SPINE INJECTION-NEEDLE ADVANCEMENT

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SUMMARY

1. As a needle advances toward a target starting with an oblique projection, its trajectory can be broken into two predominant vectors: medial and ventral.

2. After a needle is embedded in a tissue and on its given path, placing the notch laterally will drive the needle tip medially.
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3. Placing the notch medially will drive the needle tip ventrally.
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4. if a needle trajectory is less oblique and more perpendicular to the skin surface (Fig. 2.11), then a lateral needle tip movement can be achieved.

Images: Furman, Michael B., and Leland Berkwits. Atlas of Image-Guided Spinal Procedures. Elsevier, Inc, 2017.