1503 - Navigating and Troubleshooting Cervical Fluoroscopic Procedures

Friday, October 21, 2022

8:00 AM – 9:15 AM ET

Location: 337-338

Session Director(s)

NB

Naimish Baxi, MD

Hospital for Special Surgery
Paramus, New Jersey

Disclosed no relevant financial relationships.

PDF of Slides

Faculty(s)

JK

Jonathan Kirschner, MD

Sports and Spine Medicine Fellowship Director
Hospital for Special Surgery
New york, New York

Disclosed no relevant financial relationships.

PDF of Slides
Jesse Charnoff, MD

Assistant Attending Physician
New York Presbyterian/Hospital for Special Surgery Sports Medicine Fellowship
Dix Hills, New York

Disclosed no relevant financial relationships.

PDF of Slides

This session will be an interactive case series presented by spine interventionalists to address cases of suboptimal fluoroscopic imaging or needle placement encountered in the cervical spine. This presentation will apply the objectives learned from the proposal titled "Navigating and Trouble shooting Lumbosacral Fluoroscopic Procedures" to cervical spine procedures. Ideally, these two sessions would be presented consecutively.

Each case discussed will highlight a particular cervical procedures (e.g. interlaminar epidural, transforaminal epidural, medial branch blocks, radiofrequency ablation, C1-2 injection) and discuss procedural optimization. This includes ideal needle placement, interpreting contrast patterns, minimizing radiation exposure and other safety considerations such as anticoagulation and positioning. The moderators will further review evidence-based recommendations for safety optimization and provide mechanisms and solutions to improving the injection process. The presentation will include challenging, yet common, case examples including patients that have undergone prior surgery and anatomic variants.

Learning Objectives:

Optimize needle positioning for various fluoroscopic procedure from beginning to end.
Navigate through challenges imposed by atypical cervical spine anatomy and suboptimal contrast patterns to safely perform procedures.
Prevent potential complications during fluoroscopic cervical spine procedures by approach planning and identifying potential issues prior to starting the procedure.
Improve understanding of fluoroscopic anatomy of the cervical spine.

Presentations:

Navigating and Troubleshooting Cervical Fluoroscopic Procedures
Speaker: Naimish G. Baxi, MD – Hospital for Special Surgery
Navigating and Troubleshooting Cervical Fluoroscopic Procedures
Speaker: Jonathan Kirschner, MD – Hospital for Special Surgery
Navigating and Troubleshooting Cervical Fluoroscopic Procedures
Speaker: Jesse Charnoff, MD – New York Presbyterian/Hospital for Special Surgery Sports Medicine Fellowship