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

Jenny K. Hoang, Marc A. Apostol, Peter G. Kranz, Ramsey K. Kilani, Jeffrey N. Taylor, Linda Gray, Christopher D. Lascola

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)888-894
Number of pages7
JournalAmerican Journal of Roentgenology
Volume195
Issue number4
DOIs
StatePublished - Oct 1 2010
Externally publishedYes

Keywords

  • CT fluoroscopy
  • Cervical nerve block
  • Cervical radiculopathy
  • Neck
  • Transforaminal steroid injection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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