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Dorn Spinal Therapy

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FIGURE 24 Cervical discography. Line drawing showing the position of the patient, placed supine on the radiolucent table. A cushion under the neck allows hyperextension of the cervical spine. The needle must be inserted between the carotid sheath laterally and the trachea and esophagus medially.

FIGURE 25 Cervical discography (A, B) and computed tomography discogram at the C5-C6 level (C) showing a large discal hernia near the right intervertebral foramen. Source: Courtesy of Pr. J. Roland.

herniation, has been reported (62). Checking for pulsation is the safest method to avoid inadvertent puncture of the carotid. But if it occurs, compression is applied immediately. The risk of disc-space infection is greater in the cervical discs than in the lumbar ones. This may be due to the presence of hair follicles in the skin, lack of utilization of the double needle technique, contact of the needle tip with the fingers (because anesthesia and needle approach are more difficult at the location of the cervical discs than at the lumbar spine), or inadvertent puncturing of the esophagus (62).

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