Ultrasound-guided and CT-navigation-assisted periradicular and facet joint injections in the lumbar and cervical spine: a new teaching tool to recognize the sonoanatomic pattern

Reg Anesth Pain Med. 2007 May-Jun;32(3):254-7. doi: 10.1016/j.rapm.2007.02.008.

Abstract

Background and objectives: The aim of this study is to provide a teaching tool to facilitate the acquirement of periradicular and facet-joint infiltration techniques in the cervical and lumbar spine.

Methods: On 3 fresh cadavers, a computed tomography (CT) of the lumbar and cervical region was obtained. By use of a dedicated image navigation and reconstruction system, sonographic images were generated and fused with the collected CT data set.

Results: The sonoanatomy can be instantly compared with the correlating CT-images. This new bimodal method allows for simultaneous views of CT and ultrasound images. Multiplanar imaging of ultrasound-guided infiltrations is facilitated.

Conclusions: This teaching tool provides immediate CT-verification of sonographically identified structures and helps in the identification of bony landmarks, which are necessary for facet-joint and periradicular injections.

MeSH terms

  • Anesthesia, Spinal*
  • Anesthesiology / education*
  • Cadaver
  • Cervical Vertebrae* / anatomy & histology
  • Cervical Vertebrae* / diagnostic imaging
  • Curriculum
  • Education, Medical, Continuing
  • Humans
  • Image Interpretation, Computer-Assisted
  • Imaging, Three-Dimensional
  • Injections, Intra-Articular / methods
  • Injections, Spinal / methods
  • Lumbar Vertebrae* / anatomy & histology
  • Lumbar Vertebrae* / diagnostic imaging
  • Radiography, Interventional*
  • Teaching / methods
  • Tomography, X-Ray Computed*
  • Ultrasonography, Interventional*
  • Zygapophyseal Joint* / anatomy & histology
  • Zygapophyseal Joint* / diagnostic imaging