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Medial Branch Block, Cervical Spine
Donald V. La Barge, III, MD, MBA
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KEY FACTS

  • Terminology

    • Pre-Procedure

      • Procedure

        • Post-Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Medial branch block (MBB)
            • Synonyms

              • Cervical dorsal ramus block
              • 3rd occipital nerve block
            • Definitions

              • Selective anesthesia of cervical nerve medial branch(es) in diagnosis of cervical facet joint pain

            PRE-PROCEDURE

            • Indications

              • Contraindications

                • Pre-Procedure Imaging

                  • Getting Started

                    PROCEDURE

                    • Patient Position/Location

                      • Equipment Preparation

                        • Procedure Steps

                          • Findings and Reporting

                            • Alternative Procedures/Therapies

                              POST-PROCEDURE

                              • Expected Outcome

                                • Things to Do

                                  • Things to Avoid

                                    OUTCOMES

                                    • Problems

                                      • Complications

                                        Selected References

                                        1. Cohen SP et al: Randomized study assessing the accuracy of cervical facet joint nerve (medial branch) blocks using different injectate volumes. Anesthesiology. 112(1):144-52, 2010
                                        2. Falco FJ et al: Systematic review of diagnostic utility and therapeutic effectiveness of cervical facet joint interventions. Pain Physician. 12(2):323-44, 2009
                                        3. Benyamin RM et al: Corticosteroid induced psychosis in the pain management setting. Pain Physician. 11(6):917-20, 2008
                                        4. Manchikanti L et al: Cervical medial branch blocks for chronic cervical facet joint pain: a randomized, double-blind, controlled trial with one-year follow-up. Spine (Phila Pa 1976). 33(17):1813-20, 2008
                                        5. Verrills P et al: The incidence of intravascular penetration in medial branch blocks: cervical, thoracic, and lumbar spines. Spine (Phila Pa 1976). 33(6):E174-7, 2008
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Pre-Procedure

                                            • Procedure

                                              • Post-Procedure

                                                • Outcomes

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Medial branch block (MBB)
                                                  • Synonyms

                                                    • Cervical dorsal ramus block
                                                    • 3rd occipital nerve block
                                                  • Definitions

                                                    • Selective anesthesia of cervical nerve medial branch(es) in diagnosis of cervical facet joint pain

                                                  PRE-PROCEDURE

                                                  • Indications

                                                    • Contraindications

                                                      • Pre-Procedure Imaging

                                                        • Getting Started

                                                          PROCEDURE

                                                          • Patient Position/Location

                                                            • Equipment Preparation

                                                              • Procedure Steps

                                                                • Findings and Reporting

                                                                  • Alternative Procedures/Therapies

                                                                    POST-PROCEDURE

                                                                    • Expected Outcome

                                                                      • Things to Do

                                                                        • Things to Avoid

                                                                          OUTCOMES

                                                                          • Problems

                                                                            • Complications

                                                                              Selected References

                                                                              1. Cohen SP et al: Randomized study assessing the accuracy of cervical facet joint nerve (medial branch) blocks using different injectate volumes. Anesthesiology. 112(1):144-52, 2010
                                                                              2. Falco FJ et al: Systematic review of diagnostic utility and therapeutic effectiveness of cervical facet joint interventions. Pain Physician. 12(2):323-44, 2009
                                                                              3. Benyamin RM et al: Corticosteroid induced psychosis in the pain management setting. Pain Physician. 11(6):917-20, 2008
                                                                              4. Manchikanti L et al: Cervical medial branch blocks for chronic cervical facet joint pain: a randomized, double-blind, controlled trial with one-year follow-up. Spine (Phila Pa 1976). 33(17):1813-20, 2008
                                                                              5. Verrills P et al: The incidence of intravascular penetration in medial branch blocks: cervical, thoracic, and lumbar spines. Spine (Phila Pa 1976). 33(6):E174-7, 2008