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.

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 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.

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.

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.

Thoroughly revised and reorganized, this 2nd edition offers you meticulous how-to-do-it guidance on performing today’s top radiographically guided regional anesthesia and pain management techniques. Renowned experts explain how to make optimal use of fluoroscopy, MRI, and CT to pinpoint the exact anatomic site for each procedure. Provides fluoroscopic, MR, and CT images coupled with distinct line drawings for each procedure to ensure proper positioning and easy application of techniques. Offers easy-to-follow step-by-step descriptions addressing every aspect of patient positioning, the use of radiographic solutions for tissue-specific enhancement, and correct techniques for anesthesia/analgesia administration so you can be sure your patient will be pain free throughout the procedure. Discusses possible complications to help you avoid mistakes. Includes descriptions of procedures for each image guided technique as well as the approaches available for such imaging so you can choose the correct procedure for every patient. Features two new sections Advanced Techniques and Emerging Techniques, incorporates new procedures into the upper and lower extremity and head and neck chapters, and revises all other chapters substantially to put you on the cusp of the latest advances in the field. Uses nearly 1,600 crisp illustrations, 50% new to this edition, to illuminate every concept. Presents a complete reorganization by body region and focused content to help you get to the information you need quickly.

Leo F. Czervionke, MD and Douglas S. Fenton, MD present Imaging Painful Spine Disorders, the diagnostic companion to Image-Guided Spine Intervention, with 1,400 high-quality radiographic images to help you diagnose common and rare spine pain conditions. The full-color, easy-to-navigate format takes you from Spinal Anatomy, which includes normal CT and MR images of the cervical, thoracic, and lumbar spine, to Clinical Disorders, where each chapter is introduced by an actual patient case. No other reference features as many case studies illustrating the imaging presentation of back pain, provides a detailed differential diagnosis, and points out clinical pitfalls and common diagnosis errors quite like this one. Access representative cross-sectional images of the cervical, thoracic, and lumbar spine, as well as the sacrum, in axial, sagittal, and coronal planes, to understand the imaging appearance of healthy anatomy prior to diagnosis. Get a complete explanation of each clinical disorder, including a detailed description of the condition, as well as relevant clinical and pathological information, to help make a more accurate diagnosis. Broaden your recognition of imaging features with case studies that often include additional images of other patients with the same condition, to emphasize the range of features possible for the area being discussed. Keep your memory fresh with the current nomenclature of various types of disc herniations, listed in a separate, illustrated chapter, and get a brief overview of the major treatment options currently available for each particular disorder.