<ArticleSet>
<Article>
<Journal>
<PublisherName>Trauma Research Center</PublisherName>
<JournalTitle>Bulletin of Emergency And Trauma</JournalTitle>
<Issn>2322-2522</Issn>
<Volume>7</Volume>
<Issue>2 APR</Issue>
<PubDate>
<Year>2019</Year>
<Month>04</Month>
<Day>01</Day>
</PubDate>
</Journal>
<ArticleTitle>Cervical Epidural Steroid Injection: Parasagittal versus Midline Approach in Patients with Unilateral Cervical Radicular Pain; A Randomized Clinical Trial</ArticleTitle>
<FirstPage>804</FirstPage>
<LastPage>804</LastPage>
<Language>EN</Language>
<AuthorList>
<Author>
<FirstName>Masoud</FirstName>
<LastName>Hashemi</LastName>
<Affiliation>. taheri.1352@yahoo.com</Affiliation>
</Author>
<Author>
<FirstName>Payman</FirstName>
<LastName>Dadkhah</LastName>
</Author>
<Author>
<FirstName>Mehrdad</FirstName>
<LastName>Taheri</LastName>
</Author>
<Author>
<FirstName>Kasra</FirstName>
<LastName>Dehghan</LastName>
</Author>
<Author>
<FirstName>Rohollah</FirstName>
<LastName>Valizadeh</LastName>
</Author>
</AuthorList>
<History>
<PubDate>
<Year>2018</Year>
<Month>11</Month>
<Day>16</Day>
</PubDate>
<PubDate>
<Year>2019</Year>
<Month>03</Month>
<Day>08</Day>
</PubDate>
<PubDate>
<Year>2019</Year>
<Month>01</Month>
<Day>29</Day>
</PubDate>
</History>
<Abstract>Objective: To compare parasagittal interlaminar cervical epidural steroid injection (PSIL-CESI) and the classic midline interlaminar cervical epidural steroid injection (MIL-CESI) in terms of pain relief and functional improvement in patients with unilateral upper extremity radicular pain.Methods: This was a randomized clinical trial being conducted in a single pain center in Tehran. Twenty-six patients were allocated into two groups of 13, undergoing either PSIL-CESI or MIL-CESI. After confirmation of radiocontrast spread in the epidural space by fluoroscopic guidance, dexamethasone 8 mg and bupivacaine 0.125% in a volume of 5 ml were delivered to the epidural space. Evaluation of functional state and pain intensity before and 1 month after the procedure was accomplished using the neck disability index (NDI) and the numeric rating scale (NRS) respectively.Results: Demographic and baseline characteristics of the cases showed no significant statistical difference. Improvements in the NDI and the NRS were observed in both groups; meanwhile, improvements were more pronounced in the PSIL-CESI group as compared to the MIL-CESI group (P<0.001). With the PSIL approach the ventral spread of radiocontrast was significantly higher (38%) than with the MIL approach (0.7%) (P<0.001). All patients in PSIL group showed radiocontrast spread ipsilateral to the painful side and all patients in the MIL group showed a midline distribution of radiocontrast.Conclusion: PSIL-CESI provides superior pain relief and improvement of functional disability in patients with unilateral upper extremity radicular pain in comparison to the classic MIL-CESI.Clinical trial registry: IRCT20180524039816N1</Abstract>
<ObjectList>
<Object>
<Param>Injections, Epidural</Param>
</Object>
<Object>
<Param>Pain management</Param>
</Object>
<Object>
<Param>Upper extremity</Param>
</Object>
<Object>
<Param>Treatment outcome</Param>
</Object>
<Object>
<Param>Radiculopathy</Param>
</Object>
<Object>
<Param>Intervertebral disc disease</Param>
</Object>
</ObjectList>
</Article>
</ArticleSet>