MSK Ultrasound - Spine - Incheon Terminal Orthopedic Private Clinic Yong-Hyun, Yoon C,T-spine Basic Advanced • Medial branch block • C-spine transforaminal block • Facet joint block • Thoracic paravertebral block • C-spine intra-discal injection • Superficial cervical plexus block • Vagus nerve block • Greater occipital nerve block(GON) • Third occipital nerve block(TON) • Hydrodissection • Brachial plexus(1st rib level) • Suboccipital nerve • Stellate ganglion block(SGB) • C1, C2 nerve root, C2 nerve • Brachial plexus block(interscalene) • Recurrent laryngeal nerve • Serratus anterior plane • Cervical nerve root Cervical facet joint Anatomy Diagnosis Cervical facet joint injection C-arm Ultrasound Cervical medial branch Anatomy Nerve innervation • Medial branch • Same level facet joint • Inferior level facet joint • Facet joint • Dual nerve innervation Cervical medial branch C-arm Ultrasound Cervical nerve root Anatomy Diagnosis • Motor • Sensory • Dermatome, myotome, fasciatome Cervical nerve root block C-arm Ultrasound Stallete ganglion block Anatomy Injection Vagus nerve Anatomy Injection L,S-spine Basic Advanced • Medial branch block • Lumbar sympathetic block • Facet joint block • Lumbar plexus block • Superior, inferior hypogastric nerve block • Caudal block • Transverse abdominal plane(TAP) block • Sacral plexus block • Epidural block • Hydrodissection • Interlaminal • Pudendal nerve • Transforaminal injection • Genitofemoral nerve • Superior, inferior cluneal nerve • Rectus abdominal sheath • Erector spinae plane Lumbar facet joint Anatomy Diagnosis Lumbar facet joint C-arm Ultrasound Lumbar medial branch Anatomy Nerve innervation • Dual nerve innervation • L34 facet joint – L23 MBB • L5 is exception • L5/S1 dorsal rami Lumbar medial branch C-arm Ultrasound Lumbar plexus Anatomy Indications • Psoas muscle dysfunction • Plexopathy(from Cyriax) Lumbar plexus block C-arm Ultrasound Caudal block Anatomy Indications Caudal block C-arm Ultrasound Q & A • Contact • [email protected] • Incheon Terminal Orthopaedic Clinic • https://www.koreanonop.com/ • CP • 010-2886-3854 Take home message • Diagnosis, Diagnosis, Diagnosis • Anatomy, Anatomy, Anatomy • Accurate Treatment! • Review the chart or procedure • After 2 Treatments, no effect -> review the chart & diagnosis.