CT-Guided Cervical Nerve Root Blocks

I have three questions for radiologists who perform spinal injections for pain management.

1. How many people regularly do cervical nerve root blocks?
2. Are you using CT or conventional fluoro?
3. If you are using CT, do you use contrast to confirm needle position?

It would be great for people to comment on the blog, but you can also email me directly.

Thanks!
jenny.hoang@duke.edu

CT-Guided Cervical Nerve Root Blocks
Jenny Hoang • Duke University Medical Center @JennyKHoang

Neuroradiologist at Duke Medicine. Member of ACR Incidental Thyroid Findings committee and ACR TIRADS committee. Current ASHNR Research Chair. Also passionate about parathyroid 4D-CT, improving healthcare, comparative effectiveness research, leadership, and education.

2 thoughts on “CT-Guided Cervical Nerve Root Blocks

  • December 24, 2011 at 12:29 pm
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    Jenny

    We exclusively use ct to giude cervical blocks, and perform about 5 cases per day in outpt setting with devoted ct scanner, techs, and 4 nurses / holding area. We use diluted contrast to confirm location prior to injection of medication.

  • December 26, 2011 at 12:32 pm
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    Here are some AJNR articles pertaining to this string:

    T. Wolter, S. Knoeller, A. Berlis, and C. Hader
    CT-Guided Cervical Selective Nerve Root Block with a Dorsal Approach AJNR Am J Neuroradiol 2010 31: 1831-1836originally published online on August 26, 2010, 10.3174/ajnr.A2230.

    T. Wolter, M. Mohadjer, A. Berlis, and S. Knoeller
    Cervical CT-Guided, Selective Nerve Root Blocks: Improved Safety by Dorsal Approach AJNR Am J Neuroradiol February 2009 30: 336-337originally published online on July 24, 2008, 10.3174/ajnr.A1222.

    W.S. Bartynski, D.S. Whitt, M.A. Sheetz, R.B. Jennings, and W.E. Rothfus
    Lower Cervical Nerve Root Block Using CT Fluoroscopy in Patients with Large Body Habitus: Another Benefit of the Swimmer’s Position AJNR Am J Neuroradiol April 2007 28: 706-708

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