Cervical Retrolaminar Injection

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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.