Kostanian V J, Mathews M S, Westhout F D, Bhatia N N
Department of Radiology, University of California-Irvine -
Interv Neuroradiol. 2006 Dec 15;12(4):359-62. doi: 10.1177/159101990601200411. Epub 2007 Jan 19.
This report shows that CT fluoroscopy guided anterior approach injections can be effectively utilized for inflammatory conditions affecting the atlanto-odontoid joint, and that steroid injections thus injected can provide pain relief lasting six months in properly selected patients. Patients with underlying rheumatoid arthritis demonstrating significant aggravation of neck pain with side to side (rotational) neck movements and refractory to medical therapy may be good candidates for the procedure.
本报告表明，CT透视引导下的前路注射可有效用于治疗影响寰枢关节的炎症性疾病，并且如此注射的类固醇注射剂可为适当选择的患者提供持续六个月的疼痛缓解。患有潜在类风湿性关节炎且颈部左右（旋转）运动时颈部疼痛明显加重且药物治疗无效的患者可能是该手术的良好候选者。
