Download PDF
Semin intervent Radiol 1999; 16(2): 99-112
DOI: 10.1055/s-0028-1082195
Copyright © 1999 by Thieme Medical Publishers, Inc.

Interventional Spinal Procedures in Musculoskeletal Radiology: Role in Pain Management

John J. Smith* , William E. Palmer* , Susan V. Kattapuram* , Mary Elizabeth Jensen†
  • *Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts and
  • †Department Radiology, University of Virginia Health System, Charlottesville, Virginia
Further Information

Publication History

Publication Date:
12 September 2008 (online)

Also available at
  PDF Download  Permissions and Reprints

Abstract

Image-guided procedures have seen explosive growth in the past decade, and spinal interventional procedures directed at back pain are no exception. These interventions may provide valuable diagnostic information regarding the source of the patient's pain, and in many cases provide therapeutic relief of symptoms. Examples of these procedures are facet joint injections, selective and nonselective epidural injections, sacroiliac joint injections, and vertebroplasty. This article discusses general considerations surrounding these techniques, including medication selection. Technical aspects of each procedure are described in detail, with separate discussions of the cervical, thoracic, and lumbar spine applications. While not intended as a substitute for formal training, this information is designed to serve as a reference for both practitioners new to spinal intervention as well as more experienced operators.

Keywords:

Spinal procedures - pain management - facet joint injection - nerve root block - epidural injection

      >