Open AccessOn the Geometry of Fluoroscopy Views for Cervical Interlaminar Epidural Injections
Author(s) -
Landers Milton H.,
Dreyfuss Paul,
Bogduk Nikolai
Publication year - 2012
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2011.01291.x
Subject(s) - fluoroscopy , medicine , cadaver , oblique case , oblique projection , radiography , cervical vertebrae , radiology , cervical spine , anatomy , surgery , computer science , artificial intelligence , linguistics , philosophy , orthographic projection
Objectives. To describe how the anatomy of the cervicothoracic vertebrae predicates the appropriate fluoroscopic views for confirming safe needle placement during the performance of interlaminar cervical epidural injections. Methods and Results. Illustrations, cadaver models, and radiographic images were correlated and used to illustrate and derive a mathematical model to demonstrate the utility of a contralateral oblique fluoroscopic view during the performance of cervical interlaminar injections. Conclusions. When confirming needle placement during a cervical interlaminar epidural injection, in addition to the anterior‐posterior fluoroscopic view, the oblique image, contralateral to the needle tip position, may provide superior information to that afforded by a lateral view.