Image Guided Interventions Of The Spine

This book is a comprehensive review of image guided interventions of the spine. Beginning with a chapter dedicated to the history of image guided spinal interventions, authors set the stage for the role these procedures have and will play in the field. Chapters cover the key procedures, techniques, and considerations to maximize effectiveness and patient care. Some major topics covered include: imaging osseo-ligamentous spine anatomy, percutaneous vertebroplasty, image guided tumor ablation, and vascular spine intervention. Additional features include high-quality illustrations with concise descriptions and clinical cases discussions. This is an ideal guide for interventional neuroradiologists, radiologists, pain management physicians, neurosurgeons, orthopedic spine surgeons, and related residents, fellows, and students wanting in depth information on image guided interventions of the spine.

The field of interventional radiology is constantly undergoing change, and its procedures evolve over time. There is currently tremendous pressure on our specialty, as cardiology and vascular surgery app- priate existing vascular interventions. We need to be looking constantly for new procedures that will replace this loss. In the 1980s, the int- duction of vascular access provided new procedures that included the placement of temporary venous catheters, ports, tunneled catheters, and dialysis maintenance. As a result of vascular access the number of procedures performed in some interventional labs doubled. The same revolution is occurring again with the advent of image-guided spine intervention. Five percent of the American population at any one time has back pain. This huge patient population is seeking help for this disabling and persistent problem. Image-Guided Spine Interventions describes the varied and numerous procedures that are available to the image-guided interventionist, who may provide these therapies for the spine. This book embraces clinical evaluation, pharmacological requirements, procedural recommen- tions, and a spectrum of procedures that will be of interest to the image-guided spine interventionist. It covers a broad range of ma- rial that is presented by experts in each field, including discography, intradiscal electrothermal therapy (IDET), percutaneous discectomy, vertebroplasty and ballon kyphoplasty, epidural steroid injections, - lective nerve root blocks and autonomic nerve blockade, diagnostic epidurography and therapeutic epidurolysis, sacroiliac and facet joint injections, implanted drug delivery systems, and epidural blood and fibrin patches for CSF leaks.

This edition of Neuroimaging Clinics focuses on these minimally invasive, image-guided therapies. It includes guidelines for patient assessment and selection, choices of pharmaceuticals and materials commonly used, as well as, advice from noted experts about complication avoidance. Common procedures such as biopsy, epidural steroid injection and vertebroplasty (or balloon assisted vertebroplasty) are discussed. Newer procedures, such as sacroplasty, synovial cyst rupture, spinal cord stimulators, neurolysis, percutaneous discectomy, and minimally invasive treatment of spinal stenosis, are introduced.

This book provides background information and step-by-step procedures for a range of image-guided interventional procedures relating to the treatment of spine and back pain. Each chapter discusses a specific procedure, covering the pertinent anatomy, selection criteria, contraindications, equipment, medications, instructions, potential complications, and aftercare. Case studies, CPT codes, references, and a neurosurgeon's commentators are also provided. 625 color illustrations support the narrative instructions. Annotation copyrighted by Book News, Inc., Portland, OR.

A panel of world-renowned experts presents a complete course on evaluating and treating patients with back pain, including interventional spinal procedures, spinal imaging, and the clinical evaluation of the spine patient. The authors focus on all the critical spinal procedures, ranging from such traditional methods as selective nerve root blocks, epidural injections, facet injections, sacroiliac joint injections, to such state-of-the art techniques as spinal biopsy, percutaneous vertebroplasty, spinal imaging, nucleoplasty, discography, intradiscal electrothermal therapy, and transcatheter therapy for tumors of the spine. Additional material is provided on basic spinal anatomy, CT, MRI, the nuclear medicine of the spine, and the pharmacology of the medications used in injection procedures.

Give your patients the non-surgical spine pain relief they need with help from the Atlas of Image-Guided Spinal Procedures by Dr. Michael Bruce Furman. This medical reference book features a highly visual atlas format that shows you exactly how to safely and efficiently perform each technique step-by-step. A unique, systematic, safe, and efficient approach makes Atlas of Image-Guided Spinal Procedures your go-to resource for spine pain relief for your patients. The highly visual format shows you exactly how to perform each technique, highlighting imaging pearls and emphasizing optimal and suboptimal imaging. Updated content includes ultrasound techniques and procedures for "spine mimickers," including hip and shoulder image-guided procedures, keeping you on the cutting edge of contemporary spine pain-relief methods. Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique. Highly visual atlas presentation of an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "set up"); multi-planar confirmation views (AP, lateral, oblique); and safety view (what should be avoided during injection), along with optimal and suboptimal contrast patterns. Special chapters on Needle Techniques, Procedural Safety, Fluoroscopic and Ultrasound Imaging Pearls, Radiation Safety, and L5-S1 Disc Access provide additional visual instruction. View drawings of radiopaque landmarks and key radiolucent anatomy that cannot be viewed fluoroscopically. Includes new and unique diagrams demonstrating cervical, thoracic, and lumbar radiofrequency probe placement and treatment zones on multi-planar views. Features new coverage of ultrasound techniques, as well as image-guided procedures for "spine mimickers," such as hip and shoulder.

Give your patients the non-surgical pain relief they need with help from the Atlas of Image-Guided Spinal Procedures. This medical reference book features a highly visual format that shows you exactly how to perform each technique to get the best results. Give your patients the pain relief they need with the latest image-guided spinal injection procedures! A highly visual format shows you exactly how to perform each technique. • Safely and efficiently relieve your patients’ pain thanks to an atlas format that displays each procedure step-by-step. • See properly performed injections for yourself with an algorithmic,image-guided approach for each technique: trajectory view (demonstrates fluoroscopic “set up ); multi-planar confi rmation views (AP, lateral, oblique); and “safety view (what should be avoided during injection), along with optimal and suboptimal contrast patterns. • Special chapters on Needle Techniques, Fluoroscopic Imaging Pearls, Radiation Safety, and L5-S1 Disc Access provide additional visual instruction. • View drawings of radiopaque landmarks and key radiolucent anatomy that cannot be viewed fluoroscopically.

This textbook covers key areas and reviews important principles and steps in the preparation for and the performance of spine biopsy. Image-guided percutaneous biopsy techniques and their application throughout the spinal axis are presented and discussed in detail. The advantages and disadvantages of various spine biopsy instruments are reviewed. Commonly encountered biopsy scenarios are considered in order to help readers effectively manage these situations when they occur in their practices. Clear guidance is offered on patient selection and preparation, which are critical to safe and effective outcomes, and much emphasis is placed on procedural safety, with a focus on complication avoidance and the appropriate reporting of complications. Image-Guided Percutaneous Spine Biopsy will be a welcome one-stop shop providing up-to-date information for all physicians with an interest in the subject, including radiologists, surgeons, and pathologists.