- Strengths
- specialized workup for spinal stenosis in patients who cannot have MRI and occasionally ordered for post surgical patients and/or evaulation of hardware; Intrathecal contrast injected under fluoroscopy in radiology immediately prior to CT.
- Limitations
- MRI mainstay for most other C spine indications. Except acute trauma where CT C spine without contrast can be useful.
- Contraindications
- 1) Allergy to contrast, but we will premedicate patient as necessary.
- CPT Code
- 72126 (CT); 62284 (fluoro-guided injection)
- Exact format for order to be authorized
- CT myelogram cervical
- Patient Preparation
- NPO 4 hours, but can take meds with small sip of water. Patient will be monitored for 2 to 3 hours after the procedure. May need driver.
