Ultrasound-Guided Nerve Block Combined with Cervical Traction for the Treatment of Radicular Cervical Spondylosis
Zhai Shen
Hu Chuangbei
Shi Qiyun
Fan Jinhui
Xu Aolei
Song Yongwei
Abstract：Objective To evaluate the efficacy and safety of ultrasound-guided selective cervical nerve root block combined with optimized cervical traction in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 90 patients with CSR admitted to Henan Luoyang Orthopedic Hospital between January 2022 and October 2024 were enrolled and randomly assigned into three groups(n=30 per group)using a random number table.The control group(traction alone)consisted of 14 males and 16 females,aged 18～65 years(mean age:38.53±11.94).The surface landmark-guided group(traction plus surface landmark-guided cervical nerve root block)included 16 males and 14 females,aged 18～65 years(mean age:38.13±11.78).The observation group(traction plus ultrasound-guided selective cervical nerve root block)comprised 17 males and 13 females,aged 18～65 years(mean age:37.77±11.53).Outcomes were assessed before and after treatment using the visual analogue scale(VAS),present pain intensity(PPI),Yasuhisa Tanaka 20-point scoring system for cervical spondylosis(YT20),and the neck disability index(NDI).Complications were recorded.Results(1)After treatment,all three groups showed significant improvements in VAS,PPI,YT20,and NDI scores compared to baseline(P＜0.05).No complications such as nerve injury occurred in the observation group.(2)The observation group demonstrated more reliable and stable therapeutic outcomes,with a significant reduction in the number of repeat puncture attempts compared to the surface landmark-guided approach(from 9 to 1 attempt,P＜0.05).Conclusion This study confirms that ultrasound-guided selective cervical nerve root block combined with traction not only provides synergistic therapeutic benefits but also offers superior precision in intervention for CSR.The technique reduced the need for repeat punctures by 88.9％,effectively minimizing the risks associated with traditional blind puncture techniques.
Keywords：cervical spondylotic radiculopathyultrasound guidancetractionnerve blockmultidimensional evaluation
Publication Date：2025-09-25
Online Publishing Date：2025-10-24(First online date of this platform, not the publication date of the document)
Pages：5( 800-804 )