Atlas of Image-Guided Spinal Procedures

2nd Edition - December 7, 2017
Editors: Michael B. Furman, Leland Berkwits, Isaac Cohen, Brad Goodman, Jonathan Kirschner, Thomas S. Lee, Paul Sean Lin
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 4 0 1 5 3 - 1

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 referenc… Read more

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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.

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

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

Atlas of Image-Guided Spinal Procedures

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Michael B. Furman

Leland Berkwits

Thomas S. Lee