The second edition of Atlas of Image-Guided Spinal Procedures features a highly visual atlas format to illustrate exactly how to perform each technique. This medical reference walks you through each procedure, step-by-step, to safely and efficiently relieve patients' pain. This book presents an algorithmic, image-guided approach for each technique; trajectory view (demonstrates fluoroscopic "setup"); multiplanar confirmation views (AP, lateral, oblique); and "safety view" (what should be avoided during injection), along with optimal and suboptimal contrast patterns. Each fluoroscopic and ultrasound chapter also has the same "voice" so it is easy to follow.
- Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique. - Presents an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "setup"); multiplanarconfirmation 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. - Videos including procedural "set-up" and optimal and suboptimal constrast flow are available in the Expert Consult eBook version. - Includes new unique and diagrams demonstrating cervical, thoracic and lumbar radiofrequency probe placement and treatment zones on multiplanar views, as well as new unique tables and examples differentiating between optimal and suboptimal epidural contrast flow - Features new coverage of ultrasound techniques, as well as new presentation of procedures for "spine masqueraders" such as the hip and shoulder. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to access and search all of the text, figures, images, videos, and references from the book on a variety of devices
- Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique. - Presents an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "setup"); multiplanarconfirmation 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. - Videos including procedural "set-up" and optimal and suboptimal constrast flow are available in the Expert Consult eBook version. - Includes new unique and diagrams demonstrating cervical, thoracic and lumbar radiofrequency probe placement and treatment zones on multiplanar views, as well as new unique tables and examples differentiating between optimal and suboptimal epidural contrast flow - Features new coverage of ultrasound techniques, as well as new presentation of procedures for "spine masqueraders" such as the hip and shoulder. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to access and search all of the text, figures, images, videos, and references from the book on a variety of devices
Table of Contents
Section 1: Introduction1. Introduction: How to Use This Atlas
2. Needle Techniques
3. Fluoroscopic Techniques: Anatomy and Set-Up
4. Ultrasound Techniques and Pearls
5. Optimizing Patient Safety and Positioning
6. Radiation Safety
Section 2: Sacral/Coccygeal
7A Caudal Epidural Steroid Injection--Shallow Angle Approach: Fluoroscopic Guidance
7B Caudal Epidural Spinal Injection--Steep Angle Approach: Fluoroscopic Guidance
7C Caudal Epidural Steroid Injection: Ultrasound Guidance
8A Ganglion Impar Injection: Fluoroscopic Guidance
8B Ganglion Impar Injection: Ultrasound Guidance
9. Sacral Insufficiency Fracture Repair/Sacroplasty: Fluoroscopic Guidance
10A Sacroiliac Intraarticular Joint Injections--Posterior Approach, Inferior Entry: Fluoroscopic Guidance
10B Sacroiliac Intraarticular Joint Injection: Ultrasound Guidance
11. S1 Transforaminal Epidural Steroid Injection
Section 3: Lumbar/Lumbosacral
12. Lumbar Interlaminar Epidural Steroid Injection--Paramedian Approach: Fluoroscopic Guidance
13A Lumbar Transforaminal Epidural Steroid Injection--Supraneural, Traditional Single-Needle Technique: Fluoroscopic Guidance
13B Lumbar Transforaminal Epidural Steroid Injection--Supraneural, Two-Needle Technique: Fluoroscopic Guidance
13C Lumbar Transforaminal Epidural Steroid Injection--Infraneural: Fluoroscopic Guidance
13D Lumbar Transforaminal Epidural Steroid Injection--Needle Localization Diagrams
14. Lumbar Myelography: Fluoroscopic Guidance
15A Lumbar Zygapophysial Joint Intraarticular Joint Injection--Posterior Approach: Fluoroscopic Guidance
15B Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection--Oblique Approach: Fluoroscopic Guidance
15C Lumbar Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy, Posterior Approach: Fluoroscopic Guidance
15D Lumbar Medial Branch Blocks--Midline: Ultrasound Guidance
15E Lumbar Zygapophysial Joint Innervation--Anatomy Diagram and Lesion Zone Diagram
16. Lumbar Sympathetic Block: Fluoroscopic Guidance
17A Lumbar Provocation Discography/Disc Access: Standard Fluoroscopic Techniques
17B L5-S1 Disc Access: Fluoroscopic Guidance
Section 4: Thoracolumbar
18. Thoracolumbular Spinal Cord Stimulation: Fluoroscopic Guidance
19. Vertebral Augmentation (Vertebroplasty/Kyphoplasty), Transpedicular Approach: Fluoroscopic Guidance
Section 5: Thoracic
20. Thoracic Interlaminar Epidural Steroid Injection--Paramedian Approach, Fluoroscopic Guidance
21. Thoracic Transforaminal Epidural Steroid Injection--Infraneural Approach
22A Thoracic Zygapophysial Joint Intraarticular Injection--Posterior Approach: Fluoroscopic Guidance
22B Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection--Posterior Approach: Fluoroscopic Guidance
22C Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy--Posterior Approach: Fluoroscopic Guidance
22D Thoracic Zygapophysial Joint Innervation--Anatomy Diagram
23A Intercostal Nerve Injections: Fluoroscopic Guidance
23B Intercostal Nerve Injection--In-Plane Approach: Ultrasound Guidance
24. Thoracic Disc Access: Fluoroscopic Guidance
Section 6: Cervical
25. Cervical Interlaminar Epidural Steroid Injection--Paramedian Approach: Fluoroscopic Guidance
26. Cervical Spinal Cord Stimulation, Fluoroscopic Guidance
27. Cervical Transforaminal Epidural Steroid Injection: Fluoroscopic Guidance
28A Stellate Ganglion Injection: Fluoroscopic Guidance
28B Stellate Ganglion Injection: Ultrasound Guidance
29. Cervical Discography/Disc Access
30A Cervical Zygapophysial Joint Intraarticular Injection--Posterior Approach: Fluoroscopic Guidance
30B Cervical Zygapophysial Joint Intraarticular Injection--Lateral Approach: Fluoroscopic Guidance
30C Cervical Zygapophysial Nerve (Medial Branch) Injection--Lateral Approach: Ultrasound Guidance
30D Cervical Zygapophysial Joint Nerve (Medial Branch) Injection--Lateral Approach: Fluoroscopic Guidance
30E Cervical Zygapophysial Joint Intraarticular Injection--Posterior Approach: Ultrasound Guidance
30F Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection--Posterior Approach: Fluoroscopic Guidance
30G Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection--Posterior Approach: Ultrasound Guidance
30H Cervical Zygapophysial Joint Innervation--Anatomy Diagram and Lesion Zone Diagrams
31. Atlantoaxial Joint Intraarticular Injection: Fluoroscopic Guidance
32. Atlantooccipital Joint Intraarticular Injection: Fluoroscopic Guidance
33. Greater Occipital Nerve Steroid Injection-In Plane Approach: Ultrasound Guidance
Section 7: Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Mimickers
Shoulder Region
34A Shoulder/Glenohumeral Joint Intraarticular Injection--Anterior Approach: Fluoroscopic Guidance
34B Intraarticular Shoulder/Glenohumeral Joint Injection--Posterior Approach: Ultrasound Guidance
34C Shoulder/Subacromial/Subdeltoid Injection--Lateral Approach: Ultrasound Guidance
34D Shoulder/Acromioclavicular Joint Injection--Posterior Approach: Ultrasound Guidance
34E Shoulder/Suprascapular Nerve Injection--Posterior Approach: Ultrasound Guidance
34F Shoulder/Biceps Tendon Sheath Injection--Anterior Approach: Ultrasound Guidance
Hip Region
35A Intra-articular Hip Injection--Anterior Approach: Fluoroscopic Guidance
35B Intra-articular Hip Injection--Lateral Approach: Fluoroscopic Guidance
35C Intraarticular Hip Injection--Anterior Approach: Ultrasound Guidance
35D Greater Trochanteric/Gluteus Medius Injection: Ultrasound Guidance
35E Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance
36A Iliac Crest Biopsy/Aspiration: Fluoroscopic Guidance
36B Iliac Crest Biopsy: Ultrasound Guidance
Appendix
Spine Intervention References and Tables
