Cervical Retrolaminar Injection

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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.

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

Cervical Retrolaminar Injection - Members Subpage

See closed access article