Combined fluoroscopic and ultrasound guided cervical nerve root injections

Abstract

Using this combined image guided technique cervical nerve root blocks appear both safe and effective in the investigation and management of radicular symptoms from the cervical spine.

Ultrasound-Guided Injection to the Fifth Cervical Spinal Nerve Root Level

“…4 These complications are believed to be caused by inadvertent injection of therapeutic agents into the vertebral or radicular arteries. 5 Therefore, accidental puncture of vessels must be prevented when performing neck injection procedures.…”

“…Ultrasound allows good visualization of the soft tissue such as abnormal blood vessels in the foramen and around the nerve root, which further enables accurate needle placement and avoids the risk of intravascular injections. 5 As a result, US-guided cervical nerve root block (US-CRB) is a safe alternative treatment technique that can be used in the treatment of upper extremity radicular pain. 6 It has been shown that US- and fluoroscopy-guided techniques for neck CRB showed no differences in efficacy.…”

“…6 It has been shown that US- and fluoroscopy-guided techniques for neck CRB showed no differences in efficacy. 5 …”

Ultrasound-Guided Injection to the Fifth Cervical Spinal Nerve Root Level

“…allows good visualization of the soft tissue such as abnormal blood vessels in the foramen and around the nerve root, which further enables accurate needle placement and avoids the risk of intravascular injections. 5 As a result, US-guided cervical nerve root block (US-CRB) is a safe alternative treatment technique that can be used in the treatment of upper extremity radicular pain. 6 It has been shown that US-and fluoroscopyguided techniques for neck CRB showed no differences in efficacy.…”

“…6 It has been shown that US-and fluoroscopyguided techniques for neck CRB showed no differences in efficacy. 5 The objective of CRB is to place the needle in the intertubercular groove situated between the nerve root and the posterior tubercle. 1 After the injection, the injectate can then spread close to the target nerve, reducing inflammation of the injured nerve roots and suppressing the transmission of nociceptive C-fibers.…”