Image-guided Spine Intervention Research Articles

Image-Guided Spine Interventions for Pain: Ongoing Controversies.

An expanding array of image-guided spine interventions have the potential to provide immediate and effective pain relief. Innovations in spine intervention have proceeded rapidly, with clinical adoption of new techniques at times occurring before the development of bodies of evidence to establish efficacy. Although new spine interventions have been evaluated by clinical trials, acceptance of results has been hindered by controversies regarding trial methodology. This article explores controversial aspects of four categories of image-guided interventions for painful conditions: spine interventions for postdural puncture headache resulting from prior lumbar procedures, epidural steroid injections for cervical and lumbar radiculopathy, interventions for facet and sacroiliac joint pain, and vertebral augmentations for compression fractures. For each intervention, we summarize the available literature, with an emphasis on persistent controversies, and discuss how current areas of disagreement and challenge may shape future research and innovation. Despite the ongoing areas of debate regarding various aspects of these procedures, effective treatments continue to emerge and show promise for aiding relief of a range of debilitating conditions.

Editorial Comment: The Evolving World of Image-Guided Spine Intervention.

Editorial Comment: The Evolving World of Image-Guided Spine InterventionJeffrey A. Belair, MD1Audio Available | Share

Minimally Invasive Image-Guided Spine Interventions

Minimally Invasive Image-Guided Spine Interventions

Duration of Fluoroscopic-Guided Spine Interventions and Radiation Exposure Is Increased in Overweight Patients

The impact of patient body mass index (BMI) on image-guided spine interventions remains unknown. Higher BMI is known to complicate the acquisition of radiographic images. Therefore it can be hypothesized that the patient's body habitus can influence the delivery of a spinal injection. To quantify the impact of patient BMI on the length of fluoroscopy and procedure times during spine interventions. Secondary analysis of 2 prospective observational studies. All injections were performed in an outpatient university setting. A total of 209 patients in whom spine injections were performed (99 women), with a mean age of 54.6 years. The fluoroscopy times for 202 participants and total procedure times for 137 participants were recorded. Additional participant characteristics, including age, gender, BMI, and actual procedures performed, also were collected. Analysis of covariance and linear and nonlinear model analysis were performed to assess the effect of BMI on fluoroscopy and procedure times. Fluoroscopy time and procedure duration times. Participants had a mean age of 54.6 years, 51% were men, and 77% (n = 155) were overweight (BMI ≥25). Participants received the following interventions: 40 zygapophyseal joint injections, 33 medial branch nerve blocks, 113 transforaminal epidural injections, and 16 combined zygapophyseal joint injections and epidural injections. Gender, procedure number, and procedure type did not differ between groups. The overweight group demonstrated a 30% increase in mean fluoroscopy time and a 35% increase in mean procedure time. Controlling for other variables, we found that differences in fluoroscopy time and procedure time were significant (P = .032 and P = .031, respectively) between the 2 groups. Significantly prolonged procedure time and fluoroscopy time in overweight patients increase the risks associated with spine interventions, not only to the patients but also to the operating room staff exposed to ionizing radiation.

Innovation in Image-Guided Spine Intervention

Image-guided spine intervention continues to evolve and is still an intellectually active field. But it is important not to confuse market and commercial success with intellectual, medical, or long-term success. What drives this evolution and innovation, and where is the activity currently? The history of vertebroplasty is a good case in point.

Image-Guided Spine Intervention

Australasian RadiologyVolume 49, Issue 3 p. 258-258 Image-Guided Spine Intervention G Fon, G FonSearch for more papers by this author G Fon, G FonSearch for more papers by this author First published: 01 June 2005 https://doi.org/10.1111/j.1440-1673.2005.01453.xRead the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Volume49, Issue3June 2005Pages 258-258 RelatedInformation

Image-guided Spine Intervention

Foreword by Michael S. Huckman, MD 1. Basic Needle Manipulation Techniques 2. Facet Joint Injection and Medial Branch Block 3. Facet Denervation 4. Selective Nerve Root Procedures 5. Epidural Injections 6. Sacroiliac Joint Injection 7. Percutaneous Spine Biopsy 8. Vertebroplasty 9. Discography 10. IDETT IntraDiscal ElectroThermal Therapy 11. Medications Used During Spine Procedures

Radiation Safety during Spine Interventions

Image-guided spine interventions are being performed by radiologists and other physicians with increased frequency. This article assesses the use of several techniques and devices that can mitigate radiation exposure during interventional procedures. Measurements were obtained on a humanoid phantom with use of various shielding methods. Significant radiation dose reductions as great as 98.7% can be achieved with use of a combination of stationary and mobile lead barriers and operator position. The application of basic radiation physics in combination with prudent radiographic technique can significantly reduce radiation exposure to the operator and other personnel during spine interventions.

Book Review: Image-Guided Spine Interventions

Book Review: Image-Guided Spine Interventions

Image-Guided Spine Intervention.

Image-Guided Spine Intervention.

Image-Guided Spine Intervention.

Image-Guided Spine Intervention.

The pharmaceuticals and materials used in common spine interventions

Image-guided spine interventions are rapidly increasing in number in the realm of the interventional radiologist. Appropriate selection and understanding of the pharmaceuticals used in these procedures is necessary to minimize complications and maximize successful outcomes. Copyright 2002, Elsevier Science (USA). All rights reserved.