Guidelines·Consensus·Interpretation
Expert consensus of selective cervical nerve root block therapy in China (2021)
Chen Qian, Zheng Yongjun, Guo Jianguo, Li Yimei, Miao Xiuhua, Ning Jie, Nie Fachuan, Ren Fei, Wang Jing, Wang Libin, Zhang Hui
Published 2021-08-25
Cite as Chin J Painol, 2021, 17(4): 344-356. DOI: 10.3760/cma.j.cn101658-20201121-00196
Abstract
Selective cervical nerve root block, mainly used in the pain diseases management of head, neck, shoulder, back and upper limb region, is essential in the department of painology, and can be also used for local surgical anesthesia in some operation. This expert consensus introduces the anatomy of cervical nerve root, systematically describes the various approach, common drugs, indications, contraindications and complications of selective cervical nerve root block. The consensus recommends that both conventional approaches of anatomical landmarks and image-guided approaches can be used for selective cervical nerve root block. Derived from published literatures and clinical practice, it has been demonstrated that selective cervical nerve root block is an effective and safe technique for the diagnosis and treatment of chronic painful diseases in the head, neck, shoulder, back and upper limb.
Key words:
Cervical vertebrae; Spinal nerve roots; Nerve block; Pain; Consensus
Contributor Information
Chen Qian
Department of Painology, Guizhou Orthopedic Hospital, Guiyang City, Guizhou Province 550002, China
Zheng Yongjun
Department of Painology, Huadong Hospital affiliated to Fudan University, Shanghai City 20040, China
Guo Jianguo
Department of Painology, the First Affiliated Hospital of Medical College of Zhejiang University, Hangzhou City, Zhejiang Province 310000, China
Li Yimei
Department of Painology, the First Hospital of Xinjiang Medical University, Urumqi City, Xinjiang Uygur Autonomous Region 830054, China
Miao Xiuhua
Department of Painology, Zhangjiagang First People's Hospital, Zhangjiagang City, Jiangsu Province 215600, China
Ning Jie
Department of Painology, Yunnan Provincial First People's Hospital, Kunming City, Yunnan Province 650032, China
Nie Fachuan
Department of Painology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing City 401120, China
Ren Fei
Department of Painology, Xiangya Hospital affiliated to Central South University, Changsha City, Hunan Province 410078, China
Wang Jing
Department of Painology, Henan Provincial People's Hospital, Zhengzhou City, Henan Province 450000, China
Wang Libin
Department of Painology, Affiliated Hospital of Jiujiang College, Jiujiang City, Jiangxi Province 332000, China
Zhang Hui
Department of Painology, the First Hospital of Shanxi Medical University, Taiyuan City, Shanxi Province 030001, China
