Interventional Spine - 1st Edition

Interventional Spine

1st Edition

An Algorithmic Approach

Authors: Curtis Slipman Richard Derby Frederick Simeone Tom Mayer
Imprint: Saunders


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.

Key Features

  • Refresh your knowledge of the basic principles that must be understood before patients with spinal pain can be properly treated.
  • Know what to do when first-line tests and therapies fail, using practice-proven diagnostic and therapeutic algorithms.
  • Offer your patients a full range of non-surgical treatment options, including pharmacology, physical therapy, injection techniques, ablative procedures, and percutaneous disc decompression.
  • Make an informed surgical referral with guidance on indications, contraindications, methods, and postoperative rehabilitation.
  • Better understand key techniques and procedures with visual guidance from more than 500 detailed illustrations.
  • Download all of the book's illustrations from the accompanying CD-ROM for use in electronic presentations.

Table of 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: Med


eBook ISBN:

About the Author

Curtis Slipman

Affiliations and Expertise

Director, Penn Spine Center, University of Pennsylvania Health System, Philadelphia, PA, USA

Richard Derby

Affiliations and Expertise

Clinical Associate Professor, Division of Physical Medicine and Rehabilitation, Stanford University Medical Center; Medical Director, Spinal Diagnostics and Treatment Center, Daly City, California

Frederick Simeone

Affiliations and Expertise

Professor of Neurosurgery, The University of Pennsylvania School of Medicine; Chief of Neurosurgery, Pennsylvania Hospital; Director of Neurosurgery, Elliott Neurological Center of Pennsylvania Hospital, Philadelphia, PA, USA

Tom Mayer

Affiliations and Expertise

Medical Director, Orthopedic Surgery and Rehabilitation, Productive Rehabilitation Institute of Dallas for Ergonomics, Dallas, TX, USA