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CT Fluoroscopy-guided Epidural Injections: Technique and Results

Overview
Journal AJNR Am J Neuroradiol
Specialty Neurology
Date 2004 Dec 1
PMID 15569755
Citations 19
Authors
Andrew L Wagner
Affiliations
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Abstract

Lumbar epidural injections are typically performed blindly or with fluoroscopic guidance. CT fluoroscopy (CTF) can be used to guide needle placement precisely and rapidly, allowing visualization of the optimal needle path and identifying potential problems such as severe stenosis and synovial cysts before needle insertion. Operator and patient radiation dose is minimal when using the intermittent CTF technique and low mAs. By using this technique, just more than 2000 epidural steroid injections have been performed with no major complications. CTF is a useful guidance tool when performing lumbar epidural injections.

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References
1.
Watanabe A, Nishimura E, Garris J . Image-guided epidural steroid injections. Tech Vasc Interv Radiol. 2003; 5(4):186-93. DOI: 10.1053/tvir.2002.36426. View
2.
Johnson B . Image-guided epidural injections. Neuroimaging Clin N Am. 2000; 10(3):479-91. View
3.
Wagner A . Selective lumbar nerve root blocks with CT fluoroscopic guidance: technique, results, procedure time, and radiation dose. AJNR Am J Neuroradiol. 2004; 25(9):1592-4. PMC: 7976407. View
4.
White A, Derby R, WYNNE G . Epidural injections for the diagnosis and treatment of low-back pain. Spine (Phila Pa 1976). 1980; 5(1):78-86. DOI: 10.1097/00007632-198001000-00014. View
5.
Paulson E, Sheafor D, Enterline D, McAdams H, Yoshizumi T . CT fluoroscopy--guided interventional procedures: techniques and radiation dose to radiologists. Radiology. 2001; 220(1):161-7. DOI: 10.1148/radiology.220.1.r01jl29161. View