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.
1. Section I. Introduction - p. xxiii 2. Chapter 1. Introduction: How to Use This Atlas - p. 1 3. Chapter 2. Needle Techniques - p. 19 4. Chapter 3. Introduction to Fluoroscopic Techniques: Anatomy, Setup, and Procedural Pearls - p. 27 5. Chapter 4. Ultrasound Techniques and Procedural Pearls - p. 67 6. Chapter 5. Optimizing Patient Safety and Positioning - p. 97 7. Chapter 6. Radiation Safety - p. 109 8. Section II. Sacral/Coccygeal - p. 123 9. Chapter 7. Caudal Epidural Steroid Injection - p. 125 10. Chapter 7A. Caudal Epidural Steroid Injection—Shallow Angle Approach: Fluoroscopic Guidance - p. 127 11. Chapter 7B. Caudal Epidural Steroid Injection—Steep Angle Approach: Fluoroscopic Guidance - p. 135 12. Chapter 7C. Caudal Epidural Steroid Injection: Ultrasound Guidance - p. 141 13. Chapter 8. Ganglion Impar Injection - p. 147 14. Chapter 8A. Ganglion Impar Injection: Fluoroscopic Guidance - p. 149 15. Chapter 8B. Ganglion Impar Injection: Ultrasound Guidance - p. 159 16. Chapter 9. Sacral Insufficiency Fracture Repair/Sacroplasty - p. 163 17. Chapter 10. Sacroiliac Intraarticular Joint Injection - p. 171 18. Chapter 10A. Sacroiliac Intraarticular Joint Injection—Posterior Approach, Inferior Entry: Fluoroscopic Guidance - p. 173 19. Chapter 10B. Sacroiliac Intraarticular Joint Injection: Ultrasound Guidance - p. 181 20. Chapter 11. S1 Transforaminal Epidural Steroid Injection - p. 185 21. Section III. Lumbar/Lumbosacral - p. 191 22. Chapter 12. Lumbar Interlaminar Epidural Steroid Injection: Paramedian Approach - p. 193 23. Chapter 13. Lumbar Transforaminal Epidural Steroid Injection - p. 203 24. Chapter 13A. Lumbar Transforaminal Epidural Steroid Injection—Supraneural (Traditional) Approach: Fluoroscopic Guidance - p. 205 25. Chapter 13B. Lumbar Transforaminal Epidural Steroid Injection—Supraneural, Two-Needle Technique: Fluoroscopic Guidance - p. 217 26. Chapter 13C. Lumbar Transforaminal Epidural Steroid Injection—Infraneural Approach: Fluoroscopic Guidance - p. 227 27. Chapter 13D. Lumbar Transforaminal Epidural Steroid Injection: Needle Localization Diagram - p. 235 28. Chapter 14. Lumbar Myelography - p. 237 29. Chapter 15. Lumbar Zygapophysial (Facet) Joint Procedures - p. 249 30. Chapter 15A. Lumbar Zygapophysial Intraarticular Joint Injection—Posterior Approach: Fluoroscopic Guidance - p. 251 31. Chapter 15B. Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection—Oblique Approach: Fluoroscopic Guidance - p. 265 32. Chapter 15C. Lumbar Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance - p. 273 33. Chapter 15D. Lumbar Medial Branch Blocks—Midline: Ultrasound Guidance - p. 281 34. Chapter 15E. Lumbar Zygapophysial Joint Innervation, Anatomy, Dissections, and Lesion Zone Diagrams - p. 285 35. Chapter 16. Lumbar Sympathetic Block - p. 291 36. Chapter 17. Lumbar Provocation Discography/Disc Access - p. 297 37. Chapter 17A. Lumbar Provocation Discography/Disc Access: Standard Fluoroscopic Techniques - p. 299 38. Chapter 17B. L5-S1 Disc Access - p. 311 39. Section IV. Thoracolumbar - p. 323 40. Chapter 18. Thoracolumbar Spinal Cord Stimulation - p. 325 41. Chapter 19. Vertebral Augmentation (Vertebroplasty/Kyphoplasty): Transpedicular Approach - p. 337 42. Section V. Thoracic - p. 348 43. Chapter 20. Thoracic Interlaminar Epidural Steroid Injection: Paramedian Approach - p. 349 44. Chapter 21. Thoracic Transforaminal Epidural Steroid Injection: Infraneural Approach - p. 355 45. Chapter 22. Thoracic Zygapophysial (Facet) Joint Procedures - p. 361 46. Chapter 22A. Thoracic Zygapophysial Joint Intraarticular Injection—Posterior Approach: Fluoroscopic Guidance - p. 363 47. Chapter 22B. Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection—Posterior Approach: Fluoroscopic Guidance - p. 369 48. Chapter 22C. Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance - p. 375 49. Chapter 22D. Thoracic Zygapophysial Joint Innervation: Anatomy Diagrams - p. 381 50. Chapter 23. Intercostal Nerve Injections - p. 383 51. Chapter 23A. Intercostal Blockade: Fluoroscopic Guidance - p. 385 52. Chapter 23B. Intercostal Nerve Injection, In-Plane Approach, Ultrasound Guidance - p. 391 53. Chapter 24. Thoracic Disc Access - p. 395 54. Section VI. Cervical - p. 400 55. Chapter 25. Cervical Interlaminar Epidural Steroid Injection—Paramedian Approach - p. 401 56. Chapter 26. Cervical Spinal Cord Stimulation - p. 411 57. Chapter 27. Cervical Transforaminal Epidural Steroid Injection - p. 417 58. Chapter 28. Stellate Ganglion Injection - p. 427 59. Chapter 28A. Stellate Ganglion Block: Fluoroscopic Guidance - p. 429 60. Chapter 28B. Stellate Ganglion Injection: Ultrasound Guidance - p. 435 61. Chapter 29. Cervical Discography/Disc Access - p. 441 62. Chapter 30. Cervical Zygapophysial Joint and Medial Branch Nerve Injections and Radiofrequency Neurotomy - p. 451 63. Chapter 30A. Cervical Zygapophysial Joint Intraarticular Injection, Posterior Approach: Fluoroscopic Guidance - p. 453 64. Chapter 30B. Cervical Zygapophysial Joint Intraarticular Injection, Lateral Approach: Fluoroscopic Guidance - p. 459 65. Chapter 30C. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance - p. 465 66. Chapter 30D. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Lateral Approach: Fluoroscopic Guidance - p. 471 67. Chapter 30E. Cervical Zygapophysial Intraarticular Injection—Posterior Approach: Ultrasound Guidance - p. 481 68. Chapter 30F. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection, Posterior Approach: Fluoroscopic Guidance - p. 487 69. Chapter 30G. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy/Injection—Posterior Approach: Ultrasound Guidance - p. 499 70. Chapter 30H. Cervical Zygapophysial Joint Innervation: Anatomy, Dissections, and Lesion Zone Diagrams - p. 505 71. Chapter 31. Atlantoaxial Joint Intraarticular Injection - p. 515 72. Chapter 32. Atlantooccipital Joint Intraarticular Injection - p. 521 73. Chapter 33. Greater Occipital Nerve Steroid Injection—In-Plane Approach - p. 529 74. Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Shoulder Region - p. 532 75. Chapter 34. Shoulder Region Injections - p. 533 76. Chapter 34A. Intraarticular Shoulder Injections—Anterior Approach: Fluoroscopic Guidance - p. 535 77. Chapter 34B. Intraarticular Shoulder Injection—Posterior Approach: Ultrasound Guidance - p. 543 78. Chapter 34C. Shoulder/Subacromial–Subdeltoid Bursa Injection—Lateral Approach: Ultrasound Guidance - p. 551 79. Chapter 34D. Shoulder/Acromioclavicular Joint Injection—Out-of-Plane Approach: Ultrasound Guidance - p. 557 80. Chapter 34E. Suprascapular Nerve Injection—In-Plane Approach: Ultrasound Guidance - p. 563 81. Chapter 34F. Biceps Tendon Sheath Injection—In-Plane Approach: Ultrasound Guidance - p. 569 82. Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Hip Region - p. 574 83. Chapter 35. Hip Region Injections - p. 575 84. Chapter 35A. Intraarticular Hip Injection—Anterior Approach: Fluoroscopic Guidance - p. 577 85. Chapter 35B. Intraarticular Hip Injection—Lateral Approach: Fluoroscopic Guidance - p. 583 86. Chapter 35C. Intraarticular Hip Injection—Anterior Approach: Ultrasound Guidance - p. 589 87. Chapter 35D. Greater Trochanteric Bursa/Gluteus Medius Injection: Ultrasound Guidance - p. 595 88. Chapter 35E. Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance - p. 601 89. Chapter 36. Iliac Crest Bone Marrow Biopsy/Aspiration - p. 607 90. Chapter 36A. Iliac Crest Bone Marrow Aspiration: Fluoroscopic Guidance - p. 609 91. Chapter 36B. Iliac Crest Bone Marrow Aspiration: Ultrasound Guidance - p. 615 92. Appendices. Spinal Intervention Reference Tables and Guidelines - p. 621 93. Index - p. 631
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.
1. Section I. Introduction - p. xxiii 2. Chapter 1. Introduction: How to Use This Atlas - p. 1 3. Chapter 2. Needle Techniques - p. 19 4. Chapter 3. Introduction to Fluoroscopic Techniques: Anatomy, Setup, and Procedural Pearls - p. 27 5. Chapter 4. Ultrasound Techniques and Procedural Pearls - p. 67 6. Chapter 5. Optimizing Patient Safety and Positioning - p. 97 7. Chapter 6. Radiation Safety - p. 109 8. Section II. Sacral/Coccygeal - p. 123 9. Chapter 7. Caudal Epidural Steroid Injection - p. 125 10. Chapter 7A. Caudal Epidural Steroid Injection—Shallow Angle Approach: Fluoroscopic Guidance - p. 127 11. Chapter 7B. Caudal Epidural Steroid Injection—Steep Angle Approach: Fluoroscopic Guidance - p. 135 12. Chapter 7C. Caudal Epidural Steroid Injection: Ultrasound Guidance - p. 141 13. Chapter 8. Ganglion Impar Injection - p. 147 14. Chapter 8A. Ganglion Impar Injection: Fluoroscopic Guidance - p. 149 15. Chapter 8B. Ganglion Impar Injection: Ultrasound Guidance - p. 159 16. Chapter 9. Sacral Insufficiency Fracture Repair/Sacroplasty - p. 163 17. Chapter 10. Sacroiliac Intraarticular Joint Injection - p. 171 18. Chapter 10A. Sacroiliac Intraarticular Joint Injection—Posterior Approach, Inferior Entry: Fluoroscopic Guidance - p. 173 19. Chapter 10B. Sacroiliac Intraarticular Joint Injection: Ultrasound Guidance - p. 181 20. Chapter 11. S1 Transforaminal Epidural Steroid Injection - p. 185 21. Section III. Lumbar/Lumbosacral - p. 191 22. Chapter 12. Lumbar Interlaminar Epidural Steroid Injection: Paramedian Approach - p. 193 23. Chapter 13. Lumbar Transforaminal Epidural Steroid Injection - p. 203 24. Chapter 13A. Lumbar Transforaminal Epidural Steroid Injection—Supraneural (Traditional) Approach: Fluoroscopic Guidance - p. 205 25. Chapter 13B. Lumbar Transforaminal Epidural Steroid Injection—Supraneural, Two-Needle Technique: Fluoroscopic Guidance - p. 217 26. Chapter 13C. Lumbar Transforaminal Epidural Steroid Injection—Infraneural Approach: Fluoroscopic Guidance - p. 227 27. Chapter 13D. Lumbar Transforaminal Epidural Steroid Injection: Needle Localization Diagram - p. 235 28. Chapter 14. Lumbar Myelography - p. 237 29. Chapter 15. Lumbar Zygapophysial (Facet) Joint Procedures - p. 249 30. Chapter 15A. Lumbar Zygapophysial Intraarticular Joint Injection—Posterior Approach: Fluoroscopic Guidance - p. 251 31. Chapter 15B. Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection—Oblique Approach: Fluoroscopic Guidance - p. 265 32. Chapter 15C. Lumbar Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance - p. 273 33. Chapter 15D. Lumbar Medial Branch Blocks—Midline: Ultrasound Guidance - p. 281 34. Chapter 15E. Lumbar Zygapophysial Joint Innervation, Anatomy, Dissections, and Lesion Zone Diagrams - p. 285 35. Chapter 16. Lumbar Sympathetic Block - p. 291 36. Chapter 17. Lumbar Provocation Discography/Disc Access - p. 297 37. Chapter 17A. Lumbar Provocation Discography/Disc Access: Standard Fluoroscopic Techniques - p. 299 38. Chapter 17B. L5-S1 Disc Access - p. 311 39. Section IV. Thoracolumbar - p. 323 40. Chapter 18. Thoracolumbar Spinal Cord Stimulation - p. 325 41. Chapter 19. Vertebral Augmentation (Vertebroplasty/Kyphoplasty): Transpedicular Approach - p. 337 42. Section V. Thoracic - p. 348 43. Chapter 20. Thoracic Interlaminar Epidural Steroid Injection: Paramedian Approach - p. 349 44. Chapter 21. Thoracic Transforaminal Epidural Steroid Injection: Infraneural Approach - p. 355 45. Chapter 22. Thoracic Zygapophysial (Facet) Joint Procedures - p. 361 46. Chapter 22A. Thoracic Zygapophysial Joint Intraarticular Injection—Posterior Approach: Fluoroscopic Guidance - p. 363 47. Chapter 22B. Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection—Posterior Approach: Fluoroscopic Guidance - p. 369 48. Chapter 22C. Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy—Posterior Approach: Fluoroscopic Guidance - p. 375 49. Chapter 22D. Thoracic Zygapophysial Joint Innervation: Anatomy Diagrams - p. 381 50. Chapter 23. Intercostal Nerve Injections - p. 383 51. Chapter 23A. Intercostal Blockade: Fluoroscopic Guidance - p. 385 52. Chapter 23B. Intercostal Nerve Injection, In-Plane Approach, Ultrasound Guidance - p. 391 53. Chapter 24. Thoracic Disc Access - p. 395 54. Section VI. Cervical - p. 400 55. Chapter 25. Cervical Interlaminar Epidural Steroid Injection—Paramedian Approach - p. 401 56. Chapter 26. Cervical Spinal Cord Stimulation - p. 411 57. Chapter 27. Cervical Transforaminal Epidural Steroid Injection - p. 417 58. Chapter 28. Stellate Ganglion Injection - p. 427 59. Chapter 28A. Stellate Ganglion Block: Fluoroscopic Guidance - p. 429 60. Chapter 28B. Stellate Ganglion Injection: Ultrasound Guidance - p. 435 61. Chapter 29. Cervical Discography/Disc Access - p. 441 62. Chapter 30. Cervical Zygapophysial Joint and Medial Branch Nerve Injections and Radiofrequency Neurotomy - p. 451 63. Chapter 30A. Cervical Zygapophysial Joint Intraarticular Injection, Posterior Approach: Fluoroscopic Guidance - p. 453 64. Chapter 30B. Cervical Zygapophysial Joint Intraarticular Injection, Lateral Approach: Fluoroscopic Guidance - p. 459 65. Chapter 30C. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Anterolateral Approach: Ultrasound Guidance - p. 465 66. Chapter 30D. Cervical Zygapophysial Joint Nerve (Medial Branch) Injection—Lateral Approach: Fluoroscopic Guidance - p. 471 67. Chapter 30E. Cervical Zygapophysial Intraarticular Injection—Posterior Approach: Ultrasound Guidance - p. 481 68. Chapter 30F. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection, Posterior Approach: Fluoroscopic Guidance - p. 487 69. Chapter 30G. Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy/Injection—Posterior Approach: Ultrasound Guidance - p. 499 70. Chapter 30H. Cervical Zygapophysial Joint Innervation: Anatomy, Dissections, and Lesion Zone Diagrams - p. 505 71. Chapter 31. Atlantoaxial Joint Intraarticular Injection - p. 515 72. Chapter 32. Atlantooccipital Joint Intraarticular Injection - p. 521 73. Chapter 33. Greater Occipital Nerve Steroid Injection—In-Plane Approach - p. 529 74. Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Shoulder Region - p. 532 75. Chapter 34. Shoulder Region Injections - p. 533 76. Chapter 34A. Intraarticular Shoulder Injections—Anterior Approach: Fluoroscopic Guidance - p. 535 77. Chapter 34B. Intraarticular Shoulder Injection—Posterior Approach: Ultrasound Guidance - p. 543 78. Chapter 34C. Shoulder/Subacromial–Subdeltoid Bursa Injection—Lateral Approach: Ultrasound Guidance - p. 551 79. Chapter 34D. Shoulder/Acromioclavicular Joint Injection—Out-of-Plane Approach: Ultrasound Guidance - p. 557 80. Chapter 34E. Suprascapular Nerve Injection—In-Plane Approach: Ultrasound Guidance - p. 563 81. Chapter 34F. Biceps Tendon Sheath Injection—In-Plane Approach: Ultrasound Guidance - p. 569 82. Section VII. Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Masqueraders Hip Region - p. 574 83. Chapter 35. Hip Region Injections - p. 575 84. Chapter 35A. Intraarticular Hip Injection—Anterior Approach: Fluoroscopic Guidance - p. 577 85. Chapter 35B. Intraarticular Hip Injection—Lateral Approach: Fluoroscopic Guidance - p. 583 86. Chapter 35C. Intraarticular Hip Injection—Anterior Approach: Ultrasound Guidance - p. 589 87. Chapter 35D. Greater Trochanteric Bursa/Gluteus Medius Injection: Ultrasound Guidance - p. 595 88. Chapter 35E. Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance - p. 601 89. Chapter 36. Iliac Crest Bone Marrow Biopsy/Aspiration - p. 607 90. Chapter 36A. Iliac Crest Bone Marrow Aspiration: Fluoroscopic Guidance - p. 609 91. Chapter 36B. Iliac Crest Bone Marrow Aspiration: Ultrasound Guidance - p. 615 92. Appendices. Spinal Intervention Reference Tables and Guidelines - p. 621 93. Index - p. 631
