Atlas of Image-Guided Spinal Procedures

Section 1: Introduction 1. 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

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• Radiografia
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