Milton H Landers1, Paul Dreyfuss, Nikolai Bogduk. 1. Kansas Spine Institute; Department of Anesthesiology, University of Kansas-Wichita, Wichita, KS 67214, USA. mlandersdophd@gmail.com
Abstract
OBJECTIVES: To describe how the anatomy of the cervicothoracic vertebrae predicates the appropriate fluoroscopic views for confirming safe needle placement during the performance of interlaminar cervical epidural injections. METHODS AND RESULTS: Illustrations, cadaver models, and radiographic images were correlated and used to illustrate and derive a mathematical model to demonstrate the utility of a contralateral oblique fluoroscopic view during the performance of cervical interlaminar injections. CONCLUSIONS: When confirming needle placement during a cervical interlaminar epidural injection, in addition to the anterior-posterior fluoroscopic view, the oblique image, contralateral to the needle tip position, may provide superior information to that afforded by a lateral view. Wiley Periodicals, Inc.
OBJECTIVES: To describe how the anatomy of the cervicothoracic vertebrae predicates the appropriate fluoroscopic views for confirming safe needle placement during the performance of interlaminar cervical epidural injections. METHODS AND RESULTS: Illustrations, cadaver models, and radiographic images were correlated and used to illustrate and derive a mathematical model to demonstrate the utility of a contralateral oblique fluoroscopic view during the performance of cervical interlaminar injections. CONCLUSIONS: When confirming needle placement during a cervical interlaminar epidural injection, in addition to the anterior-posterior fluoroscopic view, the oblique image, contralateral to the needle tip position, may provide superior information to that afforded by a lateral view. Wiley Periodicals, Inc.
Authors: Young Uk Kim; Doohwan Kim; Jun Young Park; Jae-Hyung Choi; Ji Hyun Kim; Heon-Yong Bae; Eun-Young Joo; Jeong Hun Suh Journal: Pain Res Manag Date: 2016-03-29 Impact factor: 3.037