Rowlingson J C, Kirschenbaum L P
Anesth Analg. 1986 Sep;65(9):938-42.
The injection of depot steroids into the cervical epidural space can maximize the conservative management of patients with cervical radiculopathy. We retrospectively studied 25 patients with cervical radiculopathy who received a total of 45 epidural injections of steroids. Sixty-four percent of the patients had a good or excellent response to cervical epidural steroid injection, whereas other conservative treatment modalities had not helped them. The patient's history and a description of the pain and the corresponding neurological abnormalities present were of value in the selection of patients who were most likely to respond favorably to epidural steroids, whereas laboratory studies were not as useful. Anesthesiologists, many already familiar with the use of epidural steroid injection in the treatment of low back pain, should add to their armamentarium the use of such techniques in the management of patients with acute and chronic cervical radiculopathy.
将长效类固醇注射到颈椎硬膜外间隙可最大限度地对神经根型颈椎病患者进行保守治疗。我们回顾性研究了25例神经根型颈椎病患者，他们共接受了45次硬膜外类固醇注射。64%的患者对颈椎硬膜外类固醇注射有良好或极佳的反应，而其他保守治疗方法对他们无效。患者的病史以及对疼痛和相应神经功能异常的描述，对于选择最有可能对硬膜外类固醇治疗产生良好反应的患者很有价值，而实验室检查则没有那么有用。麻醉医生很多已经熟悉在治疗腰痛时使用硬膜外类固醇注射，应该将这种技术纳入他们治疗急慢性神经根型颈椎病患者的手段之中。
