Localized cervical pain: advantages and limits of ultrasound evaluation

Galletti, Stefano; Galletti, Riccardo; Schiavone, Cosima; Salini, Vincenzo; Abate, Michele

doi:10.1007/s40477-016-0207-4

Cited by 2 publications

(1 citation statement)

References 24 publications

(29 reference statements)

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“…Ultrasound is an excellent tool in "visualizing" and hence "avoiding" vascular injury especially during cervical spine procedures. 1 Studies on ultrasoundguided spine injection and CT scan confirmation of the needle tip showed feasibility and validity of ultrasound in spine injections. [2][3][4][5][6] Despite the introduction of newer and less consuming times methods 7 with the possibility of intravascular injection, there is still insufficient clinical evidence to prove the safety of the ultrasound as a sole image guide intervention, especially for transforaminal injection.…”

Section: Introductionmentioning

confidence: 99%

Is ultrasound guided spine injection safe?

Gharries¹

2018

JACCOA

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Ultrasound has gained recognition within the field of pain intervention owing to its definite advantage of visually localizing the specified target and additionally owing to perceived advantages of safety, accuracy, and potency. Ultrasound permits satisfactory imaging of the posterior parts of the spine and paraspinal soft tissues. Despite the introduction of newer and less consuming time’s methods with the possibility of intravascular injection, there is still insufficient clinical evidence to prove the safety of the ultrasound as a sole image guide intervention, especially for transforaminal injection. It is essential to considering safety tips and be aware of complications that are typically terribly unpleasant and cause unwanted social and legal consequence. The most important injection warnings are damage to the spinal cord and nerve roots, intravascular injection and vascular damage, loss of consciousness, paraplegia and incontinence. The object of this review article is to discuss the untoward dangerous complication which can happen after ultrasound-guided spine injections and explain how to diagnosis and manage them. Further technical and equipment advancements are needed to improve and reduce the existing limitations associated with the ultrasound-guided spine injection technique until that time the multimodality imaging guidance is safer.

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Section: Introductionmentioning

confidence: 99%

Is ultrasound guided spine injection safe?

Gharries¹

2018

JACCOA

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Ultrasound-guided Percutaneous Laser Disc Decompression (PLDD) with Fluoroscopic Validation for the Treatment of Cervical Disc Herniation: Technical Note

et al. 2022

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Objective Percutaneous laser disc decompression (PLDD) has been regarded as an effective alternative for the treatment of cervical soft disc herniations. Repeated X-Ray scanning is essential when performing this technique. Design Technical note Methods We present a new method for the treatment of cervical disc herniation using ultrasound to guide the needle entry to the cervical disc, to avoid excess of radiation exposure during the surgical procedure. We evaluated the efficacy of this cervical approach. We retrospectively reviewed the clinical data of 14 cases who underwent a PLDD under ultrasound (US) guidance for the treatment of contained cervical disc herniation using a 1470 Nm diode laser. The lower cervical discs (C5-C6 and C6-C7) were the most affected sites, accounting for 78.6% of surgical discs. A significant NRS reduction between baseline and 1 month (p = 0.0002) and between baseline and 12 months (p = 0.0007) was observed. Conclusions Our results support the conclusion that US guided PLDD with fluoroscopic validation is a minimally invasive technique for patients affected by herniated cervical discs, but proper choice of patients is critical. This approach should not be performed except after adequate training under close supervision of surgeons experienced in this procedure and in interventional US.

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Localized cervical pain: advantages and limits of ultrasound evaluation

Abstract: Ultrasound examination can be used as diagnostic tool in the evaluation of selected patients suffering from localized cervical pain, particularly in cases of pain due to traumatic injuries.

Cited by 2 publications

References 24 publications

Is ultrasound guided spine injection safe?

Is ultrasound guided spine injection safe?

Ultrasound-guided Percutaneous Laser Disc Decompression (PLDD) with Fluoroscopic Validation for the Treatment of Cervical Disc Herniation: Technical Note

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