Interventional Radiology Of The Spine

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.

This book reviews in detail the role of neuroradiological imaging in the evaluation of patients who have undergone surgery or interventional radiology procedures, and particularly its value in the documentation of normal and pathological post-treatment changes, detection of complications, and follow-up. The opening sections describe pretreatment images in various conditions, including trauma, degenerative disc disease, and osteoporosis, and the different types of neurosurgical and interventional treatment that may be used. The post-treatment appearances of normal sequelae and complications on conventional radiography, CT, and MRI are then documented in detail on the basis of a large series of clinical cases, with a wealth of images. Guidance is provided on selection of one or a combination of imaging modalities. This book will be an invaluable clinical and research tool not only for neuroradiologists but also for neurosurgeons, and interventional radiologists.

This book provides an up-to-date, systematic review of all facets of emergency radiology in patients with head and spine injuries. The aim is to equip readers with a detailed knowledge of the various radiological patterns that may be encountered, thereby facilitating prompt diagnosis under circumstances in which time is of crucial importance. The indications, value, and results of the various emergency imaging modalities, including interventional radiology, are described and illustrated in the full range of traumatic and nontraumatic head and spine emergencies. In addition, basic management principles and technological aspects are fully explained, and protocols tailored to the mechanism of injury are presented. Emergency Radiology of the Head and Spine will be of value to neuroradiologists, interventional neuroradiologists, neurosurgeons, emergency radiologists, emergency physicians, radiology residents, radiology technicians, and all physicians and surgeons who work in emergency care.

This handy, well-illustrated manual has been designed to meet the need of interventional pain physicians to understand the radiologic imaging involved in the performance of non-spinal pain procedures. It provides information on such topics as radiologic anatomy, the radiologic manifestations of indications and contraindications to interventional procedures, and the radiologic appearance of complications that may arise from these procedures. In addition, it will be useful for the diagnostic radiologist, who may be unaware of many of the interventional pain procedures. The chosen format will ensure that the reader is quickly able to reference any given procedure. As this is a guidebook, it does not encompass every pathologic entity that may be encountered; however, the commonly performed non-spinal pain procedures are included. This text will prove essential for any interventionalist who does not have easy access to a radiologist and vice versa.

Disease is often accompanied by pain. This book describes the techniques elaborated by interventional radiologists in the treatment and palliation of a variety of benign and malignant painful conditions. Each chapter concentrates on a particular aspect of pain management, with emphasis on practical issues. This book will serve as an invaluable source of information for the radiologist willing to learn about new pain therapy techniques aimed at optimizing or replacing more invasive traditional methods.

Recent radiologic procedures in bone and joints, some of which eliminate the need for surgery are exposed, including: trephine biopsies of the thoracic and lumbar spine, sacro-iliac joints, peripheral bones synovial membrane and soft tissues, using either fluoroscopic echographic or CT guidance - chemonucleolysis - vascular embolization of skeletal tumors and management of vertebral hemangiomas - selective steroid injection in a broad spectrum of diseases including vertebral facet syndrom, cervicobrachial nerve root pain, rotator cuff calcium deposits, bone cysts. This unique volume supplies the reader with complete information regarding the performance of all these techniques.

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.