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  • Title: Fluoroscopically guided cervical interlaminar epidural injections using the midline approach: an analysis of epidurography contrast patterns.
    Author: Kim KS, Shin SS, Kim TS, Jeong CY, Yoon MH, Choi JI.
    Journal: Anesth Analg; 2009 May; 108(5):1658-61. PubMed ID: 19372351.
    Abstract:
    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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