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Pain Med. 2012 Jan;13(1):58-65. doi: 10.1111/j.1526-4637.2011.01291.x. Epub 2011 Dec 5.

On the geometry of fluoroscopy views for cervical interlaminar epidural injections.

Author information

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.

[Indexed for MEDLINE]

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