Does the Presence of Cervical Facet Tropism Affect the Response to Interlaminar Epidural Steroid Injections?

Last updated: November 25, 2022
Sponsor: Janbubi Jandaulyet
Overall Status: Active - Recruiting

Phase

N/A

Condition

Radiculopathy

Hernia

Treatment

N/A

Clinical Study ID

NCT05638074
04.11.2022.1506
  • Ages 18-65
  • All Genders

Study Summary

Facet joints are synovial joints located on the dorsolateral side of the vertebral column. Normally, both facet joints are symmetrical. Facet tropism (FT) is defined as asymmetry between the angles of orientation of the joints, in which a facet joint in the same segment is more sagittally oriented than the other. In 1967, Farfan and Sullivan first reported that FT is a possible risk factor for the development of disk herniation. However, this is controversial as there are other views advocating that FT is not a risk factor for the development of cervical disc herniation. Further, it has been emphasized that patients with FT have a greater need for adjacent segment degeneration and new spinal surgery after spinal fusion surgeries than those without FT.

In the current literature, studies have been conducted to examine the clinical and radiological parameters that may be related to the effectiveness of cervical interlaminar epidural steroid injections (ILESI). The aim of this study was to examine the effect of the presence of FT on ILESI results in patients with cervical disc herniation-induced radicular pain.

Eligibility Criteria

Inclusion

Inclusion Criteria: aged 18-75 years, who applied to the pain medicine outpatient clinic, had axial neck andunilateral radicular extremity pain for at least 3 months, and were diagnosed withprotruded disc herniation by magnetic resonance imaging were included in the study

Exclusion

Exclusion Criteria: Patients with systemic inflammatory disease, bleeding diathesis,history of psychiatricillness, malignancy, contrast material or local anesthetic agent allergy, cervical spinalstenosis, history of cervical ESI, or neck surgery in the last 3 months were excluded fromthe study

Study Design

Total Participants: 90
Study Start date:
November 28, 2022
Estimated Completion Date:
August 30, 2023

Connect with a study center

  • Marmara University Pendik Training and Research Hospital

    Istanbul, Pendik 34899
    Turkey

    Active - Recruiting

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