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Interlaminar Cervical Epidural Injection

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Interventional Pain
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Abstract

Cervical epidural injections are commonly performed for chronic neck and arm pain. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.

Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).

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Suggested Reading

  • Derby R, Melnik I, Choi J, Lee S-H, Lee J-E. Reliability and safety of contra-lateral oblique view for interlaminar epidural needle placement. Pain Physician. 2017;20:E65–73.

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  • Manchikanti L, Pampati V, Parr I, A, Manchikanti MV, Sanapati MR, Kaye AD, et al. Cervical interlaminar epidural injections in the treatment of cervical disc herniation, post surgery syndrome, or discogenic pain: cost utility analysis from randomized trials. Pain Physician. 2019;22(5):421–31.

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  • Tamayo AC, Guajardo-Rosas J, Hernandez-Ortiz A. Cervical epidural injections for radicular pain. Tech Reg Anesth Pain Manag. 2010;14:106–12.

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  • Zhou Y, Zhou B. A new way to obtain clear lateral fluoroscopic pictures for cervical epidural steroid injections. Tech Orthop. 2013;28:44–9.

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Correspondence to Alan Berkman .

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The Cervical Interlaminar Epidural chapter was reviewed by Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano; Jan Van Zundert; Massimo Barbieri and Athmaja Thottungal.

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Berkman, A. (2020). Interlaminar Cervical Epidural Injection. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_1

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  • DOI: https://doi.org/10.1007/978-3-030-31741-6_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31740-9

  • Online ISBN: 978-3-030-31741-6

  • eBook Packages: MedicineMedicine (R0)

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