Abstract
C1–2 arthrography and steroid injection is a radiological approach to the treatment of cervical spine pathology of the fi rst two vertebrae. Arthrography is the fi rst step for treatment with a long acting steroid injection (Chevrot et al. 1995; Hove and Gyldensted 1990). For the moment, there is no other technique for pain management in the craniovertebral region.
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References
Bland JH, Boushey DR (1990) Anatomy and physiology of the cervical spine. Sem Arthr Rheum 20:1–20
Bogduk N (1982) The clinical anatomy of the cervical dorsal rami. Spine 7:319–330
Bovim G, Bonamico L, Fredriksen TA (1991) Topographic variations in the peripheral course of the greater occipital nerve. Autopsy study with clinical correlations. Spine 16:475–478
Cacciola F, Phalke U, Goel A (2004) Vertebral artery in relationship to C1–C2 vertebrae: an anatomical study. Neurol India 52:178–184
Chevrot A, Cermakova E, Vallee C, Chancelier MD, Chemla N, Rousselin B, Langer-Cherbit A (1995) C1–2 arthrography. Skeletal Radiol 24:425–429
Chevrot A, Drape JL, Godefroy D, Dupont AM, Gires F, Chemla N, Pessis E, Sarazin L, Minoui A (1997) Imageguided spinal steroid injections. Semin Musculoskelet Radiol 1:221–230
Dirheimer Y, Ramsheyi A, Reolon M (1977) Positive arthrography of the craniocervical joints. Neuroradiology 12:257–260
Dussault RG, Nicolet VM (1985) Cervical facet joint arthrography. J Can Assoc Radiol 36:79–80
Edwards RJ, David KM, Crockard HA (2000) Management of tuberculomas of the craniovertebral junction. Br J Neurosurg 14:19–22
Einig M, Heiger HP, Meairs S, Faust-Tinnefeldt G, Kapp H (1990) Magnetic resonance imaging of the craniocervical junction in rheumatoid arthritis: value, limitations, indications. Skeletal Radiol 19:341–346
Ellis JH, Martel W, Lillie JH, Aisen AM (1991) Magnetic resonance imaging of the normal craniovertebral junction. Spine 16:105–111
Genez BM, Willis JJ, Lowrey CE, Lauerman WC, Woodruff W, Diaz MJ, Higgs JB (1990) CT fi ndings of degenerative arthritis of the atlantoodontoid joint. AJR Am J Roentgenol 154:315–318
Halla JT, Hardin JG, Vitek J, Alarcon GS (1989) Involvement of the cervical spine in rheumatoid arthritis. Arthritis Rheum 5:652–659
Hove B, Gyldensted C (1990) Cervical analgesic facet joint arthrography. Neuroradiology 32:456–459
Lazorthes G, Gaubert J, Chancholle AR, Lazorthes Y (1962) Les rapports de la branche postérieure des nerfs cervicaux avec les articulations interapophysaires vertébrales. Bull Assoc Anat 48:887–895
Mellström A, Grepe A, Levander B (1980) Atlantoaxial arthrography. A postmortem study. Neuroradiology 20:135–144
Morio Y, Yoshioka T, Nagashima H, Hagino H, Teshima R (2003) Intraspinal synovial cyst communicating with the C1–C2 facet joints and subarachnoid space associated with rheumatoid atlantoaxial instability. Spine 28:E492–495
Okamoto K, Doita M, Yoshikawa M, Manabe M, Sha N, Yoshiya S (2004) Synovial cyst at the C1–C2 junction in a patient with atlantoaxial subluxation. J Spinal Disord Tech 17:535–538
Pfirrmann CW, Binkert CA, Zanetti M, Boos N, Hodler J (2001) MR morphology of alar ligaments and occipitoatlantoaxial joints: study in 50 asymptomatic subjects. Radiology 218:133–137
Saway PA, Blackburn WD, Halla JT, Allarcon GS (1988) Life table analysis of survival in patients with rheumatoid arthritis and cervical spine involvement. Arthritis Rheum 31[suppl 1]:R47
Schellhas KP, Garvey TA, Johnson BA, Rothbart PJ, Pollei SR (2000) Cervical diskography: analysis of provoked responses at C2–C3, C3–C4, and C4–C5. AJNR Am J Neuroradiol 21:269–275
Schweitzer ME, Hodler J, Cervilla V, Resnick D (1992) Craniovertebral junction: normal anatomy with MR correlation. AJR Am J Roentgenol 158:1087–1090
Vergne P, Bonnet C, Zabraniecki L, Bertin P, Moreau JJ, Treves R (1996) Synovial cyst at the C1–C2 junction and spondyloarthropathy. J Rheumatol 23:1438–1440
Zapletal J, Hekster RE, Straver JS, Wilmink JT, Hermans J (1996) Relationship between atlanto-odontoid osteoarthritis and idiopathic suboccipital neck pain. Neuroradiology 38:62–65
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Chevrot, A., Drapé, JL., Godefroy, D., Feydy, A. (2009). Percutaneous Infiltration of the Craniovertebral Region. In: Gangi, A., Guth, S., Guermazi, A. (eds) Imaging in Percutaneous Musculoskeletal Interventions. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49929-9_5
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