Cervical Retrolaminar Injection: Difference between revisions

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|local=Lidocaine 0.5%
|local=Lidocaine 0.5%
|volume=4mL
|volume=4mL
}}The cervical retrolaminar injection is an experimental treatment for [[Cervical Radicular Pain and Radiculopathy|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.
}}The cervical retrolaminar injection is an experimental treatment for [[Cervical Radicular Pain and Radiculopathy|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.<ref name="hochberg"/>
 
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==
==Technique==
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==Resources==
==Resources==
{{Members link}}
{{Members link}}
See closed access article<ref>{{#pmid:33660679}}</ref>
See closed access article<ref name="hochberg">{{#pmid:33660679}}</ref>
==References==
==References==
[[Category:Cervical Spine Procedures]]
[[Category:Cervical Spine Procedures]]

Latest revision as of 12:29, 23 April 2022

This article is a stub.
This page or section deals with a topic that is not widely recognised or accepted.
Please use your clinical judgement and note that this is not necessarily standard practice in NZ.
Cervical Retrolaminar Injection
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.[1]

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]

References

  1. 1.0 1.1 Hochberg et al.. A New Solution to an Old Problem: Ultrasound-guided Cervical Retrolaminar Injection for Acute Cervical Radicular Pain: Prospective Clinical Pilot Study and Cadaveric Study. Spine 2021. 46:1370-1377. PMID: 33660679. DOI.