AJDRAJNR - American Journal of Neuroradiology

Publication Preview: Published July 24, 2008

American Journal of Neuroradiology 2009;30:336.

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SPINE

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

T. Wolter, M. Mohadjer, A. Berlis and S. Knoeller

From the Interdisciplinary Pain Centre (T.W., M.M., S.K.) and Department of Neuroradiology (A.B.), 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.