L5 nerve root block (fluoroscopic)

Case contributed by Frank Gaillard ◉ ◈

Diagnosis not applicable

Citation, DOI, disclosures and case data

Citation:

Gaillard F, L5 nerve root block (fluoroscopic). Case study, Radiopaedia.org (Accessed on 04 Jun 2023) https://doi.org/10.53347/rID-5619

DOI:

https://doi.org/10.53347/rID-5619

Permalink:

https://radiopaedia.org/cases/5619?iframe=true

rID:

5619

Disclosures:

At the time the case was submitted for publication Frank Gaillard had no recorded disclosures.

Case published:

27 Feb 2009

Revisions:

Systems:

Musculoskeletal, Spine

Tags:

intervention, spine

Quiz mode:

Excluded

From the case: L5 nerve root block (fluoroscopic)

x-ray

Loading images...

step 1

Example of a fluoroscopic lumbar nerve root injection.

step 1: angle to the endplate of L5 and center in image
step 2: rotate towards the side of injection to show scotty dog appearance and center in image
step 3: aim for a small triangle below the dog's snout
step 4: insert needle placement parallel to the central x-ray beam
step 5: inject contrast and demonstrate it outlining the L5 nerve