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24 results found
Article

Caudal epidural injection

Caudal epidural injections, or sacral hiatus epidural injections, are one of several possible spinal epidural injections.  Indications Typically, epidural injections are performed in patients who are currently not surgical candidates. The caudal injection can be performed when patients are on ...
Article

Lumbar interlaminar epidural injection

Lumbar interlaminar epidural injections are one of some possible spinal epidural injections. For an alternative approach for the same region, please refer to the article on lumbar transforaminal epidural injections.  Indications Typically, epidural injections are performed in patients with rad...
Article

Lumbar spine protocol (MRI)

The MRI lumbar spine protocol encompasses a set of MRI sequences for the routine assessment of the lumbar spine. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the lumbar spine. Protocol specifics will vary depending on MRI scanner type, specific har...
Article

Cervical spine protocol (MRI)

The MRI cervical spine protocol encompasses a set of MRI sequences for the routine assessment of the cervical spine. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the cervical spine. Protocol specifics will vary depending on MRI scanner type, specif...
Article

Thoracic spine protocol (MRI)

The MRI thoracic spine protocol encompasses a set of MRI sequences for the routine assessment of the thoracic spine. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the thoracic spine. An MR thoracic spine protocol might be combined with a cervical sp...
Article

Basilar invagination

Basilar invagination, also called basilar impression, is a congenital or acquired craniocervical junction abnormality where the tip of the odontoid process projects above the foramen magnum.  Terminology The following terms are often used interchangeably because they describe upwards migration...
Article

Epidural blood patch

Epidural blood patches are a treatment option for patients with craniospinal hypotension or post-dural puncture headaches in which small volumes of autologous blood are injected into a patient's epidural space to stop cerebrospinal fluid leak. The procedure can be done blind or under imaging (fl...
Article

Klippel-Feil syndrome

Klippel-Feil syndrome is a complex heterogeneous entity that results in cervical vertebral fusion. Two or more non-segmented cervical vertebrae are usually sufficient for diagnosis. Epidemiology There is a recognized female predilection 1. Klippel-Feil syndrome has an incidence of 1:40,000-42,...
Article

Intradural spinal mass lesions (an approach)

Intradural spinal mass lesions are relatively uncommon, compared to intracranial or extradural masses, and can be challenging to diagnose. Additionally, the need for a pre-operative/non-operative diagnosis is in many ways greater as biopsy of lesions within the cord has the potential of devastat...
Article

Occipital condyle fracture

Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma. They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation. Treatment of isolated injury is generally conservative, unless t...
Article

Risser staging system

The Risser staging system is used to grade skeletal maturity based on the level of ossification and fusion of the iliac crest apophyses. It is used primarily in planning corrective surgery for scoliosis as a marker for skeletal maturity, which is a surrogate for growth velocity and potential, wh...
Article

Transforaminal epidural steroid injection

Transforaminal epidural steroid injections (TFESI), also known as transforaminal nerve root injections or nerve root blocks, are performed for the treatment and diagnosis of radicular pain. They differ from selective nerve root blocks (SNRB), as the aim is to get an "epidural spill" and get the ...
Article

Thoracolumbar injury classification and severity score (TLICS)

The thoracolumbar injury classification and severity score (TLICS), also sometimes known as the thoracolumbar injury severity score (TISS), was developed by the Spine Trauma Group in 2005 to overcome some of the perceived difficulties regarding the use of other thoracolumbar spinal fracture clas...
Article

Spinal instability neoplastic score (SINS)

The spinal instability neoplastic score (SINS) helps to assess tumor related instability of the vertebral column. It has been shown to be useful in guiding the mobilization or operative management of patients with neoplastic spinal disease. Studies have reported good inter-observer agreement am...
Article

Scoliosis

Scoliosis (plural: scolioses) is defined as an abnormal lateral curvature of the spine. It is quite common in young individuals and is often idiopathic and asymptomatic. In some cases, however, it is the result of underlying structural or neurological abnormalities. Terminology Early onset sco...
Article

Cervical interlaminar epidural steroid injection

Cervical interlaminar epidural steroid injections (ILESIs) are used to inject steroids in the epidural space and around the exiting nerve roots and are one of the two main spinal epidural injections; the other is cervical transforaminal epidural injections.  Indications Typically performed in ...
Article

Facet joint injection

Facet (zygapophyseal) joint injections are performed primarily for the diagnosis and differentiation of facet syndrome and radicular pain syndrome, and are one of the spinal interventional procedures. They can be performed under fluoroscopic, or CT image guidance, and cervical, thoracic or most ...
Case

Kyphoplasty – four levels

  Diagnosis certain
Vivien Jones
Published 17 Jun 2023
98% complete
MRI Fluoroscopy
Case

Recurrent L5/S1 disc bulge with transitional lumbosacral anatomy

  Diagnosis certain
Derek Smith
Published 11 May 2020
100% complete
MRI
Case

Crush injury with spinal, aortic and renal injuries

  Diagnosis certain
Derek Smith
Published 29 Jan 2018
95% complete
CT

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