BOOK
Interventional Spine Procedures, An Issue of Physical Medicine and Rehabilitation Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Physical Medicine and Rehabilitation Clinics will cover a number of important topics related to Interventional Spine Procedures. The issue is under the editorial direction of Dr. Carlos Rivera of the Campbell Clinic. Topics in this issue will include: Cervical epidural steroid injections evidence and techniques; Clinical aspects of transitional lumbosacral segments; Ultrasound use for lumbar spinal procedures; Interventions for the Sacroiliac joint; Peripheral nerve radio frequency; Lumbar epidural steroid injections evidence and techniques; Ultrasound for Cervical spine procedures; Prolotherapy for the thoracolumbar myofascial system; and Radiofrequency Denervation, among others.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Interventional SpineProcedures\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Foreword | vii | ||
| Preface | vii | ||
| Cervical Epidural Steroid Injection: Techniques and Evidence | vii | ||
| Image and Contrast Flow Pattern Interpretation for Attempted Epidural Steroid Injections | vii | ||
| Lumbosacral Transitional Segments: An Interventional Spine Specialist’s Practical Approach | vii | ||
| Ultrasound for Lumbar Spinal Procedures | viii | ||
| Peripheral Nerve Radiofrequency Neurotomy: Hip and Knee Joints | viii | ||
| Lumbar Epidural Steroid Injections | viii | ||
| Ultrasound-Guided Interventions of the Cervical Spine and Nerves | viii | ||
| Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia | viii | ||
| Prolotherapy for the Thoracolumbar Myofascial System | ix | ||
| Radiofrequency Denervation of the Cervical and Lumbar Spine | ix | ||
| Safety and Complications of Cervical Epidural Steroid Injections | ix | ||
| Sacroiliac Joint Interventions | x | ||
| PHYSICAL MEDICINEANDREHABILITATION\rCLINICS OF NORTH AMERICA\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| May 2018 | xi | ||
| August 2018 | xi | ||
| November 2018 | xi | ||
| RECENT ISSUES | xi | ||
| November 2017 | xi | ||
| August 2017 | xi | ||
| May 2017 | xi | ||
| Foreword | xiii | ||
| Preface | xv | ||
| Cervical Epidural Steroid Injection | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 1 | ||
| Epidemiology | 1 | ||
| Indications for Cervical Epidural Steroid Injection | 2 | ||
| Utilization | 2 | ||
| CERVICAL TRANSFORAMINAL EPIDURAL STEROID INJECTION | 2 | ||
| Anatomy | 2 | ||
| Procedure Technique | 3 | ||
| Safety Considerations | 4 | ||
| Particulate versus nonparticulate steroid use | 4 | ||
| Local anesthetic use | 4 | ||
| Digital subtraction technology | 5 | ||
| CERVICAL INTERLAMINAR EPIDURAL STEROID INJECTION | 5 | ||
| Anatomy | 5 | ||
| Procedure Technique | 6 | ||
| Contralateral oblique versus lateral view | 7 | ||
| Additional use of a soft-tipped epidural catheter | 7 | ||
| Safety Considerations | 8 | ||
| Evidence Base for Cervical Epidural Steroid Injections | 9 | ||
| SUMMARY | 13 | ||
| REFERENCES | 13 | ||
| Image and Contrast Flow Pattern Interpretation for Attempted Epidural Steroid Injections | 19 | ||
| Key points | 19 | ||
| EPIDURAL CONTRAST FLOW | 20 | ||
| SUBARACHNOID CONTRAST FLOW | 21 | ||
| INTRADURAL CONTRAST FLOW | 24 | ||
| Cystic-Like Intradural Injections | 24 | ||
| Dural Boundary Layer Intradural Injections | 25 | ||
| FASCIAL CONTRAST FLOW | 26 | ||
| VASCULAR CONTRAST FLOW | 26 | ||
| RETRODURAL SPACE OF OKADA CONTRAST FLOW | 26 | ||
| INTRA-ARTICULAR FACET CONTRAST FLOW | 28 | ||
| INTRADISCAL CONTRAST FLOW | 29 | ||
| INTRANEURAL CONTRAST FLOW | 32 | ||
| DIFFERENTIAL FOR RAPID CONTRAST DILUTION | 32 | ||
| SUMMARY | 32 | ||
| ACKNOWLEDGMENTS | 32 | ||
| REFERENCES | 32 | ||
| Lumbosacral Transitional Segments | 35 | ||
| Key points | 35 | ||
| INTRODUCTION | 35 | ||
| Innervation in the Setting of Transitional Segment Anatomy | 38 | ||
| Clinical Recommendations in the Setting of Transitional Segmentation | 38 | ||
| Discussion and recommendations | 38 | ||
| Lumbosacral Transitional Segmentation Examples | 41 | ||
| SUMMARY | 47 | ||
| REFERENCES | 47 | ||
| Ultrasound for Lumbar Spinal Procedures | 49 | ||
| Key points | 49 | ||
| INTRODUCTION | 49 | ||
| BASIC ULTRASOUND PRINCIPLES | 50 | ||
| LUMBOSACRAL SONOANATOMY | 50 | ||
| ULTRASOUND ADVANTAGES AND LIMITATIONS | 51 | ||
| LUMBAR FACET MEDIAL BRANCH BLOCKS | 51 | ||
| Technique | 52 | ||
| L5 Dorsal Ramus Block | 53 | ||
| LUMBAR FACET JOINT INTRA-ARTICULAR INJECTIONS | 54 | ||
| Technique | 54 | ||
| CAUDAL EPIDURAL INJECTIONS | 55 | ||
| INTERLAMINAR EPIDURAL STEROID INJECTIONS | 56 | ||
| LUMBAR TRANSFORAMINAL INJECTIONS | 57 | ||
| SACROILIAC JOINT INJECTIONS | 57 | ||
| Technique | 57 | ||
| SUMMARY | 58 | ||
| REFERENCES | 58 | ||
| Peripheral Nerve Radiofrequency Neurotomy | 61 | ||
| Key points | 61 | ||
| INTRODUCTION | 61 | ||
| HIP JOINT PAIN | 62 | ||
| Anatomy | 62 | ||
| Indications | 62 | ||
| Technique | 63 | ||
| Complications | 65 | ||
| KNEE JOINT PAIN | 65 | ||
| Anatomy | 65 | ||
| Indications | 66 | ||
| Technique | 66 | ||
| Fluoroscopy-guided procedure | 66 | ||
| Ultrasound-guided procedure | 67 | ||
| Complications | 68 | ||
| SUMMARY/RECOMMENDATIONS | 68 | ||
| REFERENCES | 68 | ||
| Lumbar Epidural Steroid Injections | 73 | ||
| Key points | 73 | ||
| ANATOMIC CONSIDERATIONS | 74 | ||
| EVIDENCE | 75 | ||
| INTERLAMINAR EPIDURAL STEROID INJECTIONS | 75 | ||
| TRANSFORAMINAL EPIDURAL STEROID INJECTIONS | 78 | ||
| Indications | 78 | ||
| Evidence | 79 | ||
| Subpedicular Transforaminal Injection Technique | 79 | ||
| Infraneural Transforaminal Injection Technique | 82 | ||
| S1 SUBPEDICULAR TECHNIQUE | 85 | ||
| Other Considerations | 88 | ||
| Complications | 89 | ||
| USE OF ANTICOAGULANTS | 89 | ||
| SUMMARY | 89 | ||
| REFERENCES | 90 | ||
| Ultrasound-Guided Interventions of the Cervical Spine and Nerves | 93 | ||
| Key points | 93 | ||
| INTRODUCTION | 93 | ||
| Selective Cervical Root Block | 94 | ||
| Indication | 94 | ||
| Anatomy | 94 | ||
| Sonoanatomy and technique | 94 | ||
| Superficial Cervical Plexus Block | 95 | ||
| Indication | 95 | ||
| Anatomy | 95 | ||
| Sonoanatomy and technique | 95 | ||
| Stellate Ganglion Block | 96 | ||
| Indication | 96 | ||
| Anatomy | 96 | ||
| Sonoanatomy and technique | 96 | ||
| Cervical Medial Branch Block | 97 | ||
| Indication | 97 | ||
| Anatomy | 97 | ||
| Sonoanatomy and technique | 98 | ||
| Greater Occipital Nerve Block | 99 | ||
| Indication | 99 | ||
| Anatomy | 100 | ||
| Sonoanatomy and technique | 100 | ||
| The Third Occipital Nerve | 101 | ||
| Indication | 101 | ||
| Anatomy | 101 | ||
| Sonoanatomy and technique | 101 | ||
| SUMMARY | 102 | ||
| REFERENCES | 102 | ||
| Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia | 105 | ||
| Key points | 105 | ||
| INTRODUCTION | 105 | ||
| MORPHOLOGY AND ARCHITECTURE OF NECK MUSCLES | 106 | ||
| ANTERIOR NECK | 108 | ||
| Sternocleidomastoid | 108 | ||
| Longus Capitis | 109 | ||
| Longus Colli | 109 | ||
| LATERAL NECK | 110 | ||
| Scalenus Anterior | 110 | ||
| Scalenus Medius | 110 | ||
| Scalenus Posterior | 111 | ||
| POSTERIOR NECK | 112 | ||
| Trapezius | 112 | ||
| Levator Scapulae | 112 | ||
| Splenius Capitis and Splenius Cervicis | 113 | ||
| Semispinalis Capitis and Semispinalis Cervicis | 113 | ||
| Longissimus Capitis | 115 | ||
| Longissimus Cervicis and Iliocostalis Cervicis | 115 | ||
| Rectus Capitis Posterior Major and Rectus Capitis Posterior Minor | 116 | ||
| Obliquus Capitis Inferior and Obliquus Capitis Superior | 121 | ||
| REFERENCES | 121 | ||
| Prolotherapy for the Thoracolumbar Myofascial System | 125 | ||
| Key points | 125 | ||
| PROLOTHERAPY: WHAT IS IT? | 125 | ||
| FASCIAL ANATOMY AND BIOTENSEGRITY | 127 | ||
| BIOTENSEGRITY-BASED ANATOMY AND BIOMECHANICS—A SUMMARY | 129 | ||
| CLINICAL APPLICATION OF BIOTENSEGRITY PRINCIPLES—A SUMMARY | 129 | ||
| DETAILED CASE REPORTS AS PROOF OF CONCEPT | 129 | ||
| Case 1—Chronic Back Spasm Related to Injury of the Posterior Layer of the Thoracolumbar Fascia/Aponeurosis of the Erector S ... | 129 | ||
| Case 1 discussion | 132 | ||
| Case 2—Recurring Sciatica Versus Pseudosciatica from Injury to Lumbar Interfascial Triangle and Gluteus Minimus/Medius | 133 | ||
| Case 2 discussion | 137 | ||
| SUMMARY/FUTURE DIRECTIONS | 137 | ||
| SUPPLEMENTARY DATA | 137 | ||
| REFERENCES | 137 | ||
| Radiofrequency Denervation of the Cervical and Lumbar Spine | 139 | ||
| Key points | 139 | ||
| EQUIPMENT | 140 | ||
| CERVICAL FACET ANATOMY | 141 | ||
| OCCIPITAL NEURALGIA AND CERVICOGENIC HEADACHE | 142 | ||
| INDICATIONS | 142 | ||
| TECHNIQUE: THIRD OCCIPITAL NERVE RADIOFREQUENCY DENERVATION | 143 | ||
| COMPLICATIONS | 143 | ||
| CERVICAL FACET RADIOFREQUENCY DENERVATION | 144 | ||
| APPROACH | 145 | ||
| COMPLICATIONS | 145 | ||
| LUMBAR FACET ANATOMY | 146 | ||
| LUMBAR FACET RADIOFREQUENCY DENERVATION | 147 | ||
| TECHNIQUE | 149 | ||
| COMPLICATIONS | 151 | ||
| TECHNICAL TIPS TO IMPROVE RADIOFREQUENCY DENERVATION | 152 | ||
| SUMMARY | 152 | ||
| REFERENCES | 152 | ||
| Safety and Complications of Cervical Epidural Steroid Injections | 155 | ||
| Key points | 155 | ||
| INTRODUCTION | 155 | ||
| CERVICAL TRANSFORAMINAL EPIDURAL STEROID INJECTIONS | 156 | ||
| Anatomy and Technique | 156 | ||
| Central Nervous System Complications | 156 | ||
| Mechanism of Injury | 157 | ||
| Safety Techniques | 158 | ||
| CERVICAL INTERLAMINAR EPIDURAL STEROID INJECTIONS | 159 | ||
| Technical Descriptions and Anatomic Considerations | 159 | ||
| Major Complications | 159 | ||
| Aberrant needle placement | 159 | ||
| Safety Techniques | 160 | ||
| Epidural Abscess | 160 | ||
| Epidural Hematoma | 161 | ||
| OTHER ADVERSE EVENTS | 163 | ||
| Common Adverse Events | 163 | ||
| Steroid Side Effects | 163 | ||
| Contrast Side Effects | 164 | ||
| SUMMARY | 164 | ||
| REFERENCES | 164 | ||
| Sacroiliac Joint Interventions | 171 | ||
| Key points | 171 | ||
| ANATOMY | 171 | ||
| Physical Examination | 172 | ||
| Diagnostic Tests | 172 | ||
| SACROILIAC JOINT INTERVENTIONS | 172 | ||
| Periarticular Sacroiliac Fluoroscopic-Guided Injections | 172 | ||
| Intra-articular Sacroiliac Injection | 173 | ||
| Fluoroscopy-guided intra-articular sacroiliac joint injection | 173 | ||
| Classic Hendrix technique | 173 | ||
| Sacroiliac joint approach with only fluoroscopic anteroposterior view | 173 | ||
| Lateral view technique | 174 | ||
| The double needle technique | 174 | ||
| The upper one-third joint technique | 174 | ||
| The combined intra-articular upper third joint and periarticular injection | 174 | ||
| IMPORTANCE OF ARTHROGRAM PATTERN | 175 | ||
| Ultrasound-guided Intra-articular Sacroiliac Joint Injection | 175 | ||
| Ultrasound Guided Versus Fluoroscopy Guided | 175 | ||
| Sacral Branches Block | 176 | ||
| Fluoroscopic guidance | 176 | ||
| Ultrasound guidance | 176 | ||
| Ultrasound Versus Fluoroscopic Guided Sacral Lateral Branches Blocks | 176 | ||
| Radiofrequency Ablation | 177 | ||
| Intra-articular radiofrequency ablation | 177 | ||
| Lateral branches radiofrequency ablation | 177 | ||
| Effectiveness of RFA | 179 | ||
| Prolotherapy | 179 | ||
| Platelet-rich plasma | 179 | ||
| Botulinum toxin | 180 | ||
| REFERENCES | 180 |