Effect of Cervical Multifidus Muscle Area on Interlaminar Epidural Steroid Injection Outcomes
NCT ID: NCT05960487
Last Updated: 2023-07-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
60 participants
OBSERVATIONAL
2023-07-20
2023-08-07
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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The patients with a significant decrease in pain severity
Evaluation will be done separately in the 3rd week and 3rd month follow-up periods of the cervical epidural steroid injection. Numerical rating scale (NRS) will be used to evaluate pain severity. A reduction of at least 50 percent in the NRS score will be considered significant.
Cervical multifidus muscle area measurement at 3 levels (C4-C5, C5-C6, C6-C7)
Cervical multifidus muscle area measurement will be performed from both the side affected by radiculopathy and the unaffected side using the magnetic resonance (MR) imaging. Measurements will be made by two researchers, independent of each other.
Patients without significant decrease in pain severity
Evaluation will be done separately in the 3rd week and 3rd month follow-up periods of the cervical epidural steroid injection. Numerical rating scale (NRS) will be used to evaluate pain severity. A reduction of at least 50 percent in the NRS score will be considered significant.
Cervical multifidus muscle area measurement at 3 levels (C4-C5, C5-C6, C6-C7)
Cervical multifidus muscle area measurement will be performed from both the side affected by radiculopathy and the unaffected side using the magnetic resonance (MR) imaging. Measurements will be made by two researchers, independent of each other.
Interventions
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Cervical multifidus muscle area measurement at 3 levels (C4-C5, C5-C6, C6-C7)
Cervical multifidus muscle area measurement will be performed from both the side affected by radiculopathy and the unaffected side using the magnetic resonance (MR) imaging. Measurements will be made by two researchers, independent of each other.
Eligibility Criteria
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Inclusion Criteria
* 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
18 Years
65 Years
ALL
Yes
Sponsors
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Marmara University
OTHER
Responsible Party
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Principal Investigators
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Gunay Yolcu, M.D.
Role: PRINCIPAL_INVESTIGATOR
Marmara University
Osman Hakan Gunduz, Prof.
Role: STUDY_CHAIR
Marmara University
Central Contacts
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Other Identifiers
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09.2020.1203
Identifier Type: -
Identifier Source: org_study_id
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