Catheter-Assisted Interlaminar Approach for Cervical Epidural Steroid Injection in Patient with Cervical Stenosis Caused by Ossification of Posterior Longitudinal Ligament: A Case Report  

作　　者：Yong-Hui Liu You-Wen Wu Yong-Hui Liu;You-Wen Wu(Department of Neurosurgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City;Department of Psychiatry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City)

机构地区：[1]Department of Neurosurgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City [2]Department of Psychiatry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei City

出　　处：《Case Reports in Clinical Medicine》2024年第8期304-308,共5页临床医学病理报告（英文）

摘　　要：We present the case of a 64-year-old man with cervical ossification of the posterior longitudinal ligament (OPLL) experiencing chronic neck pain and radiculopathy for 6 months. A catheter-assisted interlaminar Cervical Epidural Steroid Injection (CESI) was performed under fluoroscopic guidance, targeting the affected C2-C6 levels. Significant improvement was observed after this procedure, with decreased pain scores (visual analogue scale (VAS) 8 to 2) and improved mobility. This technique not only enhances the effectiveness of CESI but also reduces the likelihood of complications such as stroke or epidural hematoma and thus provides an alternative treatment option for patients with multiple stenotic levels who are unsuitable for surgery or are unresponsive to conservative therapy such as medication or physical therapy.We present the case of a 64-year-old man with cervical ossification of the posterior longitudinal ligament (OPLL) experiencing chronic neck pain and radiculopathy for 6 months. A catheter-assisted interlaminar Cervical Epidural Steroid Injection (CESI) was performed under fluoroscopic guidance, targeting the affected C2-C6 levels. Significant improvement was observed after this procedure, with decreased pain scores (visual analogue scale (VAS) 8 to 2) and improved mobility. This technique not only enhances the effectiveness of CESI but also reduces the likelihood of complications such as stroke or epidural hematoma and thus provides an alternative treatment option for patients with multiple stenotic levels who are unsuitable for surgery or are unresponsive to conservative therapy such as medication or physical therapy.

关 键 词：Catheter-Assisted Interlaminar Cervical Epidural Steroid Injection Ossification of Posterior Longitudinal Ligament Cervical Stenosis 

分 类 号：R68[医药卫生—骨科学]