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Cervical Retrolaminar Injection
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Cervical Retrolaminar Injection | |
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Indication | Cervical radicular pain |
Needle | 22g 50mm needle |
Steroid | 10mg dexamethasone |
Local | Lidocaine 0.5% |
Volume | 4mL |
The cervical retrolaminar injection is an experimental treatment for cervical radicular pain. As a fascial plane block it is theoretically safer than epidural corticosteroid injection. The target point is the cervical retrolaminar plane - between the lamina and cervical multififus muscle. This technique may be considered safer than ESI. Injection at C6 has been shown to spread from C2-T3.
anatomical area of the posterior neck does not carry major
blood vessels or nerves and hence, a needle inserted from the
skin lateral to the midline to reach the cervical lamina is not
risking direct touch to any major neurovascular structure.
To reduce the likelihood of accidently entering the
Technique
Ultrasound Guided
- Position: prone
- 22G 50mm needle inserted in plane of the transducer.
- Target point posterior aspect of lamina of target segment, under the cervical multififus muscle.
- Inject 4 mL of Lidocaine 0.5% with 10 mg (1 mL) dexamethasone was injected.
Resources
See closed access article[1]