Cervical Retrolaminar Injection

Cervical Retrolaminar Injection
Indication	Cervical radicular pain
Needle	22g 50mm needle
Steroid	10mg dexamethasone
Local	Lidocaine 0.5%
Volume	4mL

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.

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

Cervical Retrolaminar Injection - Members Subpage

See closed access article^[1]

References

↑ ^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.

[hochberg-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.

[1]