Diagnostic and Interventional Radiology
Interventional Radiology - Technical Note

CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis

1.

Department of Radiology, Tokai University Hachioji Hospital, Tokai University School of Medicine, Hachioji, Tokyo, Japan

2.

Department of General Internal Medicine, Tokai University Hospital, Tokai University School of Medicine, Shimo Kasuya, Isehara-shi, Kanagawa, Japan

3.

Department of General Internal Medicine, Tokai University Hachioji Hospital, Tokai University School of Medicine, Ishikawa-machi, Hachioji, Tokyo, Japan

Diagn Interv Radiol 2021; 27: 269-271
DOI: 10.5152/dir.2021.20189
Read: 345 Downloads: 135 Published: 18 February 2021

A 79-year-old man was admitted to our hospital with C6-C7 pyogenic spondylodiscitis with an epidural abscess. Since the cervical intervertebral space is narrower than the thoracolumbar intervertebral space, drain insertion into the cervical intervertebral space requires a more accurate procedure. Moreover, the specific anatomy of cervical vertebrae, which includes the transverse foramen through which the vertebral artery passes and the uncinate process on the side edges of the top surface of the bodies, makes it impossible to perform computed tomography (CT)-guided percutaneous intervertebral drain insertion through the posterolateral approach. Therefore, CT fluoroscopy-guided percutaneous cervical intervertebral drain insertion using a lateral approach, in which the needle is advanced between the carotid sheath and scalene muscle, and simultaneous intravenous contrast enhancement might be a safe and useful technique. There have been no papers on CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis, while successful CT fluoroscopy-guided percutaneous intervertebral drain insertion for thoracolumbar pyogenic spondylodiscitis has been reported. Here, we successfully performed CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis.

You may cite this article as: Tomita K, Matsumoto T, Kamono M, Miyazaki K, Hasebe T. CT fluoroscopy-guided percutaneous intervertebral drain insertion for cervical pyogenic spondylodiscitis. Diagn Interv Radiol 2021; 27: 269–271

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