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The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections - Linda Hong Wang

The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections

Hardcover

Published: 13th January 2006
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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 formal training in the anatomy of the vertebral column as it relates to radiographic imaging, nor do they receive any training in fluoroscopic imaging. While books do exist on the subject, they only show the final needle position for spinal injections, and offer very limited instruction.
The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections provides residents and fellows with a handbook that illustrates spinal injections in a step-by step fashion, while also describing fluoroscopic imaging and spinal anatomy as they relate to spinal injections, including the manipulation of the C-arm fluoroscope that is required in order to obtain ideal images for the performance of injections.
Based on a lengthy study of the relationships between skeletal models, the matching fluoroscopic image, and the desired needle placement in the cervical, lumbar, and sacral spinal regions, the text recreates those images that effectively demonstrate the relationships between the angle of the x-ray beam and the spinal column. Those chapters describing the fluoroscopic imaging of the cervical, lumbar, and sacral spine, provide details on how the trainee would go about obtaining the views needed to approach the spine in a safe and effective manor at each level.
The book also provides comprehensive information on performing stellate and lumbar sympathetic injections using fluoroscopy, taking readers through step-by-step approaches to each of the sympathetic blocks, while offering insights into how to ascertain the correct needle position at each level.
Simply and succinctly written, The Handbook of C-Arm Fluoroscopy-Guided Spinal Injections provides the field of pain management with a useful teaching aide for residents and fellows striving to improve their skills in the performance of spinal injections.

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An Introduction to Spinal Injectionsp. 1
Basic Radiographic Background of the Vertebral Columnp. 5
C-Arm Fluoroscopy and Imagesp. 7
Axial Skeletonp. 13
Anatomy of a Typical Lumbar Vertebrap. 15
Pelvic Girdle and Sacrump. 17
Classification of Bones and Typical Fluoroscopic Images of Bonesp. 18
Bibliographyp. 27
Radiation Safetyp. 29
Quantification of Radiation Exposurep. 31
Steps to Minimize Radiation Exposurep. 32
Shieldingp. 39
Bibliographyp. 39
Basic Steps for Spinal Injectionsp. 41
Bibliographyp. 54
Fluoroscopic Images of the Lumbar Spinep. 55
Positioning the Patientp. 57
Anterior/Posterior View of the Lumbar Spinep. 57
Oblique View of the Lumbar Spinep. 59
Lateral View of the Lumbar Spinep. 62
Suggestions on How to Check the Needle Depthp. 67
Bibliographyp. 69
Lumbar Spinal Injectionsp. 71
Lumbar Spinal Injectionsp. 73
Lumbar Medial Branch Blockp. 73
Lumbar Medial Branch Denervationp. 87
Lumbar Transforaminal Epidural Steroid Injectionp. 88
Special Considerations of Oblique Viewsp. 94
Rules for Getting Oblique Views of the Lumbar Spinep. 95
Lumbar Transforaminal Epidural Steroid Injection at the Level of L5/S1p. 111
Lumbar Discographyp. 124
Introductionp. 124
Manometryp. 127
Patient Preparationp. 127
Sedationp. 127
Preparation for Needle Placementp. 128
Patient Positionp. 128
C-Arm Positionp. 129
Needle Placementp. 130
Potential Difficulties with Needle Placement (Annular Placement of the Needle)p. 132
Contrast Injection within the Disc Spacep. 136
Mechanically vs. Chemically Sensitive Discsp. 141
Discography at L5/S1p. 141
Positioning C-Arm Fluoroscopyp. 142
Needle Insertionp. 142
Confirming the Needle Placementp. 145
Injecting Contrastp. 146
Post-Procedurep. 147
Bibliographyp. 148
Fluoroscopic Images of the Cervical Spinep. 151
Positioning the Patientp. 153
Positioning the C-Arm Fluoroscopyp. 154
A/P (P/A) View and Lateral View of the Cervical Spinep. 155
Comparison of Cervical Vertebrae and Lumbar Vertebraep. 156
Lateral and Oblique Views of the Cervical Spinep. 158
Cervical Intervetrebral Foramina and the Cervical Spinal Nerve Rootsp. 165
Bibliographyp. 167
Cervical Injectionsp. 169
Preparation for the Performance of Cervical Injectionsp. 171
Cervical Facet Injectionsp. 172
Intra-Articular Facet Injectionsp. 174
C1/C2 Joint Injectionp. 174
C2/C3 to C6/C7 Intra-Articular Joint Injectionsp. 180
Cervical Medial Branch Injectionsp. 186
Cervical Medial Branchp. 191
Radiofrequency Denervationp. 191
Radiofrequency Denervation: (C3 to C8) Medial Branchesp. 192
Cervical Epidural and Selective Nerve Root Injectionsp. 196
Cervical Transforaminal Injectionsp. 196
C2 Dorsal Root Ganglion Injectionp. 198
C3 to C7 Transforaminal Injectionsp. 201
Selective Nerve Root Injection or Epidural Steroid Injectionp. 210
Interlaminar Epidural Steroid Injectionsp. 216
Bibliographyp. 218
Fluoroscopic Images of the Sacrum and Pelvisp. 221
Posterior View of the Pelvis and the Sacrump. 223
A/P View of Fluoroscopic Image of the Sacrump. 224
Bibliographyp. 228
Pelvic and Sacral Injectionsp. 229
Sacroiliac Joint Injectionp. 231
Caudal Epidural Steroid Injectionp. 238
Bibliographyp. 246
Sympathetic Blocksp. 247
Stellate Ganglion Block (Right Side)p. 249
Lumbar Sympathetic Blockp. 253
Superior Hypogastric Plexus Blockp. 261
Bibliographyp. 267
Indexp. 269
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780849322549
ISBN-10: 0849322545
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 296
Published: 13th January 2006
Publisher: Taylor & Francis Inc
Country of Publication: US
Dimensions (cm): 25.4 x 17.8  x 2.06
Weight (kg): 0.68
Edition Number: 1