European Radiology

, Volume 17, Issue 5, pp 1156–1161 | Cite as

Intradiscal corticosteroid injections in spondylotic cervical radiculopathy

  • Fouad Fayad
  • François Rannou
  • Jean Luc Drapé
  • Lamia Rahmani
  • Marie-Martine Lefevre-Colau
  • Alain Nys
  • Serge Poiraudeau
  • Michel Ledoux
  • Alain Chevrot
  • Michel Revel


The purpose of this study was to evaluate treatment outcomes with intradiscal injection of corticosteroids (IDIC) in cervical spondylotic radiculopathy. Twenty consecutive patients were treated with intradiscal injection of 25 mg of acetate of prednisolone under fluoroscopic control. All patients had previously received a nonsurgical treatment for at least 3 months without success. Outcomes were assessed 1, 3 and 6 months after IDIC. Radicular pain reduction as scored on a visual analogue scale (VAS 100-mm length) was statistically significant at 1 month (19.0±28.0 mm; p=0.008), 3 months (25.2±27.5 mm; p=0.002), and 6 months (24.6±28.4 mm; p=0.001). In all, 40% of treated patients described at least 50% pain improvement 6 months after treatment. Four patients had complete relief of radicular pain. In conclusion, IDIC should be an alternative in the nonsurgical management of cervical spondylotic radiculopathy.


Cervical radiculopathy Spinal injection Corticosteroids Intradiscal Discography 


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Fouad Fayad
    • 1
  • François Rannou
    • 1
  • Jean Luc Drapé
    • 2
  • Lamia Rahmani
    • 1
  • Marie-Martine Lefevre-Colau
    • 1
  • Alain Nys
    • 1
  • Serge Poiraudeau
    • 1
  • Michel Ledoux
    • 1
  • Alain Chevrot
    • 2
  • Michel Revel
    • 1
  1. 1.Service de rééducation et de réadaptation de l’appareil locomoteur et des pathologies du rachisHôpital Cochin (AP-HP) Université Paris 5ParisFrance
  2. 2.Department of Radiology BHôpital Cochin (AP-HP)ParisFrance

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