Cervical transforaminal epidural steroid injection (CT-guided)

Case contributed by Dr Dai Roberts

Presentation

Left arm pain.

Patient Data

Age: 65 years
Gender: Female

Pre and post-contrast images of a CT guided left C6-7 TFESI.  

Best appreciate on the non-contrast images, an uncovertebral osteophyte causes moderate narrowing of the left C6-7 foramen.

Contrast is shown to extend through the targeted left C6-7 foramen and into the epidural space.

Case Discussion

The transverse processes of the C7 vertebra are longer than the other cervical spine vertebrae, which can be a useful additional aid when planning.  

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