Handbook of C-Arm Fluoroscopy-Guided Spinal Injections provides the field of pain management with a useful teaching aide for residents and fellows striving to improve their skills in the performance of spinal injections.

Features:

• Illustrates C-arm fluoroscopy-guided spinal injections in a step-by-step format
• Shows a safe method for performing cervical injections under fluoroscopy
• Instructs in the basic tenants of radiation safety
• Includes patient positioning as well as C-arm fluoroscope position
• Describes related anatomic structures on the spine
• Shows incorrect, as well as correct, needle placements illustrated from different views of the spine Includes over 300 illustrations that pinpoint exact locations and techniques

Contents

1. An Introduction to Spinal Injections

2. Basic Radiographic Background of the Vertebral Column
   • C-Arm Fluoroscopy and Images
   • Axial Skeleton
   • Classification of Bones and Typical Fluoroscopic Images of Bones

3. Radiation Safety
   • Quantification of Radiation Exposure
   • Steps to Minimize Radiation Exposure
   • Shielding

4. Basic Steps for Spinal Injections

5. Fluoroscopic Images of the Lumbar Spine
   • Lumbar Spinal Injections
   • Lumbar Medial Branch Block
   • Lumbar Transforaminal Epidural Steroid Injection
   • Rules for Getting Oblique Views of the Lumbar Spine
   • Lumbar Transforaminal Epidural Steroid Injection at the Level of L5/S1
   • Lumbar Discography
   • Manometry
   • Discography at L5/S1
   • Post-Procedure

6. Fluoroscopic Images of the Cervical Spine
   • Positioning the Patient
   • Positioning the C-Arm Fluoroscopy
   • A/P View and Lateral View of the Cervical Spine
   • Comparison of Cervical Vertebrae and Lumbar Vertebrae
   • Lateral and Oblique Views of the Cervical Spine
   • Cervical Intervetrebral Foramina and the Cervical Spinal Nerve Roots

7. Cervical Injections
   • Preparation for the Performance of Cervical Injections
   • Cervical Facet Injections
   • Intra-Articular Facet Injections
   • Cervical Medial Branch
   • Cervical Epidural and Selective Nerve Root Injections

8. Fluoroscopic Images of Scrum and Pelvis
   • Posterior View of the Pelvis and the Sacrum
   • A/P View of Fluoroscopic Image of the Sacrum

9. Pelvic and Sacral Injections
   • Sacroiliac Joint Injection
   • Caudal Epidural Steroid Injection

10. Sympathetic Injections
    • Stellate Ganglion Block
    • Lumbar Sympathetic Block
    • Superior Hypogastric Plexus Block

Index

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