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Cervical Disc Contrast Radiography and Block

  • Hisashi DateEmail author
  • Mitsuhiko Ohata
Chapter

Abstract

Cervical disc contrast radiography is a method by which contrast agent is injected into the cervical disc, under X-ray fluoroscopy-guided method, in order to obtain information about the discs and surrounding area. Intervertebral disc and nucleus pulposus morphology can be determined by radiography; this information cannot be obtained from preoperative magnetic resonance imaging, due to leakage of the contrast agent. Information regarding the degrees of degeneration and hardness of the intervertebral disc, in terms of resistance to the injection, can also be determined, which is useful for considering indications for percutaneous discectomy. The presence/absence of induced pain when the contrast agent is injected can be used for diagnosis and treatment, by comparison with clinical symptoms. Simultaneous injection of local anesthetic and steroids may induce therapeutic effects.

Keywords

Cervical disc contrast radiography Intervertebral disc block X-ray fluoroscopy-guided method 

References

  1. 1.
    Cloward RB. Lesion of the intervertebral disks and their treatment by interbody fusion methods. The painful disk. Clin Orthop Rel Res. 1963;27:51.Google Scholar
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    Bogduk N, Windsor M, Inglis A. The innervations of the cervical intervertebral discs. Spine. 1988;13:2–8.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologySendai Pain-Clinic CenterSendaiJapan
  2. 2.Department of AnesthesiologyIwate Medical University School of MedicineMoriokaJapan

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