large majority
of the procedures. The NRS scores for both pain and numbness improved significantly at one day, one week, one month and
three months after the treatment. No serious adverse effects were observed in any of the patients.
Conclusions: The posterior approach to combined SCNRB and PRF under fluoroscopy guidance appears to be safe and
efficacious in the management of cervical radicular pain.
Biography
Lizu Xiao is a Chief Pain Physician and Deputy Director for the Department of Pain Management of Shenzhen Nanshan Hospital in Guangdong, China. He is a
member of International Association for the Study of Pain (IASP) and National Committee of Chinese Association for the Study of Pain (CASP) from 2013. He is
an Editor of the Chinese Pain Medicine Journal, Professor and Mentor of Guangdong Medical College. He was a Visiting Scholar of the Stanford University from
2009 to 2010.