Interventional Spine book cover

Interventional Spine

An Algorithmic Approach

As many as 80% of patients will suffer from back pain at some point in their lifetime. It is the most common form of disability, and the second largest cause of work absenteeism. An early, proactive management approach offers the best route to minimizing these conditions. Renowned authority Curtis W. Slipman, MD and a team of multidisciplinary authorities present you with expert guidance on today's best non-surgical management methods, equipping you with the knowledge you need to offer your patients optimal pain relief.

Hardbound, 1480 Pages

Published: October 2007

Imprint: Saunders

ISBN: 978-0-7216-2872-1

Contents

  • Part 1 General principles

    Section 1: Introduction

    1. Past, present and future of interventional physiatry
    2. Epidemiology

    Section 2: Spinal pain

    3. Inflammatory basis of spinal pain
    4. Transduction, transmission and perception of pain
    5. Central influences on pain

    Section 3: General diagnostic technique

    6. Radiology
    7. Nuclear medicine imaging with an emphasis on spinal infections
    8. Electrodiagnostic approach to patients with suspected radiculopathy
    9. The psychiatric and psychological evaluation of the chronic pain patient

    Section 4: Practical pharmacology

    10. Nonsteroidal antiinflammatory drugs
    11. Adjuvant analgesics for radicular pain
    12. Pharmacology of local anesthetic agents
    13. Steroids in spine interventions
    14. Opioid analgesics
    15. The diagnosis and treatment of anxiety disorders in chronic spinal pain

    Part 2: Interventional spine techniques

    Section 1: Principles and concepts underpinning spinal injection procedures

    16. Principles of diagnostic blocks
    17. Neurophysiology of diagnostic injections
    18. Placebo
    19. Patient education and support
    20. Side effects and complications of injection procedures: anticipation and management
    21. Radiation Safety – Theory and Practical Concerns
    22. Sedation for percutaneous procedures

    Section 2: Interventional spine techniques

    23. Spinal injections
    24. Technique of radiofrequency denervation
    25. Discography
    26. IDET technique
    27. Technique for chemonucleolysis of lumbar disc herniation
    28. Automated percutaneous lumbar discectomy: technique
    29. Laser
    30. Spinal cord stimulation for chronic pain management implantation techniques
    31. Intrathecal therapies and totally implantable drug delivery systems
    32. Vertebroplasty
    33. Kyphoplasty technique

    Part 3: Specific disorders

    Section 1: Medical spinal disoders

    34. Medical Radiculopathies
    35. Spondyloarthropathies
    36. Spine Infections: an algorithmic approach
    37. Nonosseous spinal tumors

    Section 2: Osseus spinal tumors

    Subsection i: Physiology and assessment

    38. Bone biology
    39. Osteoporosis
    40. Paget’s disease
    41. Secondary Bone Tumors
    42. Primary Tumors

    Subsection ii: Treatment

    43. Spinal Orthoses
    44. Vertebroplasty
    45. Kyphoplasty

    Section 3: Cervical Spine

    Subsection i: Anatomy and assessment

    46. Developmental and functional anatomy of the cervical spine
    47. Medical causes of neck pain
    48. Examination of the cervical spine
    49. Biomechanics and assessment of the painful shoulder
    50. Cervical myelopathy
    51. Cervical instability

    Subsection ii: Whiplash

    52. Biomechanics of the cervical spine during whiplash injury
    53. Pathophysiolgic evidence of injury
    54. Sociocultural evidence and whiplash
    55. Soft tissue injuries following whiplash
    56. Epidemiology of disc, joint and root pain in whiplash

    Subsection iii: Treatment

    Subsubsection i: Cervical radicular pain

    57. Cervical radicular pain: an algorithmic methodology
    58. Rehabilitation methods in cervical radicular pain
    59. Cervical radicular pain: injection procedures
    60. Surgery for cervical radicular pain
    61. Surgical decompression for foraminal stenosis

    Subsubsection ii: Cervical axial pain

    62. An algorithmic methodology for cervical axial neck pain
    63. Rehabilitation methods
    64. Therapeutic injections for the treatment of axial neck pain and cervicogenic headaches
    65. Sympathetic System
    66. Cervical spine
    67. Cervical discography: diagnostic value and complications
    68. Fusion Surgery for axial pain

    Subsubsection iii: Other disorders of the cervical spine

    69. Cervicogenic Headache
    70. Surgical treatment of cervical myelopathy

    Section 4: Biomechanical disorders of the thoracic spine

    71. Developmental and functional anatomy and examination of the thoracic spine
    72. Thoracic spinal pain
    73. Injection procedures
    74. Thoracic pain syndromes
    75. Surgery: thoracic disc disease

    Section 5: Biomechanical disorders of the lumbar spine

    Subsection i: Intervertebral disk disorders

    Subsubsection i: Physiology and assessment

    76. Medical causes of low back pain
    77. The Lumbar Degenerative Disc
    78. Biomechanics of the intervertebral disc
    79. Physical examination of the lumbar spine
    80. Developmental and functional anatomy of the lumbar spine

    Subsubsection ii: Lumbar radicular pain

    81. Medical rehabilitation
    82. An algorithmic methodology
    83. Injection procedures
    84. Percutaneous discectomy
    85. Percutaneous disc decompression
    86. Surgical decompression for herniated nucleus pulposus
    87. Surgical decompression for spinal stenosis
    88. Postoperative rehabilitation

    Subsubsection iii: Lumbar axial pain

    89. Lumbar axial pain – an algorithmic methodology
    90. Medical Rehabilitation – Lumbar Axial Pain
    91. Manipulation and Manual Methods
    92. Injection procedures
    93. Radiofrequency Denervation
    94. Lumbar provocation discography: clinical relevance, sensitivity, specificity, and controversies
    95. Intradiscal steroids and prolotherapy: clinical relevance, outcomes and efficacy
    96. Intradiscal electrothermal annuloplasty
    97. Surgical treatment of axial back pain
    98. Spondylolisthesis: epidemiology and assessment
    99. Spondylolisthesis: medical rehabilitation and interventional spine techniques
    100. Surgical management of isthmic, dysplastic and degenerative spondylolisthesis
    101. Instability: clinical manifestations and assessment
    102. Fusion surgery

    Subsection 4: FBSS - Cervical, Thoracic and Lumbar

    103. Failed back surgery
    104. Neural scarring
    105. Postoperative pseudomeningocele, hematoma and seroma
    106. Lysis of Adhesions
    107. Spinal cord stimulation in chronic pain
    108. Neuraxial drug administration to treat pain of spinal origin
    109. Spinal ablative techniques for the treatment of chronic pain conditions

    Subsubsection 1: Functional restoration

    110. History and principles of pain rehabilitation
    111. Deconditioning
    112. Functional restoration program characteristics in chronic pain tertiary rehabilitation
    113. Tertiary rehabilitation program outcomes

    Part 4: Extra-spinal disorders

    Section 1: Sacroiliac Joint Syndrome

    114. Epidemiology and examination
    115. Sacroiliac joint rehabilitation and manipulation
    116. Therapeutic injections and radiofrequency denervation
    117. Surgery for sacroiliac joint syndrome

    Section 2: Sacral Disorders

    118. Hip spine syndrome
    119. Sacral insufficiency fractures
    120. Coccydynia
    121. Piriformis syndrome

    Part 5: Pregnancy

    122. Epidemiology
    123. Low back pain and pregnancy–examination and diagnostic work-up in the pregnant patient
    124. Treatment of low back pain in pregnancy – special considerations

    Part 6: Interventional spine in sports

    125. Biomechanics of the spine in sports
    126. On-the-field assessment of the cervical spine-injured athlete
    127. Epidemiology of injuries
    128. Acute Intervention and Return to Play
    129. Spondylolysis
    130. Return to competition following prolonged injury

    Part 7: New Frontiers

    131. Disc replacement
    132. Fusion – minimally invasive techniques
    133. Endoscopic discectomy and foraminal decompression

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