Fluoroscopic Guided Interlaminar Epidural Versus Ultrasound Guided Transforaminal Epidural in the Treatment of Unilateral Cervicobrachialgia.

Centre Hospitalier Universitaire Saint Pierre

Status: Unknown

Conditions: Cervicobrachial Neuralgia

Treatments: Other: Interlaminar epidural steroid injection; Other: Ultrasound-guided transforaminal epidural steroid injection

Study type: Interventional

Funder types: Other

Identifiers

NCT04475445

CE/20-04-08

Details and patient eligibility

About

Chronic cervicobrachialgia is a public health problem. Epidural injections of corticosteroids and local anesthesics via transforaminal and interlaminar routes both have shown their potential in its treatment. The interlaminar approach offers the advantage of an epidural injection (i.e., direct contact with the nerve root in the epidural space). However, it requires fluoroscopy and can lead to potentially serious complications (compression of the nerve root, spinal cord injury...). The ultrasound-guided injection of corticosteroids via the transforaminal route, which offers the advantage of selectively targeting the symptomatic nerve root, may have the same therapeutic advantages as the interlaminar approach in decreasing unilateral cervicobrachial pain (i.e. a decrease in pain after infiltration) and reduce its risks.The aim of this study is to compare the efficacy of transforaminal vs interlaminar cervical corticosteroid injection.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists physical status (ASA) I-III
• Chronic unilateral cervicobrachial pain
• Allowed Steroid infiltration

Exclusion criteria

• Pregnancy
• Lactation
• Allergy or intolerance to any of the drugs/materials used in this study,
• Participation in another interventional study
• Systemic anticoagulation,
• Infection at the puncture site
• Patient refusal.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Ultrasound guided transforaminal epidural steroid injection

Experimental group

Treatment:

Other: Ultrasound-guided transforaminal epidural steroid injection

Interlaminar epidural steroid injection

Experimental group

Treatment:

Other: Interlaminar epidural steroid injection