CT-guided spinal injection: initial experience with Sprotte tip needles View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-12-02

AUTHORS

Uei Pua

ABSTRACT

IntroductionThe purpose of this paper is to describe our initial experience and to illustrate the potential benefits of using small caliber (25 and 27 G), noncutting pencil point needles (Sprotte) with single puncture coaxial technique in CT-guided spinal intervention (CTSI).MethodsFrom January 2009 to June 2009, Sprotte needles with single puncture coaxial technique were used in a total of ten patients for selective nerve root block (SNRB), facet joint block, and pars block under CT fluoroscopy (total of 16 target structures). All procedures were performed without conscious sedation, and visual analog scale (VAS) scores were recorded to determine pain related to needle placement. Total CT fluoroscopy time and out-of-plane needle deviation were obtained. Final needle position was documented by contrast injection for SNRBs and image capture for joint space cannulation.ResultsSixteen out of the 16 structures were successfully targeted. No increase in VAS scores associated with needle placement was recorded, after infiltration of local anesthesia. Optimal peri-neurograms were obtained in all cases of SNRB, despite the side-hole opening in the Sprotte needles. Mean CT fluoroscopy time was 2 s (range 2–8 s per structure), and there was no case of out-of-plane needle deviation that required adjustment of the CT gantry.ConclusionThe use of small caliber Sprotte needles in CTSI is technically feasible and represents a potential refinement to current techniques in the management of chronic spinal pain. More... »

PAGES

847-850

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00234-009-0629-1

DOI

http://dx.doi.org/10.1007/s00234-009-0629-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1035781887

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19953237


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