KẾT QUẢ ĐIỀU TRỊ GIẢM ĐAU THẦN KINH LIÊN SƯỜN SAU TẠO HÌNH ĐỐT SỐNG QUA DA BẰNG PHONG BẾ THẦN KINH DƯỚI HƯỚNG DẪN SIÊU ÂM

Abstract

Background: Intercostal neuralgia following percutaneous vertebroplasty is a rare condition. The etiology of the pain may be attributed to pre-existing nerve root compression or as a complication of the procedure itself. Among various treatment modalities, the intercostal nerve block is an interventional method that is both diagnostically useful and therapeutically effective. Objectives: To evaluate the efficacy of ultrasound-guided intercostal nerve block for pain relief in patients with intercostal neuralgia following percutaneous vertebroplasty. Methods: A case series study was conducted on 15 patients presenting with intercostal neuralgia after percutaneous vertebroplasty. Pain intensity was assessed using the Visual Analog Scale (VAS) before and after treatment. Results: The study included 15 patients, comprising 13 females (86.7%) and 2 males (13.3%). The mean age was 73.07 ±  8.28 years (range: 61-85 years). After 1 month, 13 out of 15 patients (86.7%) achieved complete or significant pain relief. The remaining 2 patients (13.3%), who had a partial or no response, had associated comorbidities. Conclusion: Ultrasound-guided intercostal nerve block is a rapid, safe, and effective procedure that provides significant pain relief and improves patients' quality of life.