Interlaminar Approach for Cervical Epidural Steroid Injection

Abstract

Cervical epidural steroid injection (CESI) is a frequently performed intervention for neck pain. This can be accomplished via interlaminar or transforaminal approach. Interlaminar approach is more commonly performed due to lower risk for intra-arterial injection. However, it has its own unique complications such as dural puncture and direct spinal cord injury. Interlaminar CESI has been thoroughly studied in regard to its efficacy and long-term benefit. This chapter reviews the interlaminar approach, indications for CESI, relevant anatomy, procedural technique, evidence for its efficacy, and potential complications.