Dr. Centeno delves into the critical importance of safely injecting the high upper cervical facet joints at levels C0-C1 and C1-C2. In this video, he discusses a case where a physician assistant attempted this high-risk procedure using improper techniques, highlighting the potential dangers such as injecting into the vertebral artery or spinal canal, which can lead to severe complications like posterior circulation strokes or respiratory failure.
Dr. Centeno emphasizes the necessity of these procedures being performed by experienced physician subspecialists using the right equipment and imaging guidance. He explains why relying solely on ultrasound guidance, especially using the short-axis approach, increases patient risk. Instead, he advocates for the use of C-arm fluoroscopy and advanced imaging techniques like Digital Subtraction Angiography (DSA) and performing an arthrogram to ensure accurate needle placement and enhance patient safety.
Learn about the differences between the short-axis and long-axis approaches, the limitations of ultrasound in high-risk areas, and how proper imaging and injection techniques can minimize danger zones while maximizing target visibility. This video serves as an important educational resource for both patients and medical professionals on the best practices for cervical spine injections and the significance of patient education in promoting safety.
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Resources:
Learn more about CCI: centenoschultz.com/condition/craniocervical-instability/
Learn more about treating CCI: centenoschultz.com/treatment/craniocervical-instability-surgery/
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Timestamps:
00:00 - Introduction and Topic Overview
02:01 - Observation of Improper Technique
05:19 - Potential Severe Complications
07:20 - Recommendations for Safer Practices
09:15 - Advanced Imaging Techniques
11:14 - Argument Against Mid-Level Providers Performing High-Risk Procedures
11:47 - Patient Education
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To learn more, go to the following sites:
Centeno-Schultz Clinic...centenoschultz.com/
Regenexx........................regenexx.com/
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Centeno-Schultz Clinic
403 Summit Blvd Suite 201
Broomfield, CO 80021
303-429-6448
#centenoschultzclinic #regenexx #picl #DDD #cci #craniocervicalinstability #degenerativediscdisease #discbulge
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Please watch: "Cervical Disc Replacement Movement vs Normal Disc"
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Tze7bUQXB4Q.html
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12 июл 2022
