Atlas of Image-Guided Spinal Procedures

Atlas of Image-Guided Spinal Procedures

2nd Edition - October 25, 2017

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  • Editors: Michael Furman, Leland Berkwits, Isaac Cohen, Brad Goodman, Jonathan Kirschner, Thomas S. Lee, Paul Lin
  • Hardcover ISBN: 9780323401531
  • eBook ISBN: 9780323497343

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Description

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.  

Key Features

  • 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.

Table of Contents

  • Instructions for online access
  • Cover image
  • Title page
  • Table of Contents
  • Atlas of Image-Guided Spinal Procedures
  • Copyright
  • Dedication
  • Contributors
  • Reviewers
  • Foreword to the First Edition
  • Foreword
  • Preface to the Second Edition
  • Acknowledgments
  • Editor Biography
  • Section I. Introduction
  • Chapter 1. Introduction: How to Use This Atlas
  • Book Format
  • Trajectory View: “Setup Is Key”
  • Multiplanar Views
  • Safety Considerations
  • Optimal Image (Fig. 1.4)
  • Suboptimal Image (Fig. 1.5)
  • Fluoroscopic Angle Icons
  • Ultrasound Views
  •   In-Plane Icons (Linear and Curvilinear)
  • Out-of-Plane Icons (Linear and Curvilinear)
  • Summary
  • Chapter 2. Needle Techniques
  • Needle Anatomy
  • Bevel Control
  • Bending the Needle Tip: Enhanced Steerability
  • Needle Gauge
  • Needle Driving
  • Concavity (Finger Fulcrum)
  • Medial Versus Ventral Needle Advancement
  • “The Move”
  • Finger Depth Gauge
  • Extension Tubing
  • Summary
  • Chapter 3. Introduction to Fluoroscopic Techniques: Anatomy, Setup, and Procedural Pearls
  • Review of Spine Anatomy (Fig. 3.1)
  • C-Arm Equipment (Figs. 3.2 and 3.3)
  • C-Arm Movements and Nomenclature (Fig. 3.3 and Table 3.1)
  • Identifying Spinal Segments/Confirming the Levels (Figs. 3.4 to 3.8)
  • Obtaining “True” Anteroposterior Views
  • Obtaining “True” Lateral Views
  • Patient in a Side-Lying Position
  • Oblique Views
  • Contralateral Oblique View Versus Lateral View
  • Optimizing Needle Trajectory
  • Differentiating Superimposed Superficicial vs. Deep or Bilateral Structures
  • Additional Procedural Pearls
  • Chapter 4. Ultrasound Techniques and Procedural Pearls
  • Introduction
  • Ultrasound Equipment
  • Knobology
  • Ultrasound Ergonomics
  • Ultrasound Transducer Movements
  • Definitions of Views/Approaches
  • Planes
  • Additional Tips and Tricks
  • Confirming the Anatomic Level with Ultrasound
  • Cervical Sonoanatomy (Figures 4.28 to 4.32)
  • Lumbosacral Sonography
  • Chapter 5. Optimizing Patient Safety and Positioning
  • Introduction
  • Preprocedure
  • Intraprocedural Safety
  • Patient Comfort
  • Patient Positioning
  • Managing Infection Risk
  • Chapter 6. Radiation Safety
  • Background
  • Proper C-Arm Operation: Limiting Exposure Time
  • Proper C-Arm Operation: Maximizing Distance
  • Proper C-Arm Operation: Shielding
  • Other Useful Techniques to Limit Radiation Exposure
  • Radiation Exposure Monitoring
  • Section II. Sacral/Coccygeal
  • Chapter 7. Caudal Epidural Steroid Injection
  • Chapter 7A. Caudal Epidural Steroid Injection—Shallow Angle Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 7A.1)
  • Palpation
  • Optimal Needle Position in Multiplanar Imaging (Fig. 7A.2)
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 7A.3)
  • Optimal Image (Fig. 7A.4)
  • Caudal Epidural Steroid Injection with a Catheter (Figs. 7A.5 and 7A.6)
  • Suboptimal Needle Placement and Images (Figs. 7A.7 to 7A.9)
  • Chapter 7B. Caudal Epidural Steroid Injection—Steep Angle Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 7B.1)
  • Optimal Needle Positioning in Multiplanar Imaging (Fig. 7B.2)
  • Optimal Images (Fig. 7B.3)
  • Suboptimal Needle Placement and Images
  • Chapter 7C. Caudal Epidural Steroid Injection: Ultrasound Guidance
  • In-Plane Technique (Fig. 7C.1)
  • Out-of-Plane Confirmation (Fig. 7C.2)
  • Optimal Images
  • Suboptimal Image (Fig. 7C.3)
  • Chapter 8. Ganglion Impar Injection
  • Chapter 8A. Ganglion Impar Injection: Fluoroscopic Guidance
  •   Trajectory View: The Trajectory/Anteroposterior View Is Also a Multiplanar View
  • Optimal Needle Positioning in Multiplanar Imaging
  • Lateral View (Fig. 8A.2)
  • Optimal Images (Fig. 8A.3)
  • Anteroposterior View
  • Suboptimal Images (Figs. 8A.4 to 8A.9)
  • Supplemental Approaches and Illustrations
  • Chapter 8B. Ganglion Impar Injection: Ultrasound Guidance
  • Out-of-Plane Technique
  • Multiplanar View
  • Optimal and Suboptimal Images
  • Chapter 9. Sacral Insufficiency Fracture Repair/Sacroplasty
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 9.2)
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 9.3)
  • Optimal Cement Patterns
  • Suboptimal Cement Patterns
  • Chapter 10. Sacroiliac Intraarticular Joint Injection
  • Chapter 10A. Sacroiliac Intraarticular Joint Injection—Posterior Approach, Inferior Entry: Fluoroscopic Guidance
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging (Figs. 10A.2 and 10A.3)
  • Optimal Needle Positioning in the Lateral View (Fig. 10A.4)
  • Axial Magnetic Resonance Imaging of the SIJ
  • Optimal Images (Figs. 10A.6, 10A.7, and 10A.8)
  • Suboptimal Images (Figs. 10A.9, 10A.10, and 10A.11)
  • Chapter 10B. Sacroiliac Intraarticular Joint Injection: Ultrasound Guidance
  • In-Plane Technique (Fig. 10B.1)
  • Optimal Image (Fig. 10B.2)
  • Chapter 11. S1 Transforaminal Epidural Steroid Injection
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning for the Lateral View (Fig. 11.3)
  • Optimal Images (Figs. 11.4, 11.5, and 11.6)
  • Suboptimal Images (Figs. 11.7 and 11.8)
  • Section III. Lumbar/Lumbosacral
  • Chapter 12. Lumbar Interlaminar Epidural Steroid Injection: Paramedian Approach
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Position in the Contralateral Oblique View (Fig. 12.3)
  • Optimal Needle Position in the Lateral View (Fig. 12.4)
  • Optimal Images (Figs. 12.5 to 12.6)
  • Suboptimal Images (Figs. 12.7 to 12.9)
  • Chapter 13. Lumbar Transforaminal Epidural Steroid Injection
  • Chapter 13A. Lumbar Transforaminal Epidural Steroid Injection—Supraneural (Traditional) Approach: Fluoroscopic Guidance
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View
  • Optimal Needle Positioning in the Lateral View
  • Optimal Images
  • Suboptimal Images
  • Chapter 13B. Lumbar Transforaminal Epidural Steroid Injection—Supraneural, Two-Needle Technique: Fluoroscopic Guidance
  • Phase 1: Introducer Needle Placement
  • Optimal Needle Position in Multiplanar Imaging (Introducer Needle Placement)
  • Optimal Needle Positioning in the Anteroposterior View (Introducer Needle Placement)
  • Optimal Needle Positioning in the Lateral View (Introducer Needle Placement)
  • Phase 2: Injection Needle Placement
  • Optimal Needle Positioning in the Lateral View (Injection Needle Placement)
  • Optimal Images (Figs. 13.6 to 13.8)
  • Chapter 13C. Lumbar Transforaminal Epidural Steroid Injection—Infraneural Approach: Fluoroscopic Guidance
  • Infraneural Approach
  • Trajectory View
  • Optimal Needle Positioning for Multiplanar Imaging
  • Optimal Needle Positioning for the Anteroposterior View (Fig. 13C.2)
  • Optimal Needle Position for the Lateral View (Fig. 13C.3)
  • Optimal Images (Figs. 13C.4 to 13C.8)
  • Optimal Image
  • Suboptimal Images (Fig. 13C.9 and 13C.10)
  • Chapter 13D. Lumbar Transforaminal Epidural Steroid Injection: Needle Localization Diagram
  • Chapter 14. Lumbar Myelography
  •   Trajectory View: The Trajectory/Anteroposterior View Is Also a Multiplanar View
  • Optimal Needle Position in Contralateral Oblique View (Fig. 14.2)
  • Optimal Needle Position in Lateral View (Fig. 14.3)
  • Optimal Images (Figs. 14.4 to 14.9)
  •  Suboptimal Contrast Patterns (Figs. 14.10 and 14.11)
  • Chapter 15. Lumbar Zygapophysial (Facet) Joint Procedures
  • Chapter 15A. Lumbar Zygapophysial Intraarticular Joint Injection—Posterior Approach: Fluoroscopic Guidance
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 15A.4)
  • Optimal Needle Positioning in the Lateral View (Fig. 15A.5)
  • Optimal Images (Fig. 15A.6)
  • Additional Optimal Images (Figs. 15A.7 and 15A.8)
  • Suboptimal Image (Figs. 15A.9 and 15A.10)
  • Additional Views (Figs. 15A.11 and 15A.12)
  • Alternative Technique for the Caudad Lumbar Zygapophysial Joints (Fig. 15A.13)
  • Chapter 15B. Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection—Oblique Approach: Fluoroscopic Guidance
  • Trajectory View
  • Trajectory View (Ipsilateral Oblique) Is Also a Multiplanar View (Fig. 15B.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 15B.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 15B.3)
  • Optimal Images (Fig. 15B.4)
  • Suboptimal Images (Figs. 15B.5 and 15B.6)
  • Chapter 15C. Lumbar Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Ipsilateral Oblique View (Fig. 15C.2)
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 15C.3)
  • Optimal Needle Positioning in the Lateral View (Fig. 15C.4)
  • Optimal Position View (Fig. 15C.5)
  • Suboptimal Position Views (Figs. 15C.6 and 15C.7)
  • Chapter 15D. Lumbar Medial Branch Blocks—Midline: Ultrasound Guidance
  • In-Plane Technique (Fig. 15D.1)
  • Out-of-Plane Confirmation (Fig. 15D.2)
  • Chapter 15E. Lumbar Zygapophysial Joint Innervation, Anatomy, Dissections, and Lesion Zone Diagrams
  • Chapter 16. Lumbar Sympathetic Block
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 16.3)
  • Optimal Contrast Pictures (Figs. 16.4 and 16.5)
  • Suboptimal Images (Figs. 16.6 and 16.7)
  • Chapter 17. Lumbar Provocation Discography/Disc Access
  • Chapter 17A. Lumbar Provocation Discography/Disc Access: Standard Fluoroscopic Techniques
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 17A.3)
  • Optimal Contrast Images (Figs. 17A.4 to 17A.8)
  • Suboptimal Images (Figs. 17A.9 and 17.10)
  • Additional Information
  • Chapter 17B. L5-S1 Disc Access
  • Direct Trajectory Technique
  • Trajectory View
  • The “Over-Tilt”
  • The “Curved” Needle Technique
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 17B.5)
  • Optimal Needle Positioning in the Lateral View (Fig. 17B.6)
  • Optimal Images
  • Additional Figures (Fig. 17B.7)
  • Suboptimal Images
  • Section IV. Thoracolumbar
  • Chapter 18. Thoracolumbar Spinal Cord Stimulation
  • Trajectory View (Fig. 18.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Needle Positioning in the Contralateral Oblique View (Fig. 18.3)
  • Needle Positioning in the Anteroposterior View (Fig. 18.4)
  • Needle Positioning in the Lateral View (Fig. 18.5)
  • Optimal Spinal Cord Stimulator Positioning (Figs. 18.6 and 18.7)
  • Suboptimal Position Views (Figs. 18.8 to 18.11)
  • Alternate Retrograde Spinal Cord Stimulator Placement (Fig. 18.12)
  • Chapter 19. Vertebral Augmentation (Vertebroplasty/Kyphoplasty): Transpedicular Approach
  • Transpedicular Advancement: Trajectory View (Fig. 19.1)
  • Multiplanar Views During Transpedicular Advancement (Figs. 19.2 and 19.3)
  • Lateral View
  • Multiplanar Views During Vertebral Body Advancement
  • Anteroposterior View, Vertebral Body Advancement (Fig. 19.4)
  • Lateral View, Vertebral Body Advancement (Fig. 19.5)
  • Multiplanar Views During the Injection of Bone Cement
  • Anteroposterior View, Bone Cement Injection (Fig. 19.6)
  • Lateral View, Bone Cement Injection (Fig. 19.7)
  • Optimal Cement Patterns (Fig. 19.8)
  • Suboptimal Cement Patterns (Fig. 19.9)
  • Optimal Kyphoplasty Introducer Tip Positions (Fig. 19.10)
  • Kyphoplasty Technique Pearls
  • Section V. Thoracic
  • Chapter 20. Thoracic Interlaminar Epidural Steroid Injection: Paramedian Approach
  • Trajectory View (Fig. 20.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 20.2)
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 20.3)
  • Optimal Needle Positioning in the Lateral View (Fig. 20.4)
  • Optimal Imaging (Figs. 20.5 to 20.7)
  • Chapter 21. Thoracic Transforaminal Epidural Steroid Injection: Infraneural Approach
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 21.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 21.3)
  • Optimal Images (Fig. 21.4)
  • Chapter 22. Thoracic Zygapophysial (Facet) Joint Procedures
  • Chapter 22A. Thoracic Zygapophysial Joint Intraarticular Injection—Posterior Approach: Fluoroscopic Guidance
  • Trajectory View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 22A.2)
  • Optimal Images (Figs. 22A.3 and 22A.4)
  • Chapter 22B. Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection—Posterior Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 22B.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 22B.2)
  • Optimal Images (Figs. 22B.3 and 22B.4)
  • AP
  • Lateral
  • Chapter 22C. Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 22C.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 22C.3)
  • Optimal Images (See multiplanar Figs. 22C.2A and 22C.3A)
  • Chapter 22D. Thoracic Zygapophysial Joint Innervation: Anatomy Diagrams
  • Chapter 23. Intercostal Nerve Injections
  • Chapter 23A. Intercostal Blockade: Fluoroscopic Guidance
  • Trajectory View (Fig. 23A.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 23A.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 23A.3)
  •   Optimal and Suboptimal Images (Fig. 23A.4)
  • Chapter 23B. Intercostal Nerve Injection, In-Plane Approach, Ultrasound Guidance
  • In-Plane Technique (Fig. 23B.1)
  • Multiplanar View
  • Optimal Image
  • Suboptimal Needle Placement and Images (Fig. 23B.2)
  • Chapter 24. Thoracic Disc Access
  • Trajectory View (Fig. 24.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 24.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 24.3)
  • Optimal Images (Fig. 24.4)
  • Section VI. Cervical
  • Chapter 25. Cervical Interlaminar Epidural Steroid Injection—Paramedian Approach
  • Trajectory View (Fig. 25.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the AP View (Fig. 25.2)
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 25.3)
  • Optimal Needle Positioning in the Lateral View
  • Patient Prone, “True” Lateral (i.e., 90 degrees oblique) (Fig. 25.4)
  • Optimal Needle Positioning in the Lateral Safety View
  • Optimal Images (Fig. 25.5)
  • Suboptimal Images (Figs. 25.6 to 25.8)
  • Chapter 26. Cervical Spinal Cord Stimulation
  • Trajectory View (Fig. 26.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Needle Positioning in the Contralateral Oblique View (Fig. 26.2)
  • Needle Positioning in the Anteroposterior View (Fig. 26.3)
  • Needle Positioning in the Lateral View (Fig. 26.4)
  • Optimal Images
  • Chapter 27. Cervical Transforaminal Epidural Steroid Injection
  • Trajectory View (Fig. 27.1)
  • The Trajectory View (Foraminal Oblique) Is Also a Multiplanar View
  • Optimal Views in Multiplanar Imaging
  • Optimal Needle Positioning in the Posteroanterior View (Fig. 27.2)
  • Neural Versus Vascular Safety: A Trade-Off
  • Hourglass Concept (Fig. 27.3)
  • Optimal Views (Figs. 27.4 to 27.6)
  • Suboptimal Views (Figs. 27.7 to 27.9)
  • Chapter 28. Stellate Ganglion Injection
  • Chapter 28A. Stellate Ganglion Block: Fluoroscopic Guidance
  • Trajectory View (Fig. 28A.1)
  • Optimal Views in Multiplanar Imaging
  • Optimal Needle Positioning in the Posteroanterior View (Fig. 28A.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 28A.3)
  • Optimal Views (Figs. 28A.4 and 28A.5)
  • Chapter 28B. Stellate Ganglion Injection: Ultrasound Guidance
  • In-Plane Technique
  • Out-of-Plane Confirmation
  • Optimal Image
  • Suboptimal Image
  • Chapter 29. Cervical Discography/Disc Access
  • Trajectory View (Fig. 29.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Posteroanterior View (Fig. 29.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 29.3)
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 29.4)
  • Optimal Images (Figs. 29.5 to 29.7)
  • Optimal Image
  • Additional Information
  • Antibiotics
  • Suboptimal Imaging (Figs. 29.8 and 29.9)
  • Chapter 30. Cervical Zygapophysial Joint and Medial Branch Nerve Injections and Radiofrequency Neurotomy
  • Chapter 30A. Cervical Zygapophysial Joint Intraarticular Injection, Posterior Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 30A.1)
  • The Trajectory View (AP) Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging
  • The Trajectory View (AP) Is Also a Multiplanar View
  • Optimal Needle Positioning in the Lateral View (Fig. 30A.2)
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 30A.3)
  • Optimal Images (Figs. 30A.4 to 30A.6)
  • Suboptimal Images (Figs. 30A.7 and 30A.8)
  • Chapter 30B. Cervical Zygapophysial Joint Intraarticular Injection, Lateral Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 30B.1)
  • The Trajectory View (Lateral) Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging
  • The Trajectory View (Lateral) Is Also a Multiplanar View
  • Optimal Needle Positioning in the Anteroposterior (Pillar) View (Fig. 30B.2)
  • Optimal Needle Positioning in the Ipsilateral foraminal Oblique View (to visualize the foramina ventral to the Z-joints) (Fig. 30B.3)
  • Optimal Image (Fig. 30B.4)
  • Suboptimal Image (Fig. 30B.5)
  • Chapter 30C. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance
  • Out-of-Plane Technique (Fig. 30C.1)
  • In-Plane Confirmation (Fig. 30C.2)
  • Optimal Needle Placement and Image (Fig. 30C.3)
  • Chapter 30D. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Lateral Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 30D.1)
  • The Trajectory View (Lateral) Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View
  • The Trajectory View (Lateral) Is Also a Multiplanar View
  • Optimal Needle Positioning in the IPSILATERAL Foraminal Oblique View (Fig. 30D.3)
  • Optimal Images (Figs. 30D.4 to 30D.7)
  • Optimal Image
  • Suboptimal Images (Figs. 30D.8 to 30D.9)
  • Chapter 30E. Cervical Zygapophysial Intraarticular Injection—Posterior Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 30E.1)
  • Out-of-Plane Confirmation (Fig. 30E.2)
  • Optimal Needle Placement and Image (Fig. 30E.3)
  • Chapter 30F. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection, Posterior Approach: Fluoroscopic Guidance
  • Third Occipital Nerve Trajectory View (Fig. 30F.1)
  • C3, C4, C5, and/or C6 Medial Branch Trajectory View (Fig. 30F.2)
  • C7 Medial Branch Trajectory View (Fig. 30F.3)
  • C8 Medial Branch Trajectory View (Fig. 30F.4)
  • Optimal Electrode Position inMultiplanar Imaging
  • Optimal Electrode Positioning in the Anteroposterior View (Fig. 30F.5)
  • Optimal Electrode Positioning in the Lateral View (Fig. 30F.6)
  • Optimal Electrode Positioning in the Contralateral Oblique (Foraminal Oblique) View (Fig. 30F.7)
  • Optimal Position Views (Figs. 30F.8 and 30F.9)
  • Chapter 30G. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy/Injection—Posterior Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 30G.1)
  • Out-of-Plane Confirmation (Fig. 30G.2)
  • Optimal Needle Placement and Images
  • Suboptimal Needle Placement and Images (Figs. 30G.3 and 30G.4)
  • Chapter 30H. Cervical Zygapophysial Joint Innervation: Anatomy, Dissections, and Lesion Zone Diagrams
  • Chapter 31. Atlantoaxial Joint Intraarticular Injection
  • Trajectory View (Fig. 31.1)
  • The Trajectory View (Anteroposterior) Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Lateral View (Fig. 31.2)
  • Optimal Images (Figs. 31.3 to 31.5)
  • Suboptimal Images (Fig. 31.6)
  • Chapter 32. Atlantooccipital Joint Intraarticular Injection
  • Trajectory View (Fig. 32.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 32.2)
  • Optimal Needle Positioning in the Lateral View (Fig. 32.3)
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 32.4)
  • Optimal Image (Figs. 32.5 and 32.6)
  • Suboptimal Image
  • Chapter 33. Greater Occipital Nerve Steroid Injection—In-Plane Approach
  • Introduction
  • In-Plane Technique
  • Optimal Image (Fig. 33.2)
  • Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Shoulder Region
  • Chapter 34. Shoulder Region Injections
  • Chapter 34A. Intraarticular Shoulder Injections—Anterior Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 34A.1)
  • The Trajectory View Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging (Fig. 34A.2)
  • The Trajectory View Is Also a Multiplanar View
  • Optimal Images (Fig. 34A.3, 34A.4)
  • Suboptimal Image (Fig. 34A.5)
  • Chapter 34B. Intraarticular Shoulder Injection—Posterior Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 34B.1)
  • Out-of-Plane Confirmation (Fig. 34B.2)
  • Optimal Images (Fig. 34B.3, 34B.4)
  • Suboptimal Image (Fig. 34B.5)
  • Chapter 34C. Shoulder/Subacromial–Subdeltoid Bursa Injection—Lateral Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 34C.1)
  • Out-of-Plane Confirmation (Fig. 34C.2)
  • Optimal Images (Fig. 34C.3)
  • Chapter 34D. Shoulder/Acromioclavicular Joint Injection—Out-of-Plane Approach: Ultrasound Guidance
  • Out-of-Plane Technique (Fig. 34D.1)
  • In-Plane Confirmation (Fig. 34D.2)
  • Optimal Images (Fig. 34D.3)
  • Chapter 34E. Suprascapular Nerve Injection—In-Plane Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 34E.1)
  • Out-of-Plane Confirmation (Fig. 34E.2)
  • Optimal Images (Fig. 34E.3A to C)
  • Suboptimal Images (Fig. 34E.4A,B)
  • Chapter 34F. Biceps Tendon Sheath Injection—In-Plane Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 34F.1)
  • Out-of-Plane Confirmation (Fig. 34F.2)
  • Optimal Images (Fig. 34F.3A,B)
  • Suboptimal Images (Fig. 34F.4 and Fig. 34F.5)
  • Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Hip Region
  • Chapter 35. Hip Region Injections
  • Chapter 35A. Intraarticular Hip Injection—Anterior Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 35A.1)
  • The Trajectory View Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging (Fig. 35A.2)
  • Optimal Images (Fig. 35A.4)
  • Suboptimal Images (Figs. 35A.5 and 35A.6)
  • Chapter 35B. Intraarticular Hip Injection—Lateral Approach: Fluoroscopic Guidance
  • Trajectory View (Fig. 35B.1)
  • The Trajectory View Is Also a Multiplanar View
  • Optimal Needle Position in Multiplanar Imaging (Fig. 35B.2)
  • Optimal Images (Figs. 35B.3 and 35B.4)
  • Chapter 35C. Intraarticular Hip Injection—Anterior Approach: Ultrasound Guidance
  • In-Plane Technique (Fig. 35C.1)
  • Out-of-Plane Confirmation (Fig. 35C.2A,B)
  • Optimal Image (Fig. 35C.3)
  • Suboptimal Images (Fig. 35C.4)
  • Chapter 35D. Greater Trochanteric Bursa/Gluteus Medius Injection: Ultrasound Guidance
  • In-Plane Technique (Fig. 35D.1)
  • Out-of-Plane Confirmation (Fig. 35D.2)
  • Optimal Image (Fig. 35D.3)
  • Chapter 35E. Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance
  • In-Plane Technique (Fig. 35E.1)
  • Out-of-Plane Confirmation (Fig. 35E.2)
  • Alternative
  • Optimal Image (Fig. 35E.4)
  • Chapter 36. Iliac Crest Bone Marrow Biopsy/Aspiration
  • Chapter 36A. Iliac Crest Bone Marrow Aspiration: Fluoroscopic Guidance
  • Trajectory View (Fig. 36A.1)
  • Optimal Needle Position in Multiplanar Imaging
  • Optimal Needle Positioning in the Anteroposterior View (Fig. 36A.2)
  • Optimal Needle Positioning in the Contralateral Oblique View (Fig. 36A.3)
  • Optimal Needle Positioning in the Lateral View (Fig. 46A.4)
  • Chapter 36B. Iliac Crest Bone Marrow Aspiration: Ultrasound Guidance
  • In-Plane Technique (Fig. 36B.1)
  • Optimal Images (Figs. 36B.2 and 36B.3)
  • Suboptimal Needle Placement and Images (Fig. 36B.4)
  • Appendices. Spinal Intervention Reference Tables and Guidelines
  • Index

Product details

  • No. of pages: 680
  • Language: English
  • Copyright: © Elsevier 2017
  • Published: October 25, 2017
  • Imprint: Elsevier
  • Hardcover ISBN: 9780323401531
  • eBook ISBN: 9780323497343

About the Editors

Michael Furman

Affiliations and Expertise

Clinical Assistant Professor, Department of Physical Medicine and Rehabilitation, Temple University School of Medicine, PhiladelphiA, Pennsylvania

Leland Berkwits

Affiliations and Expertise

MD, MS, Adjunct Assistant Professor, Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC; Interventional Physiatrist, Comprehensive Pain Consultants of the Carolinas, Skylands, NC

Isaac Cohen

Brad Goodman

Jonathan Kirschner

Thomas S. Lee

Affiliations and Expertise

MD, Director of Interventional Physiatry, Physical Medicine & Pain Management Associates, PC, Annapolis, MD

Paul Lin

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