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Effect of Cervical Multifidus Muscle Area on Interlaminar Epidural Steroid Injection Outcomes

Not yet recruiting
Conditions
Cervical Radiculopathy
Registration Number
NCT05960487
Lead Sponsor
Marmara University
Brief Summary

Cervical radiculopathy is one of the most important causes of chronic neck pain. Cervical epidural steroid injections including interlaminar approach are frequently used for treatment option in patients that more conservative modalities are ineffective.

Paraspinal muscles have an important role in supporting neck movements and providing stability of the cervical spine. The multifidus muscle, located in the deepest part of the neck extensor muscle group, has become the muscle that is frequently emphasized in spinal pain in recent years. In the literature, it has been shown that the multifidus muscle on the affected side is atrophied in patients with cervical radiculopathy.

Although many factors are known to be effective on the outcomes of cervical interlaminar epidural injection, there are limited data on the effect of the multifidus muscle area. In this retrospective study, it was planned to investigate the effect of the multifidus muscle area on the results of cervical interlaminar epidural steroid injection.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients with unilateral radicular pain due to cervical disc herniation for at least 3 months
  • Patients with disc herniation level C5-C6
  • Patients who are unresponsive to other conservative treatments and who have undergone cervical interlaminar epidural steroid injection
Exclusion Criteria
  • Patients with incomplete medical records (absence of MR imaging, incomplete data of 3rd week and 3rd month follow-up periods after cervical interlaminar epidural steroid injection)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cervical multifidus muscle areaThrough study completion, an average of 2 weeks

Multifidus muscle measurement will be performed at 3 levels (C4-C5, C5-C6, C6-C7) in the MR imaging obtained from the medical records of the participants in both groups and the values will be compared with each other. Difference between muscle areas will be evaluated for statistical significance.

Secondary Outcome Measures
NameTimeMethod

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