Get Image-Guided Spine Interventions PDF

By John Mathis, Stanley Golovac

ISBN-10: 0387403205

ISBN-13: 9780387403205

This functional consultant completely discusses either well-established and new interventions which are utilized to the backbone for the aim of ache reduction. characteristically, discomfort systems have been within the constrained purview of the discomfort anesthesiologist. just a part of those tactics have been picture guided. the expansion in usage of backbone intervention and the conclusion that photograph counsel improves results and defense has produced a necessity for this state of the art booklet. This booklet is a perfect relief for radiologists and different physicians who care for again discomfort.

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We can also use oblique x-rays to expose the neural foramina and flexion/extension views to assess spinal stability. Because this diagnostic tool is noninvasive, most people with chronic pain accept it readily. Myelography Myelography may be used to confirm a diagnosis of a surgically correctable lesion, such as a herniated disk, and to pinpoint its exact location. It is less commonly used today but still helpful when primary screening with magnetic resonance imaging fails or cannot be used (as is the case when a pacemaker is present).

11. Bonica JJ. The Management of Pain. Philadelphia: Lea & Febiger; 1990: 95–121. 12. DeMyer W. Neuroanatomy. Philadelphia: Williams & Wilkins; 1988:87–126. 13. Bromage PR: Anatomy of the epidural space. In: Bromage PR, ed; Epidural Analgesia. Philadelphia: WB Saunders; 1978:8–20. 14. Reynolds AF, Roberts PA, Pollay M, et al. Quantitative anatomy of the thoracolumbar epidural space. Neurosurgery 1985;17:905. 15. Lasjaunias P, Berenstein A, TerBrugge KG. Surgical Neuroangiography. 2nd ed. New York: Springer-Verlag; 2001.

9 Although allergic reaction to nonionic contrasts exists, it may be lower than the incidence found with the ionic media. Routine use of nonionic contrast (Isovue, Omnipaque, Optivist, Optiray) is effective and safe for facet and sacroiliac joint injections. , epidural steroid injections), an agent that is approved for intrathecal use is recommended (Isovue M-200, Isovue M-300). 10 Commonly used agents or procedures include absolute alcohol, phenol, cryoanalgesia, and radiofrequency lesions. These materials or methods are intended to create long-term or permanent damage.

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Image-Guided Spine Interventions by John Mathis, Stanley Golovac


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