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Semin intervent Radiol 2002; 19(3): 219-228
DOI: 10.1055/s-2002-35327
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

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
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Publication History

Publication Date:
07 November 2002 (online)

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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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