Department of Diagnostic and Interventional Radiology, Evangelisches Krankenhaus Göttingen-Weende, An der Lutter 24, 37074, Göttingen, Germany.
Neuroradiology. 2020 Sep;62(9):1185-1187. doi: 10.1007/s00234-020-02426-8. Epub 2020 May 4.
Cervical nerve root infiltrations are frequently performed in patients with radiculopathy, and computed tomography (CT) is commonly used for image guidance. With the traditional anterolateral approach, catastrophic side events due to spinal ischemia have been reported. To minimize risk, a dorsal approach has been advised, but the safety of this dorsal approach has not been studied systematically. In a 5-year period, 137 cervical nerve root infiltrations using a dorsal approach were performed on 109 patients and retrospectively reviewed. In our series, no major complications like spinal ischemia, spondylodiscitis, large hematomas with the need for surgery or severe allergic reactions occurred. In conclusion, using a dorsal approach, CT-guided cervical nerve root infiltrations with an extraforaminal needle position seem to be a safe intervention.
颈椎神经根浸润经常在神经根病变患者中进行，CT 通常用于图像引导。在传统的前外侧入路中，由于脊髓缺血已经报道了灾难性的侧方事件。为了降低风险，建议采用背侧入路，但这种背侧入路的安全性尚未得到系统研究。在 5 年期间，对 109 名患者进行了 137 例使用背侧入路的颈椎神经根浸润，并进行了回顾性分析。在我们的系列中，没有发生脊髓缺血、脊椎炎、需要手术的大血肿或严重过敏反应等主要并发症。总之，使用背侧入路，CT 引导下经椎间孔颈椎神经根浸润似乎是一种安全的介入方法。
