AJDRAJNR - American Journal of Neuroradiology

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Technical Note
SPINE

Lower Cervical Nerve Root Block Using CT Fluoroscopy in Patients with Large Body Habitus: Another Benefit of the Swimmer's Position

W.S. Bartynskia, D.S. Whittb, M.A. Sheetzb, R.B. Jenningsa and W.E. Rothfusa

a Department of Radiology, Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, Pittsburgh, Pa
b Radiation Safety Office, University of Pittsburgh, Pittsburgh, Pa

Address correspondence to Walter S. Bartynski, M.D., Department of Radiology, Division of Neuroradiology, University of Pittsburgh, Presbyterian University Hospital, 200 Lothrop St, D132, Pittsburgh, PA 15213; e-mail: bartynskiws{at}upmc.edu

SUMMARY: We describe a method of performing lower cervical nerve root block (CNRB) with CT fluoroscopy in patients with large body habitus using the swimmer's position. This approach reduces image noise with acceptable visualization of vital structures and improved foraminal/root access. Anticipated use of the swimmer's position coupled with minimally modified radiation exposure parameters can limit radiation dose to operator/patient and reduce procedure time to match that of CNRB using CT fluoroscopy in typical patients.




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R.S. Pobiel, K.P. Schellhas, J.A. Eklund, M.J. Golden, B.A. Johnson, S. Chopra, P. Broadbent, M.E. Myers, and K. Shrack
Selective Cervical Nerve Root Blockade: Prospective Study of Immediate and Longer Term Complications
AJNR Am. J. Neuroradiol., March 1, 2009; 30(3): 507 - 511.
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