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Cervical facet joint arthrography.

R G Dussault, V M Nicolet

    Journal of the Canadian Association of Radiologists
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    This study details a posterior approach for cervical facet joint arthrography, ensuring accurate needle placement using fluoroscopic guidance and contrast medium verification for therapeutic injections.

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    Area of Science:

    • Radiology
    • Interventional Pain Management
    • Anatomy

    Background:

    • Cervical facet joint injections are common pain management procedures.
    • Accurate needle placement is crucial for effective therapeutic delivery.
    • Fluoroscopic guidance is standard for interventional spinal procedures.

    Purpose of the Study:

    • To describe a specific posterior approach technique for cervical facet joint arthrography.
    • To detail the patient positioning and imaging parameters for optimal visualization.
    • To emphasize the confirmation of intraarticular needle placement prior to therapeutic injection.

    Main Methods:

    • A posterior approach with the patient prone, neck maximally flexed, and head turned is employed.
    • The X-ray tube is angled cephalad for a true tangent to the facet joint.

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  • Needle insertion is performed under fluoroscopic control, parallel to the X-ray beam, with contrast confirmation.

    • Main Results:

    • The described technique allows for precise needle placement within the cervical facet joint.
    • Fluoroscopic guidance and contrast injection confirm intraarticular positioning.
    • This method facilitates accurate delivery of therapeutic agents.

    Conclusions:

    • The described posterior approach is an effective technique for cervical facet joint arthrography.
    • Confirmation of intraarticular needle placement is essential for successful procedures.
    • This technique enhances the safety and efficacy of cervical facet joint interventions.