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CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material.

Publication ,  Journal Article
Hoang, JK; Apostol, MA; Kranz, PG; Kilani, RK; Taylor, JN; Gray, L; Lascola, CD
Published in: AJR Am J Roentgenol
October 2010

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.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

October 2010

Volume

195

Issue

4

Start / End Page

888 / 894

Location

United States

Related Subject Headings

  • Young Adult
  • Tomography, X-Ray Computed
  • Steroids
  • Radiculopathy
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Injections, Intralesional
  • Humans
  • Fluoroscopy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hoang, J. K., Apostol, M. A., Kranz, P. G., Kilani, R. K., Taylor, J. N., Gray, L., & Lascola, C. D. (2010). CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material. AJR Am J Roentgenol, 195(4), 888–894. https://doi.org/10.2214/AJR.10.4369
Hoang, Jenny K., Marc A. Apostol, Peter G. Kranz, Ramsey K. Kilani, Jeffrey N. Taylor, Linda Gray, and Christopher D. Lascola. “CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material.AJR Am J Roentgenol 195, no. 4 (October 2010): 888–94. https://doi.org/10.2214/AJR.10.4369.
Hoang JK, Apostol MA, Kranz PG, Kilani RK, Taylor JN, Gray L, et al. CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material. AJR Am J Roentgenol. 2010 Oct;195(4):888–94.
Hoang, Jenny K., et al. “CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material.AJR Am J Roentgenol, vol. 195, no. 4, Oct. 2010, pp. 888–94. Pubmed, doi:10.2214/AJR.10.4369.
Hoang JK, Apostol MA, Kranz PG, Kilani RK, Taylor JN, Gray L, Lascola CD. CT fluoroscopy-assisted cervical transforaminal steroid injection: tips, traps, and use of contrast material. AJR Am J Roentgenol. 2010 Oct;195(4):888–894.

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

October 2010

Volume

195

Issue

4

Start / End Page

888 / 894

Location

United States

Related Subject Headings

  • Young Adult
  • Tomography, X-Ray Computed
  • Steroids
  • Radiculopathy
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Injections, Intralesional
  • Humans
  • Fluoroscopy