Maeda Orthopaedic Clinic, 864-1 Kidera-cho, Nara 630-8306, Japan.
Department of Orthopedics, Nara Medical University, 840 Shijo-cho Kashihara, Nara 634-8521, Japan.
Tomography. 2022 Jul 22;8(4):1869-1880. doi: 10.3390/tomography8040157.
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.
在本病例系列中，我们描述了一种新的超声（US）引导下颈椎层间硬膜外类固醇注射（CILESIs）方法，该方法不依赖于阻力丧失法来确定硬膜外间隙。将一根针插入三个 US 识别的结构（三杠征），即棘间韧带、黄韧带和硬脊膜。在注射过程中，使用超微血流成像监测注射剂。在这里，我们展示了在九例病例中使用超声引导下 CILESIs，并提出使用超声而不是传统方法进行更简单、更安全的颈椎硬膜外注射。超声用于直接可视化颈椎硬膜外注射可能允许门诊注射。
