Give your patients the non-surgical spine pain relief they need with help from the Atlas of Image-Guided Spinal Procedures by Dr. Michael Bruce Furman. This medical reference book features a highly visual atlas format that shows you exactly how to safely and efficiently perform each technique step-by-step.


A unique, systematic, safe, and efficient approach makes Atlas of Image-Guided Spinal Procedures your go-to resource for spine pain relief for your patients. The highly visual format shows you exactly how to perform each technique, highlighting imaging pearls and emphasizing optimal and suboptimal imaging. Updated content includes ultrasound techniques and procedures for "spine mimickers," including hip and shoulder image-guided procedures, keeping you on the cutting edge of contemporary spine pain-relief methods.

New to this Edition
•Includes new and unique diagrams demonstrating cervical, thoracic, and lumbar radiofrequency probe placement and treatment zones on multi-planar views, in addition to high-quality videos of live optimal and suboptimal contrast flow.
•Features new coverage of ultrasound techniques, as well as image-guided procedures for "spine mimickers," such as hip and shoulder.
•Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to access and search all of the text, figures, images, videos, and references from the book on a variety of devices.

Key Features
•Safely and efficiently relieve your patients' pain with consistent, easy-to-follow chapters that guide you through each technique.
•Highly visual atlas presentation of an algorithmic, image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "set up"); multi-planar confirmation views (AP, lateral, oblique); and safety view (what should be avoided during injection), along with optimal and suboptimal contrast patterns.
•Special chapters on Needle Techniques, Procedural Safety, Fluoroscopic and Ultrasound Imaging Pearls, Radiation Safety, and L5-S1 Disc Access provide additional visual instruction.
•View drawings of radiopaque landmarks and key radiolucent anatomy that cannot be viewed fluoroscopically.

Section 1: Introduction

1. Introduction: How to Use This Atlas

2. Needle Techniques

3. Fluoroscopic Techniques: Anatomy and Set-Up

4. Ultrasound Techniques and Pearls

5. Optimizing Patient Safety and Positioning

6. Radiation Safety


Section 2: Sacral/Coccygeal

7A Caudal Epidural Steroid Injection--Shallow Angle Approach: Fluoroscopic Guidance

7B Caudal Epidural Spinal Injection--Steep Angle Approach: Fluoroscopic Guidance

7C Caudal Epidural Steroid Injection: Ultrasound Guidance

8A Ganglion Impar Injection: Fluoroscopic Guidance

8B Ganglion Impar Injection: Ultrasound Guidance

9. Sacral Insufficiency Fracture Repair/Sacroplasty: Fluoroscopic Guidance

10A Sacroiliac Intraarticular Joint Injections--Posterior Approach, Inferior Entry: Fluoroscopic Guidance

10B Sacroiliac Intraarticular Joint Injection: Ultrasound Guidance

11. S1 Transforaminal Epidural Steroid Injection


Section 3: Lumbar/Lumbosacral

12. Lumbar Interlaminar Epidural Steroid Injection--Paramedian Approach: Fluoroscopic Guidance

13A Lumbar Transforaminal Epidural Steroid Injection--Supraneural, Traditional Single-Needle Technique: Fluoroscopic Guidance

13B Lumbar Transforaminal Epidural Steroid Injection--Supraneural, Two-Needle Technique: Fluoroscopic Guidance

13C Lumbar Transforaminal Epidural Steroid Injection--Infraneural: Fluoroscopic Guidance

13D Lumbar Transforaminal Epidural Steroid Injection--Needle Localization Diagrams

14. Lumbar Myelography: Fluoroscopic Guidance

15A Lumbar Zygapophysial Joint Intraarticular Joint Injection--Posterior Approach: Fluoroscopic Guidance

15B Lumbar Zygapophysial Joint Nerve (Medial Branch) Injection--Oblique Approach: Fluoroscopic Guidance

15C Lumbar Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy, Posterior Approach: Fluoroscopic Guidance

15D Lumbar Medial Branch Blocks--Midline: Ultrasound Guidance

15E Lumbar Zygapophysial Joint Innervation--Anatomy Diagram and Lesion Zone Diagram

16. Lumbar Sympathetic Block: Fluoroscopic Guidance

17A Lumbar Provocation Discography/Disc Access: Standard Fluoroscopic Techniques

17B L5-S1 Disc Access: Fluoroscopic Guidance


Section 4: Thoracolumbar

18. Thoracolumbular Spinal Cord Stimulation: Fluoroscopic Guidance

19. Vertebral Augmentation (Vertebroplasty/Kyphoplasty), Transpedicular Approach: Fluoroscopic Guidance


Section 5: Thoracic

20. Thoracic Interlaminar Epidural Steroid Injection--Paramedian Approach, Fluoroscopic Guidance

21. Thoracic Transforaminal Epidural Steroid Injection--Infraneural Approach

22A Thoracic Zygapophysial Joint Intraarticular Injection--Posterior Approach: Fluoroscopic Guidance

22B Thoracic Zygapophysial Joint Nerve (Medial Branch) Injection--Posterior Approach: Fluoroscopic Guidance

22C Thoracic Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy--Posterior Approach: Fluoroscopic Guidance

22D Thoracic Zygapophysial Joint Innervation--Anatomy Diagram

23A Intercostal Nerve Injections: Fluoroscopic Guidance

23B Intercostal Nerve Injection--In-Plane Approach: Ultrasound Guidance

24. Thoracic Disc Access: Fluoroscopic Guidance


Section 6: Cervical

25. Cervical Interlaminar Epidural Steroid Injection--Paramedian Approach: Fluoroscopic Guidance

26. Cervical Spinal Cord Stimulation, Fluoroscopic Guidance

27. Cervical Transforaminal Epidural Steroid Injection: Fluoroscopic Guidance

28A Stellate Ganglion Injection: Fluoroscopic Guidance

28B Stellate Ganglion Injection: Ultrasound Guidance

29. Cervical Discography/Disc Access

30A Cervical Zygapophysial Joint Intraarticular Injection--Posterior Approach: Fluoroscopic Guidance

30B Cervical Zygapophysial Joint Intraarticular Injection--Lateral Approach: Fluoroscopic Guidance

30C Cervical Zygapophysial Nerve (Medial Branch) Injection--Lateral Approach: Ultrasound Guidance

30D Cervical Zygapophysial Joint Nerve (Medial Branch) Injection--Lateral Approach: Fluoroscopic Guidance

30E Cervical Zygapophysial Joint Intraarticular Injection--Posterior Approach: Ultrasound Guidance

30F Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection--Posterior Approach: Fluoroscopic Guidance

30G Cervical Zygapophysial Joint Nerve (Medial Branch) Radiofrequency Neurotomy and Nerve Injection--Posterior Approach: Ultrasound Guidance

30H Cervical Zygapophysial Joint Innervation--Anatomy Diagram and Lesion Zone Diagrams

31. Atlantoaxial Joint Intraarticular Injection: Fluoroscopic Guidance

32. Atlantooccipital Joint Intraarticular Injection: Fluoroscopic Guidance

33. Greater Occipital Nerve Steroid Injection-In Plane Approach: Ultrasound Guidance


Section 7: Additional Image-Guided Procedures for the Spine Care and Pain Specialist: Spine Pain Mimickers

Shoulder Region

34A Shoulder/Glenohumeral Joint Intraarticular Injection--Anterior Approach: Fluoroscopic Guidance

34B Intraarticular Shoulder/Glenohumeral Joint Injection--Posterior Approach: Ultrasound Guidance

34C Shoulder/Subacromial/Subdeltoid Injection--Lateral Approach: Ultrasound Guidance

34D Shoulder/Acromioclavicular Joint Injection--Posterior Approach: Ultrasound Guidance

34E Shoulder/Suprascapular Nerve Injection--Posterior Approach: Ultrasound Guidance

34F Shoulder/Biceps Tendon Sheath Injection--Anterior Approach: Ultrasound Guidance

Hip Region

35A Intra-articular Hip Injection--Anterior Approach: Fluoroscopic Guidance

35B Intra-articular Hip Injection--Lateral Approach: Fluoroscopic Guidance

35C Intraarticular Hip Injection--Anterior Approach: Ultrasound Guidance

35D Greater Trochanteric/Gluteus Medius Injection: Ultrasound Guidance

35E Lateral Femoral Cutaneous Nerve Injection: Ultrasound Guidance

36A Iliac Crest Biopsy/Aspiration: Fluoroscopic Guidance

36B Iliac Crest Biopsy: Ultrasound Guidance


Appendix

Spine Intervention References and Tables