Ultrasound Techniques and Procedural Pearls
Abstract This chapter provides a basic introduction to ultrasound and its use in interventional procedures. We will discuss several ways to improve image quality and optimize the features of ultrasound…
Caudal Epidural Steroid Injection—Steep Angle Approach: Fluoroscopic Guidance
Keywords caudal, epidural steroid injection, fluoroscopy, radiculopathy, sacral canal, sacral hiatus Note: Please see pages ii , iii for a list of anatomic terms/abbreviations used throughout this book. In…
Lumbar Transforaminal Epidural Steroid Injection—Supraneural, Two-Needle Technique: Fluoroscopic Guidance
Abstract The 2-needle technique is known to many in the interventional spine field as a method commonly used to access the intradiscal space. In some circles, this technique is also…
Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection—Oblique Approach: Fluoroscopic Guidance
Abstract The fluoroscopically guided lumbar medial branch block will be described using the oblique view as the trajectory view, and needle placement is confirmed in the anteroposterior view. The oblique…
Caudal Epidural Steroid Injection: Ultrasound Guidance
Abstract This approach utilizes ultrasound for sacral cornua identification and allows driving live under in-plane guidance into the caudal epidural space. This view is similar to a fluoroscopic lateral view…
Introduction to Fluoroscopic Techniques: Anatomy, Setup, and Procedural Pearls
Abstract This chapter describes basic and advanced fluoroscopy techniques to achieve optimal C-arm setups. These include an understanding of the C-arm operation, fluoroscopic anatomy, basic projections, optimal views, and parallax….
Lumbar Interlaminar Epidural Steroid Injection: Paramedian Approach
Abstract Lumbar interlaminar epidural injections are commonly performed for a variety of spinal pain disorders. They are specifically indicated for radicular symptoms with or without axial pain experienced because of…
Sacroiliac Intraarticular Joint Injection—Posterior Approach, Inferior Entry: Fluoroscopic Guidance
Abstract Unlike other procedures with orthogonal imaging (i.e., anteroposterior and lateral), the typical views used here are anteroposterior and oblique views that optimize the visualization of the sacroiliac joint (SIJ)….
S1 Transforaminal Epidural Steroid Injection
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…
Caudal Epidural Steroid Injection—Shallow Angle Approach: Fluoroscopic Guidance
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…
