Abstract The transforaminal epidural steroid injection was developed to deliver injectate to the ventral epidural space because the putative site of pain generation is the posterior anulus and the ventral…
Abstract Unlike most other fluoroscopic techniques described in this atlas, there is no specific trajectory. The palpation of the sacral hiatus in combination with imaging is required to determine the…
keywords ALARA, fluoroscopy, Radiation safety Note: Please see pages ii , iii for a list of anatomic terms/abbreviations used throughout this book. This chapter provides interventionalists practical ways to…
Abstract An in-plane ultrasound-guided injection technique will be presented since it allows for continuous needle tip visualization. We recommend a combined ultrasound-fluoroscopy hybrid procedure utilizing ultrasound-guided needle placement followed by…
Keywords Comfort, Fluoroscopy, Infection control, Positioning, Safety, Time-out Note: Please see pages ii , iii for a list of anatomic terms/abbreviations used throughout this book. “Danger is my middle…
Abstract Many aspects are involved in a technically successful, efficient, and safe spinal injection procedure. These aspects are discussed in Box 2.1 . This chapter focuses on item 4 from…
Abstract Sacral insufficiency fractures are a common cause of low back pain. They are often underdiagnosed as a result of low clinical suspicion. These fractures are a consequence of the…
Abstract Ultrasound may be utilized to assist in locating the sacrococcygeal disc space and decreasing the radiation exposure associated with a purely fluoroscopic approach. Despite these benefits, ultrasound cannot consistently…
Abstract The main safety consideration is to avoid bowel perforation by going too far lateral on the anteroposterior (AP) view and too far ventral on the lateral view. Furthermore, a…
Abstract Interventional procedures play an integral role in the diagnosis and treatment of spinal pain. Injections can also be helpful in diagnosing or ruling out conditions that commonly masquerade as…
