Percutaneous Infiltrations of Cervical, Thoracic, and Lumbar Spine

Philippe Brunner; Stéphane Chanalet; Jacques Sedat; Guiliano Michelozzi; Jean Michel Cucchi; Françoise Fuerxer; Jean Noël Bruneton; Michel Yves Mourou

doi:10.1055/s-2002-35327

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2002; 19(3): 219-228
DOI: 10.1055/s-2002-35327

Percutaneous Infiltrations of Cervical, Thoracic, and Lumbar Spine

Philippe Brunner¹ , Stéphane Chanalet² , Jacques Sedat² , Guiliano Michelozzi¹ , Jean Michel Cucchi¹ , Françoise Fuerxer¹ , Jean Noël Bruneton² , Michel Yves Mourou¹

¹Department of Radiology, Princess Grace Hospital, Monaco, Monaco
²Department of Radiology, CHU Nice, Nice, France

Abstract

ABSTRACT

This article reviews the techniques of computed tomography (CT)-directed periradicular infiltrations and analyzes the results in a large series of patients. The various approaches to sites of nerve root pain are described at the cervical, thoracic, and lumbar levels. Periradicular infiltrations are used to treat nerve root pain related to disk herniation, vertebral body disease, and fibrosis in addition to certain cases of spinal radiculitis. CT is the most effective guidance technique and optimizes procedure safety. Preliminary contrast enhancement allows confirmation of proper needle placement and evaluation of the future dispersal pattern of the corticosteroid injectate. Used as a complement to standard medical therapy, these techniques, applicable at the cervical, thoracic, and lumbar levels, have demonstrated efficacy in the management of radicular pain.

KEYWORDS

Computed tomography guidance - spine - interventional procedure - nerves - spinal

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References

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