AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on July 24, 2008
doi: 10.3174/ajnr.A1222

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Technical Note
SPINE

Cervical CT-Guided, Selective Nerve Root Blocks: Improved Safety by Dorsal Approach

T. Woltera, M. Mohadjera, A. Berlisb and S. Knoellera

a Interdisciplinary Pain Centre, University Hospital Freiburg, Freiburg, Germany
b Department of Neuroradiology, University Hospital Freiburg, Freiburg, Germany

Please address correspondence to Tilman Wolter, MD, Interdisziplinäres Schmerzzentrum, Universitätsklinikum Freiburg, Breisacherstr. 64, 79106 Freiburg, Germany; e-mail: tilman.wolter{at}uniklinik-freiburg.de

SUMMARY: Cervical transforaminal blocks are frequently performed as a treatment of cervical radicular pain. These blocks are performed mostly under fluoroscopy, but a CT-guided technique also has been described. We describe a modification that leads to a more extraforaminal than transforaminal and equally selective nerve root block.