Abstract
This chapter summarized the important anatomy and sonoanatomy pertinent to the performance of the ultrasound-guided cervical nerve root injection. The sonoanatomy of C5 to C7, the different patterns of vessels in the vicinity of the nerve root, and the injection technique are also discussed.
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Baker R, Dreyfuss P, Mercer S, Bogduk N. Cervical transforaminal injections of corticosteroids into a radicular artery: a possible mechanism for spinal cord injury. Pain. 2003;103:211–5.
Beckman WA, Mendez RJ, Paine GF, Mazzilli MA. Cerebellar herniation after cervical transforaminal epidural injection. Reg Anesth Pain Med. 2006;31:282–5.
Brouwers PJ, Kottink EJ, Simon MA, Prevo RL. A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root. Pain. 2001;91:397–9.
Galiano K, Obwegeser AA, Bodner G, Freund MG, Gruber H, Maurer H, Schatzer R, Ploner F. Ultrasound-guided periradicular injections in the middle to lower cervical spine: an imaging study of a new approach. Reg Anesth Pain Med. 2005;30:391–6.
Hoeft MA, Rathmell JP, Monsey RD, Fonda BJ. Cervical transforaminal injection and the radicular artery: variation in anatomical location within the cervical intervertebral foramina. Reg Anesth Pain Med. 2006;31:270–4.
Huntoon MA. Anatomy of the cervical intervertebral foramina: vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections. Pain. 2005;117:104–11.
Jee H, Lee JH, Kim J, Park KD, Lee WY, Park Y. Ultrasound-guided selective nerve root block versus fluoroscopy-guided transforaminal block for the treatment of radicular pain in the lower cervical spine: a randomized, blinded, controlled study. Skelet Radiol. 2013;42(1):69–78.
Kolstad F, Leivseth L, Nygaard OP. Transforaminal steroid injections in the treatment of cervical radiculopathy: a prospective outcome study. Acta Neurochir. 2005;147:1065–70.
Lee SH, Kim JM, Chan V, Kim HJ, Kim HI. Ultrasound-guided cervical periradicular steroid injection for cervical radicular pain: relevance of spread pattern and degree of penetration of contrast medium. Pain Med. 2013;14(1):5–13.
Martinoli C, Bianchi S, Santacroce E, Pugliese F, Graif M, Derchi LE. Brachial plexus sonography: a technique for assessing the root level. AJR Am J Roentgenol. 2002;179:699–702.
Matula C, Trattnig S, Tschabitscher M, Day JD, Koos WT. The course of the prevertebral segment of the vertebral artery: anatomy and clinical significance. Surg Neurol. 1997;48:125–31.
Muro K, O'Shaughnessy B, Ganju A. Infarction of the cervical spinal cord following multilevel transforaminal epidural steroid injection: case report and review of the literature. J Spinal Cord Med. 2007;30:385–8.
Narouze S, Peng PWH. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanaotmy and procedures. Part II: axial structures. Reg Anesth Pain Med. 2010;35:386–96.
Narouze S, Vydyanathan A, Kapural L, Sessler D, Mekhail N. Ultrasound-guided cervical selective nerve root block: a fluoroscopy-controlled feasibility study. Reg Anesth Pain Med. 2009;34:343–8.
Obernauer J, Galiano K, Gruber H, Bale R, Obwegeser AA, Schatzer R, Loizides A. Ultrasound-guided versus computed tomography-controlled periradicular injections in the middle and lower cervical spine: a prospective randomized clinical trial. Eur Spine J. 2013;22(11):2532–7.
Rathmell JP, Aprill C, Bogduk N. Cervical transforaminal injection of steroids. Anesthesiology. 2004;100:1595–600.
Rozin L, Rozin R, Koehler SA, Shakir A, Ladham S, Barmada M, Dominick J, Wecht CH. Death during transforaminal epidural steroid nerve root block (C7) due to perforation of the left vertebral artery. Am J Forensic Med Pathol. 2003;24:351–5.
Slipman CW, Lipetz JS, Jackson HB, Rogers DP, Vresilovic EJ. Therapeutic selective nerve root block in the nonsurgical treatment of atraumatic cervical spondylotic radicular pain: a retrospective analysis with independent clinical review. Arch Phys Med Rehabil. 2000;81:741–6.
Tiso RL, Cutler T, Catania JA, Whalen K. Adverse central nervous system sequelae after selective transforaminal block: the role of corticosteroids. Spine J. 2004;4:468–74.
Wallace MA, Fukui MB, Williams RL, Ku A, Baghai P. Complications of cervical selective nerve root blocks performed with fluoroscopic guidance. AJR. 2007;188:1218–21.
Yamauchi M, Suzuki D, Niiya T, Honma H, Tachibana N, Watanabe A, Fujimiya M, Yamakage M. Ultrasound-guided cervical nerve root block: spread of solution and clinical effect. Pain Med. 2011;12:1190–5.
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Narouze, S., Peng, P. (2020). Ultrasound-Guided Cervical Nerve Root Block. In: Peng, P., Finlayson, R., Lee, S., Bhatia, A. (eds) Ultrasound for Interventional Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18371-4_12
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DOI: https://doi.org/10.1007/978-3-030-18371-4_12
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