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Distribution Patterns of Vasculature Around Cervical Nerve Roots
Author(s) -
Park Donghwi,
Ryu Ju Seok
Publication year - 2019
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2018.09.028
Subject(s) - medicine , cervical nerve , nerve root , neck pain , outpatient clinic , rehabilitation , nerve block , surgery , retrospective cohort study , physical therapy , pathology , alternative medicine
Background To the authors' knowledge, there has not been an ultrasound study of the vulnerable vessels in a C3‐7 cervical nerve root block (CNRB). Objectives To evaluate the prevalence of vulnerable vessels around the target of a CNRB at the cervical nerve root of C3‐7 levels in a clinical setting. Design Retrospective, cross‐sectional study. Setting General teaching hospital, rehabilitation unit. Participants A total of 104 patients complaining of neck or arm pain with no prior surgical history and who had undergone a CNRB at an outpatient clinic from May 2015 to December 2017 were included. Main outcome measurements The prevalence of vulnerable vessels as seen on a preprocedure ultrasound scan around the target of a CNRB at the cervical nerve root of C3‐7 levels. Results Out of 104 cases, the C3 level had 7 blood vessels (8.33%), the C4 level had 14 blood vessels (13.86%), the C5 level had 17 blood vessels (16.35%), the C6 level had 27 blood vessels (25.96%), and the C7 level had 31 blood vessels (29.81%) either at the targeted cervical nerve root or at the site of the imaginary needle's projected pathway to the targeted cervical nerve root. Conclusion There was a substantial prevalence of vulnerable vessels either at the targeted nerve root or at the site of the needle's projected pathway to the nerve root.