CompletedNot Applicable

A Comparison Study Between Contrast Spread and Loss of Resistance Techniques

United States45 participantsStarted 2019-08-19

Plain-language summary

Early epidural space identification is critical to the efficacy and safety of cervical epidural steroid injections (CESI) \[1\]. Currently, the accepted method for epidural space recognition is the loss of resistance technique (LORT). I perform CESIs with fluoroscopy only \[2\]. I hypothesized that the contrast spread technique (CST) might recognize epidural space concurrently with or sooner than LORT. I also suggested that smaller needles might be employed with CST but not with LORT. To test my hypotheses, I conducted a comparison study.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Clinical and recent MRI findings confirming the diagnosis of cervical radiculitis * Inadequate pain relief with conservative care for more than 3 months * Signed informed consent * The procedure was covered by medical insurance Exclusion Criteria: * Bleeding disorder or anticoagulants therapy * Serious comorbidities such as congestive heart failure * Pregnancy * Uncontrolled diabetes mellitus * Refusal to participate in the study

What they're measuring

Confirmation of the LOR with epidurally located 18G Tuohy needle by the Epidrum device.

Timeframe: 30 seconds

Confirmation of the LOR with epidurally located 25G Tuohy needle by the Epidrum device.

Timeframe: 30 seconds

Trial details

NCT IDNCT05260294

SponsorYakov Perper, MD

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2019-10-08

View on ClinicalTrials.gov More Cervical Radiculopathy trials