{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:46:30Z","timestamp":1792788390262,"version":"4.5.0"},"reference-count":13,"publisher":"Yeungnam University College of Medicine","funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Science and ICT","award":["RS-2023-00219725"],"award-info":[{"award-number":["RS-2023-00219725"]}],"id":[{"id":"https:\/\/ror.org\/01wpjm123","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["e-jyms.org"],"crossmark-restriction":true},"short-container-title":["J Yeungnam Med Sci"],"abstract":"<jats:p>The C7\u2013T1 interspace is generally preferred for cervical interlaminar epidural steroid injections (ESIs) because of its relatively wide epidural space, which allows for safer needle access. However, cervical degeneration primarily occurs above the C7\u2013T1 level, suggesting that interlaminar ESIs would be more effective at C6\u2013C7 than at C7\u2013T1. This report presents a case of central cervical spinal stenosis that was refractory to conventional C7\u2013T1 interlaminar ESIs but showed significant pain relief following a targeted injection at C6\u2013C7. A 71-year-old male presented with chronic posterior neck pain and bilateral interscapular pain (numeric rating scale [NRS] 7) associated with multilevel central canal stenosis from C3\u2013C4 to C6\u2013C7. The patient had previously undergone four sessions of interlaminar ESIs at the C7\u2013T1 level, with no pain relief. Subsequently, we performed interlaminar ESI at C6\u2013C7 to achieve better drug delivery to the stenotic segments. Following the C6\u2013C7 injection, the patient\u2019s pain decreased from NRS 7 to NRS 3, with sustained relief lasting for at least 2 months. When cervical ESIs at C7\u2013T1 provide insufficient relief, interlaminar ESIs at C6\u2013C7 may be considered an alternative approach to improve clinical outcomes.<\/jats:p>","DOI":"10.12701\/jyms.2026.43.64","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T06:50:22Z","timestamp":1789109422000},"page":"64","update-policy":"https:\/\/doi.org\/10.12701\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Closer is better\u2014interlaminar epidural steroid injection is more effective at C6\u2013C7 than at C7\u2013T1: a case report"],"prefix":"10.12701","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4811-4313","authenticated-orcid":true,"given":"Eun Chae","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0259-8520","authenticated-orcid":true,"given":"Mathieu","family":"Boudier-Rev\u00e9ret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2057-3280","authenticated-orcid":true,"given":"Ji Hwan","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-7213","authenticated-orcid":true,"given":"Min Cheol","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4953","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.09.123"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-0968-y"},{"key":"ref3","first-page":"766","author":"Stafira","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/s1047-9651(02)00078-5"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-008-9041-4"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.52.612.631"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199301000-00016"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.10.5560"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.2912"},{"key":"ref10","first-page":"49","author":"Schultz","year":"2022","journal-title":"Pain Physician"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.inpm.2024.100430"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.52965\/001c.124767"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3389\/fpain.2022.884277"}],"container-title":["Journal of Yeungnam Medical Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-jyms.org\/upload\/pdf\/jyms-2026-43-64.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-jyms.org\/DOIx.php?id=10.12701\/jyms.2026.43.64","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-jyms.org\/upload\/pdf\/jyms-2026-43-64.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T01:03:22Z","timestamp":1792371802000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-jyms.org\/DOIx.php?id=10.12701\/jyms.2026.43.64"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":13,"URL":"https:\/\/doi.org\/10.12701\/jyms.2026.43.64","relation":{},"ISSN":["2799-8010"],"issn-type":[{"value":"2799-8010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"assertion":[{"value":"2026-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}