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Case Report

Direct Visualization of Cervical Interlaminar Epidural Injections Using Sonography

1
Maeda Orthopaedic Clinic, 864-1 Kidera-cho, Nara 630-8306, Japan
2
Department of Orthopedics, Nara Medical University, 840 Shijo-cho Kashihara, Nara 634-8521, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Adam Piorkowski, Rafał Obuchowicz, Andrzej Urbanik and Michał Strzelecki
Tomography 2022, 8(4), 1869-1880; https://doi.org/10.3390/tomography8040157
Received: 21 June 2022 / Revised: 18 July 2022 / Accepted: 20 July 2022 / Published: 22 July 2022
In this case series, we describe a novel ultrasound (US)-guided cervical interlaminar epidural steroid injections (CILESIs) procedure that does not depend on the loss-of-resistance method for epidural space identification. A needle is introduced into three US-identified structures (triple bar sign), the interspinal ligament, ligamentum flavum, and dura mater. The injectants are monitored using superb microvascular imaging during injection. Here, we demonstrate the use of US-guided CILESIs in nine cases and propose the use of sonography, rather than conventional methods, for easier and safer cervical epidural injections. Sonography for direct visualization of cervical epidural injection may allow for outpatient injections. View Full-Text
Keywords: ultrasound; epidural injection; cervical; steroid; superb microvascular imaging ultrasound; epidural injection; cervical; steroid; superb microvascular imaging
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MDPI and ACS Style

Maeda, N.; Maeda, M.; Tanaka, Y. Direct Visualization of Cervical Interlaminar Epidural Injections Using Sonography. Tomography 2022, 8, 1869-1880. https://doi.org/10.3390/tomography8040157

AMA Style

Maeda N, Maeda M, Tanaka Y. Direct Visualization of Cervical Interlaminar Epidural Injections Using Sonography. Tomography. 2022; 8(4):1869-1880. https://doi.org/10.3390/tomography8040157

Chicago/Turabian Style

Maeda, Nana, Manabu Maeda, and Yasuhito Tanaka. 2022. "Direct Visualization of Cervical Interlaminar Epidural Injections Using Sonography" Tomography 8, no. 4: 1869-1880. https://doi.org/10.3390/tomography8040157

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