A member asked:

When doing facet joint block : is fluroscopic c-arm guidance better and more accurate than ultrasound-guidance?

8 doctors weighed in across 5 answers
Dr. Atif Haque answered

Specializes in Orthopedic Spine Surgery

Yes: Flouroscopy typically would provide better bony anatomical information for localizing the facet joint(s).

Answered 4/23/2014

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Fluroscopy is best: With fluorscopy the joint can be seen provided the individual is not too obese. The ultrasound is not useful.

Answered 9/30/2013

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No: In very experienced hands us could approach the accuracy of flouroscopy but it is much more likely you will find the necessary expertise with someone who uses flouro.

Answered 3/1/2014

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Yes: Fluoscopic guidance is much better than ultrasound guidance as bone is not well visualized on ultrasound.

Answered 10/14/2013

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CT : I have found ct to be the most convincing modality to demonstrate accurate placement of the needle.

Answered 12/6/2013

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