A head holder is neccessary for cervical myelography. Morris have described Duncan head rest for cervical myelography. We improved on Duncan head rest, our head rest has the desired degree of tiling.
A simple device maintains a patient's head position while performing cervical myelography. This holder permits patients to assume a comfortable position and is especially ideal when using lateral puncture at C1-C2.
The patient is placed in the prone position with head rest. A lateral cervical film is made with a net marker taped to the skin over the mastoid tip, the marker is removed, under local anesthesia 20G or 21G spinal needle is introduced between the laminal arches of C-1 and C-2. This device may also be used when examining the cervical region using trans-lumbar technique, the patient is a prone. 15°-20° head-down position with a pillow beneath the hips.
