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Interlaminar Approach for Cervical Epidural Steroid Injection

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Deer's Treatment of Pain

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Abstract

Cervical epidural steroid injection (CESI) is a frequently performed intervention for neck pain. This can be accomplished via interlaminar or transforaminal approach. Interlaminar approach is more commonly performed due to lower risk for intra-arterial injection. However, it has its own unique complications such as dural puncture and direct spinal cord injury. Interlaminar CESI has been thoroughly studied in regard to its efficacy and long-term benefit. This chapter reviews the interlaminar approach, indications for CESI, relevant anatomy, procedural technique, evidence for its efficacy, and potential complications.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Sanket Pathak

  2. Department of Anesthesiology, Jefferson Pain Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Andrew Ng

Authors
  1. Sanket Pathak
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  2. Andrew Ng
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Corresponding author

Correspondence to Andrew Ng .

Editor information

Editors and Affiliations

  1. The Spine and Nerve Center of the Virginias, Charleston, WV, USA

    Timothy R. Deer

  2. Evolve Restorative Center, Santa Rosa, CA, USA

    Jason E. Pope

  3. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA

    Tim J. Lamer

  4. Pain Diagnostics and Interventional Care, Sewickley, PA, USA

    David Provenzano

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Pathak, S., Ng, A. (2019). Interlaminar Approach for Cervical Epidural Steroid Injection. In: Deer, T., Pope, J., Lamer, T., Provenzano, D. (eds) Deer's Treatment of Pain. Springer, Cham. https://doi.org/10.1007/978-3-030-12281-2_39

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  • DOI: https://doi.org/10.1007/978-3-030-12281-2_39

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12280-5

  • Online ISBN: 978-3-030-12281-2

  • eBook Packages: MedicineMedicine (R0)

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