Practice Guidelines for Spinal Diagnostic and Treatment Procedures

Description

Developed under the guidance of the ISIS Standards Committee and edited by Professor Nikolai Bogduk, internationally renowned and respected expert in clinical anatomy and spine pain, this comprehensive compendium on spine interventions is a must read for anyone performing interventional spine procedures. The book provides a summary of the current state of the evidence concerning each procedure, along with complete and detailed descriptions of the techniques used.

The book is divided into five sections: Precepts, Cervical Procedures, Thoracic Procedures, Lumbar Procedures, and Sacral Procedures. The Precepts section includes chapters on sedation, intravenous lines, records, anticoagulants, and principles of radiofrequency neurotomy. The four procedure sections cover access and applications of cervical, thoracic, lumbar, and sacral procedures. Each chapter contains dozens of high quality radiographic images depicting step-by-step needle placement technique and demonstrating injectate flow patterns.

From defining the procedures and discussing indications to addressing needle placement and outcomes assessment, the Second Edition ISIS Practice Guidelines for Spinal Diagnostic and Treatment Procedures is the definitive text on interventional spine procedures.

Contents

Dedication
Preface
Acknowledgements
Disclaimer

PRECEPTS

Sedation
Intravenous Lines
Records
Anticoagulants
Principles of Thermal Radiofrequency Neurotomy

CERVICAL PROCEDURES

Lateral Atlanto-Axial Joint Access
· Lateral Atlanto-Axial Joint Blocks
· Intra-articular Injection of Steroids
Cervical Zygapophysial Joint Intra-articular Access
· Applications of Cervical Zygapophysial Joint Intra-articular Access
Cervical Medial Branch Blocks
Third Occipital Nerve Blocks
Cervical Medial Branch Thermal Radiofrequency Neurotomy
· Efficacy of Cervical Thermal Radiofrequency Neurotomy
Cervical Interlaminar Epidural Access
· Insertion of Electrodes
·Insertion of Catheters
· Cervical Epidural Steroids
Cervical Transforaminal Access
· Cervical Spinal Nerve Blocks
· Cervical Transforaminal Injection of Steroids
Cervical Disc Stimulation (Provocation Discography)
An Algorithm for the Conduct of Cervical Synovial Joint Blocks

THORACIC PROCEDURES

Thoracic Disc Access
· Thoracic Disc Stimulation and Discography
Thoracic Transforaminal Access
· Applications of Thoracic Transforaminal Access
Thoracic Zygapophysial Intra-articular Access
· Applications of Thoracic Zygapophysial Joint Access
Thoracic Medial Branch Blocks

LUMBAR PROCEDURES

Lumbar Zygapophysial Joint Access
· Applications of Lumbar Zygapophysial Joint Access
Lumbar Intervertebral Disc Access
· Intradiscal Electrothermal Therapy
· Transdiscal Biacuplasty
·Lumbar Disc Stimulation
· Lumbar Discogenic Pain
Lumbar Transforaminal Access
· Lumbar and Sacral Spinal Nerve Blocks
· Lumbar and Sacral Transforaminal Injection of Steroids
· Transforaminal Injection of Etanercept
Lumbar Interlaminar Epidural Access
· Lumbar Epidural Steroids
Lumbar Medial Branch Blocks
Lumbar Medial Branch Thermal Radiofrequency Neurotomy
· Efficacy of Lumbar Medial Branch Thermal Radiofrequency Neurotomy
An Algorithm for the Investigation of Low Back Pain

SACRAL PROCEDURES

Sacroiliac Joint Access
· Sacroiliac Joint Blocks
· Sacroiliac Intra-articular Injection of Steroids