Open AccessUltrasound-Guided Extraforaminal Thoracic Nerve Root Block Through the Midpoint of the Inferior Articular Process and the Parietal Pleura: A Clinical Application of Thoracic Paravertebral Nerve Block
Author(s) -
Shaofeng Pu,
YiYang Wu,
Qingjian Han,
Jie Chen,
Yongming Xu,
Yingying Lv,
Chen Li,
Jing Lu,
Junzhen Wu,
Dongping Du
Publication year - 2022
Publication title -
journal of pain research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 49
ISSN - 1178-7090
DOI - 10.2147/jpr.s351145
Subject(s) - medicine , fluoroscopy , nerve block , ultrasound , cervical nerve , epidural space , interventional pain management , anatomy , radiology , nerve root , surgery , anesthesia , pain management
Thoracic nerve root (TNR) block is performed primarily under computed tomography or X-ray fluoroscopy but is associated with radiation exposure. Ultrasound requires no radiation and distinguishes vessels, nerves, pleura, and other tissues. Few reports of ultrasound-guided TNR (US-TNR) block have been described, and the puncture end point has not been clearly defined. Herein, we evaluated the feasibility of US-TNR block using the midpoint of the inferior articular process (IAP) and parietal pleura (PP) as the puncture end point.