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№2' 2017

ORTHOPEDICS

International Medical Journal, Vol. 23., Iss. 2, 2017, P. 52−54.

MODERN TREATMENT OF VERTEBROGENIC CERVICOBRACHIALGIA BY CT CONTROLLED LOCAL INJECTION THERAPY

M. I. Sitenko Institute of Spine and Joints Pathology of the Spine of National Academy of Medical Sciences of Ukraine, Kharkiv
Medical Diagnostic Center «MDC−LUX», Kharkiv, Ukraine

Degenerative changes in the vertebral motor segments of the cervical spine are often accompanied by pain syndrome in the upper limb. An effective method of treatment of vertebrogenic cervicobrachialgia is introduction of steroids directly to the changed parts of the vertebral motor segments that form the pain syndrome. This study evaluates the results of treatment of vertebrogenic cervicobrachialgia after local injection therapy in the foraminal opening of the affected segment under the control of computed tomography. Intensity of pain syndrome was determined using visual analogue scale. Evaluation of the regression of pain syndrome was performed immediately after injection, 7 days, 3 months, one year later. The results of the study showed that this technique is an effective and safe component of complex treatment of such patients. Positive results of treatment of vertebrogenic cervicobrachialgia manifesting by regression of pain syndrome during the first week were achieved in 44.3 % of patients, and in the first three months in 97.9 % of patients with persistent clinical result during the year.

Key words: cervicobrachialgia, CT control, local injection therapy, foraminal blockade.