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Published on: August 6, 2019
Technical note: the swimmer's view for cervical facet joint injections
Arvind Gopalrao Kulkarni1, Tamer Sabet, Helen Ashley
1Department of Orthopaedics, Spine division, Kulkarni Hospital, Gokak, Karnataka, India. drarvindspines@yahoo.co.in
Summary
Image intensifier (C-arm) guided facet injections offer a safe and effective treatment for cervical spondylosis. A modified swimmer's view technique improves visualization for these cervical spine procedures.
Area of Science:
- Orthopedics
- Pain Management
- Radiology
Background:
- Cervical spondylosis is a common degenerative condition affecting the cervical spine.
- Facet joint injections using image intensifier (C-arm) guidance are established treatments.
- Shoulder shadowing can impede C-arm visualization of lower cervical anatomy.
Purpose of the Study:
- To describe the adaptation and utility of the swimmer's view technique.
- To ensure safe and effective C-arm guided facet injections in challenging lower cervical anatomy.
Main Methods:
- Utilized a modified swimmer's view projection with C-arm fluoroscopy.
- Performed facet infiltration with local anesthetic and corticosteroid mixture.
- Targeted lower cervical facet joints in patients with shoulder shadowing.
Main Results:
- Successful visualization of lower cervical facet joints was achieved.
- The adapted swimmer's view facilitated accurate needle placement.
- The procedure was performed safely and effectively in the described cases.
Conclusions:
- The swimmer's view is a valuable adaptation for C-arm guided cervical facet injections.
- This technique enhances the safety and efficacy of treating cervical spondylosis when lower cervical anatomy is obscured.
