Unique ID issued by UMIN | UMIN000019108 |
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Receipt number | R000022079 |
Scientific Title | CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach. |
Date of disclosure of the study information | 2015/10/01 |
Last modified on | 2020/03/30 10:44:53 |
CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.
CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.
CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.
CT-epidurography after the fluoroscopic guided epidural injections: comparison between Th1-transforaminal approach and Th1/2-parasagittal interlaminar approach.
Japan |
Unilateral upper extreamity pain
Anesthesiology |
Others
NO
To compare the contrast dispersion patterns between Th1-transforaminal and Th1/2-parasagittal interlaminar epidural injections.
Bio-availability
Comparison of CT-epidurography between the two methods concerning as follows, ventral spread,lateral limiting,Th1-root filling,and cephalad/caudad spread.
Appearance of Horner sign, changes of blood pressure and heart rate, required time of fluoroscopy, complications of procedure including intravascular injection, and improvement of pain score.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Maneuver |
Fluoroscopic guided Th1-transforaminal epidural injection: 1.mixture of contrast(0,5ml)and saline(0.5ml)is injected to detemine Th1 radiculography. 2.mixture of contrast(1ml)and 2%-mepivacaine(1ml)is injected. 3.spinal CT(C4-Th4)is performed.
Fluoroscopic guided Th1/2-parasagittal interlaminar epidural injection:1.mixture of contrast(0,5ml)and saline(0.5ml)is injected to detemine epidurography and loss of resistance, 2.mixture of contrast(1ml)and 2%-mepivacaine(1ml)is injected, 3.spinal CT(C4-Th4)is performed.
20 | years-old | <= |
89 | years-old | >= |
Male and Female
1.unilateral upper extreamity pain,
2.no abnormalities in the Th1/2 region confirmed by spinal MR images,
3.including disease are cervical disc hernia, cervical spondylosis,thoracic outlet syndrome,zoster associated pain and the other neuropathic pain syndromes of upper extreamities.
1.apparent cervical spinal stenosis(AP distance of cervical canal<12mm on plain X-ray image),
2.previous history of posterior operation of cervical or upper thoracic spine,
3.anticoagulant therapy, allergy for local anesthetics or contrasts,and the other obstacles for spinal blockade.
30
1st name | keiji |
Middle name | |
Last name | Hashizume |
Kouseikai Takai Hospital
Department of Anesthesiology, Pain center
632-0006
470-8,Kuranosyu,Tenri city, Nara, Japan
0743-65-0372
kzume@takai-hp.com
1st name | Ryouji |
Middle name | |
Last name | Ooba |
Kouseikai Takai Hospital
Department of hospital management
632-0006
470-8,Kuranosyu,Tenri city, Nara, Japan
0743-65-0372
soumu@takai-hp.com
Kouseikai Takai Hospital
none
Self funding
Kouseikai Takai Hospital
470-8,Kuranosyu,Tenri city, Nara, Japa
0743-65-0372
kzume@takai-hp.com
NO
2015 | Year | 10 | Month | 01 | Day |
Unpublished
Completed
2015 | Year | 10 | Month | 01 | Day |
2015 | Year | 09 | Month | 14 | Day |
2015 | Year | 10 | Month | 01 | Day |
2017 | Year | 10 | Month | 01 | Day |
2015 | Year | 09 | Month | 24 | Day |
2020 | Year | 03 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022079
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