PainCast

Tag: cervical lysis

  • Cervical Neuroplasty Using Hypertonic Saline

    Cervical Neuroplasty Using Hypertonic Saline

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 18, 2020
    Dr. Gabor Racz explains the advantages of cervical neuroplasty (including hypertonic saline and active cervical flexion/rotation) compared to a standard ESI. He has a preoperative consultation with his patient, whose complaint is upper back/neck pain and headaches. Dr. Racz then performs the cervical lysis procedure and follows up with a postoperative consultation and subsequent injections of hypertonic saline.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Tools For Cervical Procedures

    Tools For Cervical Procedures

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on December 13, 2018

    Dr. Haylock-Loor, President of the Honduran Society of Anesthesia, discusses the Adhesiolysis procedure in the cervical spine, and the successful outcome she encounters. She talks about one specific case, with much enthusiasm, in which the patient was able to avoid surgery due to the efficacy of the Lysis procedure.

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  • Failed neck surgery

    Failed neck surgery

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on April 14, 2017

    Dr. Racz gives a slide presentation at the 21st Annual International Pain Conference on new discoveries concerning the diagnosis and treatment of fail neck surgery. He details cases in which invasive procedures to treat cervical stenosis fail and worsen the condition. He also emphasizes the importance of the cervical venous anatomy, as it differs from the thoracic spine. He then details the mechanics of cervical flexion-rotation, and its effects on the neural foramen and involved nerve root. Dr. Racz reinforces this information with literature, MRI, and x-ray images.

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  • Cervical Interlaminar Epidural Lysis

    Cervical Interlaminar Epidural Lysis

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 6, 2017

    Dr. Racz evaluates a patient while in pre-op to identify the involved cervical nerve roots for which to treat with the lysis of adhesion procedure. He then performs a cervical lysis to treat the left C5-C6 levels by entering at the C7-T1 level. Dr. Racz explains why he uses a RX-@ Coude needle for both its safety and ability to accurately guide the catheter to the intended injection site. He demonstrates the proper loss of resistance technique and also details the injectates used for the cervical spine, as they differ in volumes from those used in the lumbar spine.

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