Document Detail


CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material.
MedLine Citation:
PMID:  20858814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: CT fluoroscopy-assisted cervical transforaminal steroid injection is an effective therapeutic option for cervical radiculopathy, yet it is approached with trepidation by some interventionalists. CT fluoroscopy is superior to conventional fluoroscopy for delineating complex anatomic relations in the neck but must be combined with careful technique to avoid rare but serious complications. We describe the anatomy of the neural foramen, our technique of CT fluoroscopy-assisted cervical transforaminal steroid injection, and the CT appearance of appropriate and inappropriate needle positions. CONCLUSION: Understanding anatomy will help to avoid complications and optimize the therapeutic potential of cervical transforaminal steroid injection. Use of contrast material for CT fluoroscopic guidance facilitates appropriate needle positioning and reduces the risk of complications.
Authors:
Jenny K Hoang; Marc A Apostol; Peter G Kranz; Ramsey K Kilani; Jeffrey N Taylor; Linda Gray; Christopher D Lascola
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  195     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-22     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  888-94     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Division of Neuroradiology, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged, 80 and over
Contrast Media
Female
Fluoroscopy / methods
Humans
Injections, Intralesional / methods
Male
Middle Aged
Radiculopathy / drug therapy*
Steroids / administration & dosage*
Tomography, X-Ray Computed*
Young Adult
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Steroids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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