19 Harley St, London, W1G 9QJ, UK

CT fluoroscopy-guided cervical interlaminar steroid injections: safety, technique, and radiation dose parameters

BACKGROUND AND PURPOSE: Cervical epidural steroid injections are approached with trepidation because of concerns over safety, including direct spinal cord injury. CT fluoroscopy is an alternative to conventional fluoroscopy that could potentially help reduce the risk of injury by providing improved localization of the needle tip. We sought to determine rates of technical success and risk of complications in our initial cohort of patients treated with cervical interlaminar ESI performed under CTF guidance. MATERIALS AND METHODS: In this retrospective case series, we reviewed procedural details and CTF images of 53 consecutive cervical interlaminar ESIs performed on 50 patients over a period of 8 months. Rates of technical success, incidence of complications, procedure times, and factors that influence radiation exposure were examined. RESULTS: No symptomatic procedural complications were observed. A single case of intrathecal contrast injection was observed, from which the patient was asymptomatic. The remaining injections were all technically successful. Injections were performed at every cervical level, as high as C1-C2. Total procedure times averaged less than 20 minutes. Average CT fluoroscopic time was 24 seconds and median tube current was 70 mA. CONCLUSIONS: CTF-guided cervical interlaminar ESI can be performed at all levels in the cervical spine with a low rate of procedural complications. Short total procedure times, CT-fluoroscopy times, and reduced tube current make this procedure a practical alternative to cervical ESI performed under conventional fluoroscopy

Keywords : administration & dosage,Adult,adverse effects,Aged,Cervical Vertebrae,complications,Fluoroscopy,Humans,Incidence,Injections,Injections,Epidural,injuries,methods,Middle Aged,Myelography,Patient Safety,Patients,Radiation Dosage,Radiation Protection,Radiography,Interventional,Radiology,Retrospective Studies,Risk,Safety,Spinal Cord,Spinal Cord Injuries,Spine,Steroids,Time,Tomography,X-Ray Computed,Treatment Outcome,Universities,, Fluoroscopyguided,Cervical,Interlaminar,Steroid,Injections, piriformis pain relief

Date of Publication : 2012 Aug

Authors : Kranz PG;Raduazo P;Gray L;Kilani RK;Hoang JK;

Organisation : Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA. peter.kranz@duke.edu

Journal of Publication : AJNR Am J Neuroradiol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22322610

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

CT Fluoroscopy-Guided Cervical Interlaminar Steroid Injections Safety, Technique, and Radiation Dose Parameters | Medico legal report fees uk

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810