The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections,9780849322549

The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections

by ;
ISBN13: 9780849322549
ISBN10: 0849322545
Format: Hardcover
Pub. Date: 2006-01-13
Publisher(s): CRC Press
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Summary

For some time now, C-arm fluoroscopy-guided spinal injections have been performed widely for both the diagnosis and management of spinal and paraspinal pain. Despite this common use, many residents and pain fellows do not receive any training in the anatomy of the vertebral column as it relates to radiographic imaging, nor do they receive training in fluorscopic imaging. While books already exist on the subject, they only show the final needle position and offer very limited instruction.

Table of Contents

An Introduction to Spinal Injections
1(4)
Basic Radiographic Background of the Vertebral Column
5(24)
C-Arm Fluoroscopy and Images
7(6)
Axial Skeleton
13(5)
Anatomy of a Typical Lumbar Vertebra
15(2)
Pelvic Girdle and Sacrum
17(1)
Classification of Bones and Typical Fluoroscopic Images of Bones
18(9)
Bibliography
27(2)
Radiation Safety
29(12)
Quantification of Radiation Exposure
31(1)
Steps to Minimize Radiation Exposure
32(7)
Shielding
39(1)
Bibliography
39(2)
Basic Steps for Spinal Injections
41(14)
Bibliography
54(1)
Fluoroscopic Images of the Lumbar Spine
55(16)
Positioning the Patient
57(1)
Anterior/Posterior View of the Lumbar Spine
57(2)
Oblique View of the Lumbar Spine
59(3)
Lateral View of the Lumbar Spine
62(5)
Suggestions on How to Check the Needle Depth
67(2)
Bibliography
69(2)
Lumbar Spinal Injections
71(80)
Lumbar Spinal Injections
73(1)
Lumbar Medial Branch Block
73(15)
Lumbar Medial Branch Denervation
87(1)
Lumbar Transforaminal Epidural Steroid Injection
88(7)
Special Considerations of Oblique Views
94(1)
Rules for Getting Oblique Views of the Lumbar Spine
95(16)
Lumbar Transforaminal Epidural Steroid Injection at the Level of L5/S1
111(13)
Lumbar Discography
124(3)
Introduction
124(3)
Manometry
127(14)
Patient Preparation
127(1)
Sedation
127(1)
Preparation for Needle Placement
128(1)
Patient Position
128(1)
C-Arm Position
129(1)
Needle Placement
130(2)
Potential Difficulties with Needle Placement (Annular Placement of the Needle)
132(4)
Contrast Injection within the Disc Space
136(5)
Mechanically vs. Chemically Sensitive Discs
141(1)
Discography at L5/S1
141(6)
Positioning C-Arm Fluoroscopy
142(1)
Needle Insertion
142(3)
Confirming the Needle Placement
145(1)
Injecting Contrast
146(1)
Post-Procedure
147(1)
Bibliography
148(3)
Fluoroscopic Images of the Cervical Spine
151(18)
Positioning the Patient
153(1)
Positioning the C-Arm Fluoroscopy
154(1)
A/P (P/A) View and Lateral View of the Cervical Spine
155(1)
Comparison of Cervical Vertebrae and Lumbar Vertebrae
156(2)
Lateral and Oblique Views of the Cervical Spine
158(7)
Cervical Intervetrebral Foramina and the Cervical Spinal Nerve Roots
165(2)
Bibliography
167(2)
Cervical Injections
169(52)
Preparation for the Performance of Cervical Injections
171(1)
Cervical Facet Injections
172(2)
Intra-Articular Facet Injections
174(17)
C1/C2 Joint Injection
174(6)
C2/C3 to C6/C7 Intra-Articular Joint Injections
180(6)
Cervical Medial Branch Injections
186(5)
Cervical Medial Branch
191(5)
Radiofrequency Denervation
191(1)
Radiofrequency Denervation: (C3 to C8) Medial Branches
192(4)
Cervical Epidural and Selective Nerve Root Injections
196(22)
Cervical Transforaminal Injections
196(2)
C2 Dorsal Root Ganglion Injection
198(3)
C3 to C7 Transforaminal Injections
201(9)
Selective Nerve Root Injection or Epidural Steroid Injection
210(6)
Interlaminar Epidural Steroid Injections
216(2)
Bibliography
218(3)
Fluoroscopic Images of the Sacrum and Pelvis
221(8)
Posterior View of the Pelvis and the Sacrum
223(1)
A/P View of Fluoroscopic Image of the Sacrum
224(4)
Bibliography
228(1)
Pelvic and Sacral Injections
229(18)
Sacroiliac Joint Injection
231(7)
Caudal Epidural Steroid Injection
238(8)
Bibliography
246(1)
Sympathetic Blocks
247(22)
Stellate Ganglion Block (Right Side)
249(4)
Lumbar Sympathetic Block
253(8)
Superior Hypogastric Plexus Block
261(6)
Bibliography
267(2)
Index 269

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