sábado, 9 de novembro de 2013

BLOQUEIO DO RAMO COMUNICANTE CINZENTO É PROCEDIMENTO DE ESCOLHA NAS DORES POR FRATURAS OSTEOPORÓTICAS


Bloqueio do ramo comunicante cinzento
Aqui, no Centro Médico da Coluna Vertebral, o bloqueio do ramo comunicante cinzento é nosso procedimento de eleição e estamos muito satisfeitos com seus resultados. É um método simples, rápido e eficaz, feito sob orientação de imagem e em regime ambulatorial.

Aqui fazemos o que deve ser feito. Estamos a sua disposição para atendimento de urgência,  pois quem tem dor tem pressa, e nós temos a resposta eficaz.

Centro Médico da Coluna Vertebral
Torre Saúde São Mateus
Av. Santos Dumont, 5753, Sala 206
Fortaleza - Ceará - Brasil
Fone/Fax: (85) 3265 8300 e (85) 3242 9263



Literatura já dá apoio a este método, com melhora de mais de 90% dos pacientes. Veja o estudo abaixo:

Gray ramus communicans nerve block: novel treatment approach for painful osteoporotic vertebral compression fracture.

Source

Specialty Clinics of Georgia Research Center, Gainesville 30501, USA.

Abstract


BACKGROUND:

Osteoporotic vertebral compression fracture (OVCF) is a common complication of osteoporosis in the aging population. Refractory chronic pain may develop, and few effective treatment options exist.

METHODS:

We retrospectively analyzed 52 cases in which gray ramus communicans nerve block was used for painful OVCF after failure of conservative analgesic therapy. All were office-based, fluoroscopically guided procedures; a combination of 2% lidocaine and 2% sterile triamcinolone diacetate (Aristocort) was injected on the gray ramus tract of the somatic nerve root corresponding with radiographically documented OVCF. Patient-reported and physician-reported pain scores, analgesic medication use, and overall patient satisfaction were measured. The average follow-up period was 9 months.

RESULTS:

A 1-point improvement in pain scores was reported by 92% of patients and 88% of physicians; a 4-point improvement was reported by 63% and 58%, respectively. No patients reported increased pain scores; physicians reported increases in two cases. Decreased analgesic requirement was documented in 42%. Patient satisfaction was "high" in 50% and "medium" in 25%. No procedural complications occurred.

CONCLUSION:

Prompt and sustained improvements in all parameters, especially pain scores, support widespread clinical application of this safe effective and cost-effective therapy.

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