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Updated: Jun 23, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
Published on: January 31, 2025
Fluoroscopically guided cervical interlaminar epidural injections using the midline approach: an analysis of
Kwang Su Kim1, Sung Sik Shin, Tae Sam Kim
1Department of Anesthesiology and Pain Medicine, Gwangju Saewoori Spine Hospital, Seogu, Gwangju, Korea. rockingstone@hanmail.net
Background:
The purpose of this study was to evaluate epidurography contrast patterns in fluoroscopically guided cervical interlaminar epidural injections using the midline approach.
Methods:
All epidural injections were performed at the C6-7 level in the prone position. Epidurography was performed using a fixed amount of iotrolan 240 mg I/mL (1, 2, 3 mL).
Results:
The rate of ventral epidural spread was 56.7% in Group A (1 mL), 90% in Group B (2 mL), and 93.3% in Group C (3 mL).
Conclusions:
Two milliliters of contrast solution can provide optimal dispersion of contrast in a ventral and longitudinal spread.
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