BOOK
Atlas of Image-Guided Spinal Procedures E-Book
Michael Bruce Furman | Leland Berkwits | Isaac Cohen | Brad Goodman | Jonathan Kirschner | Thomas S. Lee | Paul Sean Lin
(2017)
Additional Information
Book Details
Abstract
Give your patients the non-surgical spine pain relief they need with help from the Atlas of Image-Guided Spinal Procedures by Dr. Michael Bruce Furman. This medical reference book features a highly visual atlas format that shows you exactly how to safely and efficiently perform each technique step-by-step.
A unique, systematic, safe, and efficient approach makes Atlas of Image-Guided Spinal Procedures your go-to resource for spine pain relief for your patients. The highly visual format shows you exactly how to perform each technique, highlighting imaging pearls and emphasizing optimal and suboptimal imaging. Updated content includes ultrasound techniques and procedures for "spine mimickers," including hip and shoulder image-guided procedures, keeping you on the cutting edge of contemporary spine pain-relief methods.
- Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique.
- Highly visual atlas presentation of an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "set up"); multi-planar confirmation 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.
- Includes new and unique diagrams demonstrating cervical, thoracic, and lumbar radiofrequency probe placement and treatment zones on multi-planar views.
- Features new coverage of ultrasound techniques, as well as image-guided procedures for "spine mimickers," such as hip and shoulder.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| IFC | ES1 | ||
| Atlas of Image-Guided Spinal Procedures | i | ||
| Atlas of Image-Guided Spinal Procedures | ii | ||
| Atlas of Image-Guided Spinal Procedures | v | ||
| Copyright | vi | ||
| Dedication | vii | ||
| CONTRIBUTORS | ix | ||
| REVIEWERS | xiii | ||
| FOREWORD TO THE FIRST EDITION | xv | ||
| FOREWORD | xvii | ||
| PREFACE TO THE SECOND EDITION | xix | ||
| SETUP IS KEY | xix | ||
| THE EVOLUTION OFIMAGE-GUIDED SPINE CARE | xix | ||
| ACKNOWLEDGMENTS | xxi | ||
| EDITOR BIOGRAPHY | xxiii | ||
| CONTENTS | xxv | ||
| VIDEO CONTENTS | xxix | ||
| I - Introduction | 1 | ||
| 1 - Introduction: How to Use This Atlas | 1 | ||
| BOOK FORMAT | 1 | ||
| FLUOROSCOPIC VIEWS | 3 | ||
| II - Sacral/Coccygeal | 125 | ||
| 7 - Caudal Epidural Steroid Injection | 125 | ||
| 7A - Caudal Epidural Steroid Injection—Shallow Angle Approach: Fluoroscopic Guidance | 127 | ||
| ?Trajectory View (Fig. 7A.1) | 128 | ||
| PALPATION | 128 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Fig. 7A.2) | 129 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW | 129 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 7A.3) | 130 | ||
| ?Optimal Image (Fig. 7A.4) | 131 | ||
| CAUDAL EPIDURAL STEROID INJECTION WITH A CATHETER (FIGS. 7A.5 AND 7A.6) | 132 | ||
| ?Suboptimal Needle Placement and Images (Figs. 7A.7 to 7A.9) | 134 | ||
| 7B - Caudal Epidural Steroid Injection—Steep Angle Approach: Fluoroscopic Guidance | 135 | ||
| ?The Trajectory View Is Also a Multiplanar View | 136 | ||
| ?Optimal Needle Positioning in Multiplanar Imaging (Fig. 7B.2) | 137 | ||
| ?Optimal Images (Fig. 7B.3) | 138 | ||
| ?Suboptimal Needle Placement and Images | 139 | ||
| References | 139 | ||
| 7C - Caudal Epidural Steroid Injection: Ultrasound Guidance | 141 | ||
| ?In-Plane Technique (Fig. 7C.1) | 142 | ||
| ?Out-of-Plane Confirmation (Fig. 7C.2) | 144 | ||
| ?Optimal Images | 145 | ||
| ?Suboptimal Image (Fig. 7C.3) | 145 | ||
| 8 - Ganglion Impar Injection | 147 | ||
| 8A - Ganglion Impar Injection: Fluoroscopic Guidance | 149 | ||
| LATERAL VIEW (FIG. 8A.2) | 152 | ||
| ?Optimal Images (Fig. 8A.3) | 153 | ||
| LATERAL VIEW | 153 | ||
| ANTEROPOSTERIOR VIEW | 153 | ||
| ?Suboptimal Images (Figs. 8A.4 to 8A.9) | 154 | ||
| SUPPLEMENTAL APPROACHES AND ILLUSTRATIONS | 156 | ||
| Reference | 157 | ||
| 8B - Ganglion Impar Injection: Ultrasound Guidance | 159 | ||
| ?Out-of-Plane Technique | 160 | ||
| ?Multiplanar View | 161 | ||
| ?Optimal and Suboptimal Images | 161 | ||
| References | 161 | ||
| 9 - Sacral Insufficiency Fracture Repair/Sacroplasty | 163 | ||
| ?Trajectory View | 164 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 9.2) | 165 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 9.3) | 166 | ||
| ?Optimal Cement Patterns | 167 | ||
| ?Suboptimal Cement Patterns | 168 | ||
| References | 169 | ||
| Suggested Reading | 169 | ||
| 10 - Sacroiliac Intraarticular Joint Injection | 171 | ||
| References | 171 | ||
| 10A - Sacroiliac Intraarticular Joint Injection—Posterior Approach, Inferior Entry: Fluoroscopic Guidance | 173 | ||
| ?Trajectory View | 174 | ||
| ?The Trajectory View Is Also a Multiplanar View | 174 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Figs. 10A.2 and 10A.3) | 175 | ||
| ?The Trajectory View Is Also a Multiplanar View | 175 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 10A.4) | 176 | ||
| AXIAL MAGNETIC RESONANCE IMAGING OF THE SIJ | 177 | ||
| ?Optimal Images (Figs. 10A.6, 10A.7,and 10A.8) | 178 | ||
| ?Suboptimal Images (Figs. 10A.9,10A.10, and 10A.11) | 179 | ||
| 10B - Sacroiliac Intraarticular Joint Injection:: Ultrasound Guidance | 181 | ||
| ?In-Plane Technique (Fig. 10B.1) | 182 | ||
| ?Optimal Image (Fig. 10B.2) | 184 | ||
| 11 - S1 Transforaminal Epidural Steroid Injection | 185 | ||
| ?Trajectory View | 186 | ||
| OPTIMAL NEEDLE POSITIONING FOR THE ANTEROPOSTERIOR VIEW (FIG. 11.2) | 187 | ||
| OPTIMAL NEEDLE POSITIONING FOR THE LATERAL VIEW (FIG. 11.3) | 188 | ||
| ?Optimal Images (Figs. 11.4, 11.5, and 11.6) | 190 | ||
| ?OPTIMAL IMAGE | 190 | ||
| ?Suboptimal Images (Figs. 11.7 and 11.8) | 191 | ||
| References | 191 | ||
| Suggested Reading | 191 | ||
| III - Lumbar/Lumbosacral | 193 | ||
| 12 - Lumbar Interlaminar Epidural Steroid Injection: Paramedian Approach | 193 | ||
| ?Trajectory View | 194 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 195 | ||
| Optimal Needle Positioning in the Anteroposterior View (Fig. 12.2) | 195 | ||
| OPTIMAL NEEDLE POSITION IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 12.3) | 196 | ||
| ?Optimal Needle Position in the Lateral View (Fig. 12.4) | 197 | ||
| ?Optimal Images (Figs. 12.5 to 12.6) | 198 | ||
| ?Suboptimal Images (Figs. 12.7 to 12.9) | 201 | ||
| Suggested Readings | 202 | ||
| 13 - Lumbar Transforaminal Epidural Steroid Injection | 203 | ||
| References | 204 | ||
| 13A - Lumbar Transforaminal Epidural Steroid Injection—Supraneural (Traditional) Approach:: Fluoroscopic Guidance | 205 | ||
| ?Trajectory View | 206 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 208 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW | 208 | ||
| ?Optimal Needle Positioning in the Lateral View | 209 | ||
| ?Optimal Images | 210 | ||
| ?Suboptimal Images | 213 | ||
| Reference | 215 | ||
| 13B - Lumbar Transforaminal Epidural Steroid Injection—Supraneural, Two-Needle Technique: Fluoroscopic Guidance | 217 | ||
| Phase 1: Introducer Needle Placement | 218 | ||
| ?Trajectory View | 218 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Introducer Needle Placement) | 219 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (INTRODUCER NEEDLE PLACEMENT) | 219 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (INTRODUCER NEEDLE PLACEMENT) | 220 | ||
| Phase 2: Injection Needle Placement | 221 | ||
| Optimal Needle Position in Multiplanar Imaging (Injection Needle Placement) | 221 | ||
| ?Optimal Needle Positioning in the Anteroposterior View (InjectionNeedle Placement) | 221 | ||
| ?Optimal Needle Positioning in the Lateral View (Injection Needle Placement) | 223 | ||
| Optimal Images (Figs. 13.6 to 13.8) | 224 | ||
| 13C - Lumbar Transforaminal Epidural Steroid Injection—Infraneural Approach: Fluoroscopic Guidance | 227 | ||
| INFRANEURAL APPROACH | 227 | ||
| ?Trajectory View | 228 | ||
| ?Optimal Needle Positioning for Multiplanar Imaging | 229 | ||
| OPTIMAL NEEDLE POSITIONING FOR THE ANTEROPOSTERIOR VIEW (FIG. 13C.2) | 229 | ||
| OPTIMAL NEEDLE POSITION FOR THE LATERAL VIEW (FIG. 13C.3) | 230 | ||
| ?Optimal Images (Figs. 13C.4 to 13C.8) | 231 | ||
| IV - Thoracolumbar | 325 | ||
| 18 - Thoracolumbar Spinal Cord Stimulation | 325 | ||
| ?Trajectory View (Fig. 18.1) | 326 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 328 | ||
| ?Needle Positioning in the Contralateral Oblique View (Fig. 18.3) | 329 | ||
| ?Needle Positioning in the Anteroposterior View (Fig. 18.4) | 330 | ||
| ?Needle Positioning in the Lateral View (Fig. 18.5) | 331 | ||
| ?Optimal Spinal Cord Stimulator Positioning (Figs. 18.6 and 18.7) | 332 | ||
| ?Suboptimal Position Views (Figs. 18.8 to 18.11) | 333 | ||
| Alternate Retrograde Spinal Cord Stimulator Placement (Fig. 18.12) | 335 | ||
| Reference | 336 | ||
| 19 - Vertebral Augmentation (Vertebroplasty/Kyphoplasty): Transpedicular Approach | 337 | ||
| ?Transpedicular Advancement: Trajectory View (Fig. 19.1) | 338 | ||
| ?Multiplanar Views During Transpedicular Advancement (Figs. 19.2 and 19.3) | 339 | ||
| LATERAL VIEW | 340 | ||
| ?Multiplanar Views During Vertebral Body Advancement | 341 | ||
| ANTEROPOSTERIOR VIEW, VERTEBRAL BODY ADVANCEMENT (FIG. 19.4) | 341 | ||
| LATERAL VIEW, VERTEBRAL BODY ADVANCEMENT (FIG. 19.5) | 342 | ||
| ?Multiplanar Views During the Injection of Bone Cement | 343 | ||
| SAFETY CONCERNS WITH CEMENT INJECTION | 343 | ||
| ANTEROPOSTERIOR VIEW, BONE CEMENT INJECTION (FIG. 19.6) | 343 | ||
| LATERAL VIEW, BONE CEMENT INJECTION (FIG. 19.7) | 344 | ||
| ?Optimal Cement Patterns (Fig. 19.8) | 345 | ||
| ?Suboptimal Cement Patterns (Fig. 19.9) | 346 | ||
| OPTIMAL KYPHOPLASTY INTRODUCER TIP POSITIONS (FIG. 19.10) | 347 | ||
| KYPHOPLASTY TECHNIQUE PEARLS | 348 | ||
| References | 348 | ||
| V - Thoracic | 349 | ||
| 20 - Thoracic Interlaminar Epidural Steroid Injection:: Paramedian Approach | 349 | ||
| ?Trajectory View (Fig. 20.1) | 350 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 351 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 20.2) | 351 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 20.3) | 352 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 20.4) | 353 | ||
| ?Optimal Imaging (Figs. 20.5 to 20.7) | 354 | ||
| Suggested Readings | 354 | ||
| 21 - Thoracic Transforaminal Epidural Steroid Injection: Infraneural Approach | 355 | ||
| ?Trajectory View | 356 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 357 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 21.2) | 357 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 21.3) | 358 | ||
| ?Optimal Images (Fig. 21.4) | 359 | ||
| Suggested Reading | 359 | ||
| 22 - Thoracic Zygapophysial (Facet) Joint Procedures | 361 | ||
| 22A - Thoracic Zygapophysial Joint Intraarticular Injection—Posterior Approach: Fluoroscopic Guidance | 363 | ||
| ?Trajectory View | 364 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 364 | ||
| OPTIMAL NEEDLE POSITIONING IN THE AP VIEW (FIG. 22A.1) | 364 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 22A.2) | 366 | ||
| ?Optimal Images (Figs. 22A.3 and 22A.4) | 367 | ||
| Suggested Readings | 367 | ||
| 22B - Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection—Posterior Approach:: Fluoroscopic Guidance | 369 | ||
| ?Trajectory View (Fig. 22B.1) | 370 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 370 | ||
| ?The Trajectory View (AP) Is Also a Multiplanar View | 370 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 372 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 22B.2) | 372 | ||
| ?Optimal Images (Figs. 22B.3 and 22B.4) | 373 | ||
| ?Optimal Images | 373 | ||
| AP | 373 | ||
| LATERAL | 373 | ||
| Suggested Readings | 373 | ||
| 22C - Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance | 375 | ||
| ?Trajectory View (Fig. 22C.1) | 376 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 377 | ||
| Optimal Needle Positioning in the Anteroposterior View (Fig. 22C.2) | 377 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 22C.3) | 378 | ||
| ?Optimal Images (See multiplanar Figs. 22C.2A and 22C.3A) | 379 | ||
| ?Optimal Imaging | 379 | ||
| Anteroposterior View | 379 | ||
| Lateral View | 379 | ||
| References | 379 | ||
| Suggested Readings | 379 | ||
| 22D - Thoracic Zygapophysial Joint Innervation: Anatomy Diagrams | 381 | ||
| 23 - Intercostal Nerve Injections | 383 | ||
| References | 383 | ||
| 23A - Intercostal Blockade: Fluoroscopic Guidance | 385 | ||
| ?Trajectory View (Fig. 23A.1) | 386 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 387 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 23A.2) | 387 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 23A.3) | 388 | ||
| ?Optimal and Suboptimal Images (Fig. 23A.4) | 389 | ||
| 23B - Intercostal Nerve Injection, In-Plane Approach, Ultrasound Guidance | 391 | ||
| In-Plane Technique (Fig. 23B.1) | 392 | ||
| ?Multiplanar View | 394 | ||
| ?Suboptimal Needle Placement and Images (Fig. 23B.2) | 394 | ||
| References | 394 | ||
| 24 - Thoracic Disc Access | 395 | ||
| ?Trajectory View (Fig. 24.1) | 396 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 398 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 24.2) | 398 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 24.3) | 399 | ||
| ?Optimal Images (Fig. 24.4) | 400 | ||
| Suggested Readings | 400 | ||
| VI - Cervical | 401 | ||
| 25 - Cervical Interlaminar Epidural Steroid Injection—Paramedian Approach | 401 | ||
| ?Trajectory View (Fig. 25.1) | 402 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 403 | ||
| OPTIMAL NEEDLE POSITIONING IN THE AP VIEW (FIG. 25.2) | 403 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW | 405 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL SAFETY VIEW | 406 | ||
| ?Optimal Images (Fig. 25.5) | 407 | ||
| ?Suboptimal Images (Figs. 25.6 to 25.8) | 408 | ||
| References | 409 | ||
| Suggested Readings | 409 | ||
| 26 - Cervical Spinal Cord Stimulation | 411 | ||
| ?Trajectory View (Fig. 26.1) | 412 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 413 | ||
| NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 26.2) | 413 | ||
| NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 26.3) | 414 | ||
| NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 26.4) | 415 | ||
| ?Optimal Images | 416 | ||
| Suggested Readings | 416 | ||
| 27 - Cervical Transforaminal Epidural Steroid Injection | 417 | ||
| ?Trajectory View (Fig. 27.1) | 418 | ||
| ?The Trajectory View (Foraminal Oblique) Is Also a Multiplanar View | 418 | ||
| ?Optimal Views in Multiplanar Imaging | 420 | ||
| OPTIMAL NEEDLE POSITIONING IN THE POSTEROANTERIOR VIEW (FIG. 27.2) | 420 | ||
| NEURAL VERSUS VASCULAR SAFETY: A TRADE-OFF | 421 | ||
| HOURGLASS CONCEPT (FIG. 27.3) | 421 | ||
| ?Optimal Views (Figs. 27.4 to 27.6) | 422 | ||
| ?Suboptimal Views (Figs. 27.7 to 27.9) | 424 | ||
| Suggested Readings | 425 | ||
| 28 - Stellate Ganglion Injection | 427 | ||
| References | 428 | ||
| 28A - Stellate Ganglion Block: Fluoroscopic Guidance | 429 | ||
| ?Trajectory View (Fig. 28A.1) | 430 | ||
| ?Optimal Views in Multiplanar Imaging | 431 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 28A.3) | 432 | ||
| ?Optimal Views (Figs. 28A.4 and 28A.5) | 433 | ||
| 28B - Stellate Ganglion Injection: Ultrasound Guidance | 435 | ||
| ?In-Plane Technique | 436 | ||
| ?Out-of-Plane Confirmation | 439 | ||
| ?Suboptimal Image | 440 | ||
| 29 - Cervical Discography/Disc Access | 441 | ||
| ?Trajectory View (Fig. 29.1) | 442 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 444 | ||
| OPTIMAL NEEDLE POSITIONING IN THE POSTEROANTERIOR VIEW (FIG. 29.2) | 444 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 29.3) | 445 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 29.4) | 446 | ||
| ?Optimal Images (Figs. 29.5 to 29.7) | 447 | ||
| ?Optimal Image | 447 | ||
| Additional Information | 448 | ||
| ANTIBIOTICS | 448 | ||
| ?Suboptimal Imaging (Figs. 29.8 and 29.9) | 449 | ||
| References | 449 | ||
| 30 - Cervical Zygapophysial Joint and Medial Branch Nerve Injections and Radiofrequency Neurotomy | 451 | ||
| References | 452 | ||
| 30A - Cervical Zygapophysial Joint Intraarticular Injection, Posterior Approach: Fluoroscopic Guidance | 453 | ||
| ?Trajectory View (Fig. 30A.1) | 454 | ||
| ?The Trajectory View (AP) Is Also a Multiplanar View | 454 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 455 | ||
| ?The Trajectory View (AP) Is Alsoa Multiplanar View | 455 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 30A.3) | 456 | ||
| ?Optimal Images (Figs. 30A.4 to 30A.6) | 457 | ||
| References | 458 | ||
| Suggested Readings | 458 | ||
| 30B - Cervical Zygapophysial Joint Intraarticular Injection, Lateral Approach: Fluoroscopic Guidance | 459 | ||
| ?Trajectory View (Fig. 30B.1) | 460 | ||
| ?The Trajectory View (Lateral) Is Also a Multiplanar View | 460 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 461 | ||
| ?The Trajectory View (Lateral) Is Also a Multiplanar View | 461 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR (PILLAR) VIEW (FIG. 30B.2) | 461 | ||
| OPTIMAL NEEDLE POSITIONING IN THE IPSILATERAL FORAMINAL OBLIQUE VIEW (TO VISUALIZE THE FORAMINA VENTRAL TO THE Z-JOINTS) (FIG. 3... | 462 | ||
| ?Optimal Image (Fig. 30B.4) | 463 | ||
| ?Suboptimal Image (Fig. 30B.5) | 464 | ||
| References | 464 | ||
| 30C - Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance | 465 | ||
| ?Out-of-Plane Technique (Fig. 30C.1) | 466 | ||
| ?In-Plane Confirmation (Fig. 30C.2) | 468 | ||
| ?Optimal Needle Placement and Image (Fig. 30C.3) | 469 | ||
| References | 469 | ||
| Suggested Readings | 469 | ||
| 30D - Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Lateral Approach: Fluoroscopic Guidance | 471 | ||
| ?Trajectory View (Fig. 30D.1) | 472 | ||
| ?The Trajectory View (Lateral) Is Also a Multiplanar View | 472 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 474 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW | 474 | ||
| OPTIMAL NEEDLE POSITIONING IN THE IPSILATERAL FORAMINAL OBLIQUE VIEW (FIG. 30D.3) | 477 | ||
| ?Optimal Images (Figs. 30D.4 to 30D.7) | 478 | ||
| ?Optimal Image | 478 | ||
| ?Suboptimal Images (Figs. 30D.8 to 30D.9) | 480 | ||
| References | 480 | ||
| 30E - Cervical Zygapophysial Intraarticular Injection—Posterior Approach: Ultrasound Guidance | 481 | ||
| ?In-Plane Technique (Fig. 30E.1) | 482 | ||
| ?Out-of-Plane Confirmation (Fig. 30E.2) | 484 | ||
| ?Optimal Needle Placement and Image (Fig. 30E.3) | 485 | ||
| References | 485 | ||
| Suggested Readings | 485 | ||
| 30F - Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection, Posterior Approach: Fluoroscopic Guidance | 487 | ||
| ?Third Occipital Nerve Trajectory View (Fig. 30F.1) | 489 | ||
| ?C3, C4, C5, and/or C6 Medial Branch Trajectory View (Fig. 30F.2) | 490 | ||
| ?C7 Medial Branch Trajectory View (Fig. 30F.3) | 491 | ||
| ?C8 Medial Branch Trajectory View (Fig. 30F.4) | 492 | ||
| ?Optimal Electrode Position inMultiplanar Imaging | 493 | ||
| OPTIMAL ELECTRODE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 30F.5) | 494 | ||
| OPTIMAL ELECTRODE POSITIONING IN THE LATERAL VIEW (FIG. 30F.6) | 495 | ||
| OPTIMAL ELECTRODE POSITIONING IN THE CONTRALATERAL OBLIQUE (FORAMINAL OBLIQUE) VIEW (FIG. 30F.7) | 496 | ||
| ?Optimal Position Views (Figs. 30F.8 and 30F.9) | 497 | ||
| References | 497 | ||
| 30G - Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy/Injection—Posterior Approach: Ultrasound Guidance | 499 | ||
| ?In-Plane Technique (Fig. 30G.1) | 500 | ||
| ?Out-of-Plane Confirmation (Fig. 30G.2) | 502 | ||
| ?Optimal Needle Placement and Images | 503 | ||
| ?Suboptimal Needle Placement and Images (Figs. 30G.3 and 30G.4) | 503 | ||
| References | 503 | ||
| Suggested Readings | 503 | ||
| 30H - Cervical Zygapophysial Joint Innervation: Anatomy, Dissections, and Lesion Zone Diagrams | 505 | ||
| References | 514 | ||
| 31 - Atlantoaxial Joint Intraarticular Injection | 515 | ||
| ?Trajectory View (Fig. 31.1) | 516 | ||
| ?The Trajectory View (Anteroposterior) Is Also a Multiplanar View | 516 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 517 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 31.2) | 517 | ||
| ?Suboptimal Images (Fig. 31.6) | 519 | ||
| References | 519 | ||
| 32 - Atlantooccipital Joint Intraarticular Injection | 521 | ||
| ?Trajectory View (Fig. 32.1) | 522 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 524 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 32.2) | 524 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 32.3) | 525 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 32.4) | 526 | ||
| ?Optimal Image (Figs. 32.5 and 32.6) | 527 | ||
| ?Suboptimal Image | 528 | ||
| References | 528 | ||
| 33 - Greater Occipital Nerve Steroid Injection—In-Plane Approach | 529 | ||
| Introduction | 529 | ||
| ?In-Plane Technique | 530 | ||
| ?Optimal Image (Fig. 33.2) | 532 | ||
| VII - Additional Image-Guided Proceduresfor the Spine Care and Pain Specialist: Spine Pain Masqueraders Shoulder Region | 533 | ||
| 34 - Shoulder Region Injections | 533 | ||
| 34A - Intraarticular Shoulder Injections—Anterior Approach: Fluoroscopic Guidance | 535 | ||
| ?Trajectory View (Fig. 34A.1) | 536 | ||
| ?The Trajectory View Is Also a Multiplanar View | 537 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Fig. 34A.2) | 538 | ||
| ?The Trajectory View Is Also a Multiplanar View | 538 | ||
| ?Optimal Images (Fig. 34A.3, 34A.4) | 540 | ||
| ?Suboptimal Image (Fig. 34A.5) | 541 | ||
| Reference | 541 | ||
| 34B - Intraarticular Shoulder Injection—Posterior Approach: Ultrasound Guidance | 543 | ||
| ?In-Plane Technique (Fig. 34B.1) | 544 | ||
| ?Out-of-Plane Confirmation (Fig. 34B.2) | 546 | ||
| ?Optimal Images (Fig. 34B.3, 34B.4) | 547 | ||
| ?Suboptimal Image (Fig. 34B.5) | 549 | ||
| 34C - Shoulder/Subacromial–Subdeltoid Bursa Injection—Lateral Approach: Ultrasound Guidance | 551 | ||
| ?In-Plane Technique (Fig. 34C.1) | 552 | ||
| ?Out-of-Plane Confirmation (Fig. 34C.2) | 554 | ||
| ?Optimal Images (Fig. 34C.3) | 555 | ||
| 34D - Shoulder/Acromioclavicular Joint Injection—Out-of-Plane Approach: Ultrasound Guidance | 557 | ||
| ?Out-of-Plane Technique (Fig. 34D.1) | 558 | ||
| ?In-Plane Confirmation (Fig. 34D.2) | 560 | ||
| ?Optimal Images (Fig. 34D.3) | 561 | ||
| 34E - Suprascapular Nerve Injection—In-Plane Approach: Ultrasound Guidance | 563 | ||
| ?In-Plane Technique (Fig. 34E.1) | 564 | ||
| ?Out-of-Plane Confirmation (Fig. 34E.2) | 566 | ||
| ?Optimal Images (Fig. 34E.3A to C) | 567 | ||
| ?Suboptimal Images (Fig. 34E.4A,B) | 568 | ||
| Suggested Readings | 568 | ||
| 34F - Biceps Tendon Sheath Injection—In-Plane Approach: Ultrasound Guidance | 569 | ||
| ?In-Plane Technique (Fig. 34F.1) | 570 | ||
| ?Out-of-Plane Confirmation (Fig. 34F.2) | 572 | ||
| ?Optimal Images (Fig. 34F.3A,B) | 573 | ||
| ?Suboptimal Images (Fig. 34F.4 andFig. 34F.5) | 574 | ||
| Suggested Readings | 574 | ||
| VII - Additional Image-Guided Proceduresfor the Spine Care and Pain Specialist: Spine Pain Masqueraders Hip Region | 575 | ||
| 35 - Hip Region Injections | 575 | ||
| Suggested Readings | 575 | ||
| References | 575 | ||
| 35A - Intraarticular Hip Injection—Anterior Approach: Fluoroscopic Guidance | 577 | ||
| ?Trajectory View (Fig. 35A.1) | 578 | ||
| ?The Trajectory View Is Also a Multiplanar View | 578 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Fig. 35A.2) | 579 | ||
| ?Optimal Images (Fig. 35A.4) | 581 | ||
| ?Suboptimal Images (Figs. 35A.5 and 35A.6) | 582 | ||
| 35B - Intraarticular Hip Injection—Lateral Approach: Fluoroscopic Guidance | 583 | ||
| ?Trajectory View (Fig. 35B.1) | 584 | ||
| ?The Trajectory View Is Also a Multiplanar View | 585 | ||
| ?Optimal Needle Position in Multiplanar Imaging (Fig. 35B.2) | 586 | ||
| ?Optimal Images (Figs. 35B.3 and 35B.4) | 588 | ||
| 35C - Intraarticular Hip Injection—Anterior Approach: Ultrasound Guidance | 589 | ||
| ?In-Plane Technique (Fig. 35C.1) | 590 | ||
| ?Out-of-Plane Confirmation (Fig. 35C.2A,B) | 592 | ||
| Optimal Image (Fig. 35C.3) | 593 | ||
| Suboptimal Images (Fig. 35C.4) | 594 | ||
| Suggested Readings | 594 | ||
| 35D - Greater Trochanteric Bursa/Gluteus Medius Injection: Ultrasound Guidance | 595 | ||
| In-Plane Technique (Fig. 35D.1) | 596 | ||
| Out-of-Plane Confirmation (Fig. 35D.2) | 598 | ||
| Optimal Image (Fig. 35D.3) | 599 | ||
| Suggested Readings | 599 | ||
| 35E - Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance | 601 | ||
| ?In-Plane Technique (Fig. 35E.1) | 602 | ||
| ?Out-of-Plane Confirmation (Fig. 35E.2) | 604 | ||
| Alternative | 605 | ||
| ?Optimal Image (Fig. 35E.4) | 606 | ||
| Suggested Reading | 606 | ||
| 36 - Iliac Crest Bone Marrow Biopsy/Aspiration | 607 | ||
| References | 608 | ||
| 36A - Iliac Crest Bone Marrow Aspiration: Fluoroscopic Guidance | 609 | ||
| ?Trajectory View (Fig. 36A.1) | 610 | ||
| ?Optimal Needle Position in Multiplanar Imaging | 611 | ||
| OPTIMAL NEEDLE POSITIONING IN THE ANTEROPOSTERIOR VIEW (FIG. 36A.2) | 611 | ||
| OPTIMAL NEEDLE POSITIONING IN THE CONTRALATERAL OBLIQUE VIEW (FIG. 36A.3) | 612 | ||
| OPTIMAL NEEDLE POSITIONING IN THE LATERAL VIEW (FIG. 46A.4) | 613 | ||
| 36B - Iliac Crest Bone Marrow Aspiration: Ultrasound Guidance | 615 | ||
| ?In-Plane Technique (Fig. 36B.1) | 616 | ||
| ?Optimal Images (Figs. 36B.2 and 36B.3) | 618 | ||
| ?Suboptimal Needle Placement and Images (Fig. 36B.4) | 620 | ||
| References | 620 | ||
| Spinal Intervention Reference Tables and Guidelines | 621 | ||
| INTRODUCTION | 621 | ||
| Appendix A1Anticoagulation and Antiplatelets | 622 | ||
| INDEX | 631 | ||
| A | 631 | ||
| B | 632 | ||
| C | 632 | ||
| D | 635 | ||
| E | 635 | ||
| F | 635 | ||
| G | 637 | ||
| H | 637 | ||
| I | 637 | ||
| J | 639 | ||
| K | 639 | ||
| L | 639 | ||
| M | 641 | ||
| N | 642 | ||
| O | 643 | ||
| P | 644 | ||
| Q | 645 | ||
| R | 645 | ||
| S | 645 | ||
| T | 647 | ||
| U | 649 | ||
| V | 650 | ||
| W | 650 | ||
| X | 650 | ||
| Z | 650 | ||
| IBC | ES2 |