Articles
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16 results found
Article
CT myelography
CT myelography (CTM) is a myelography technique used mainly to assess for potential spinal canal stenosis when MRI is contraindicated or when dynamic imaging is required.
History
CT myelography was first performed in 1976 2 and became the gold standard for imaging the spinal canal and cord unt...
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 ...
Article
Fluoroscopic myelography
Fluoroscopic myelography is a technique that allows the visualization of the theca by the introduction of contrast medium into the CSF. This is usually accomplished by a lumbar puncture, or less commonly a suboccipital puncture.
The patient can then be tilted and rotated to cause the contrast, ...
Article
Lumbar puncture
Lumbar punctures (LP) are a commonly performed hospital procedure in which a needle is inserted through the back to the subarachnoid space in the spinal canal, often to collect cerebrospinal fluid (CSF) or inject a therapeutic agent. The procedure can be performed blind via landmarks or under im...
Article
Ultrasound-guided spinal anesthesia
With the growing incidence of obesity in the western world, ultrasound-guided anesthesia is becoming more common.
Spinal anesthesia is traditionally administered by identifying relevant surface anatomy and imaging is rarely used for pre-procedural identification of structures. Ultrasound-guide...
Article
Post-dural puncture headache
Post-dural puncture headache, previously known as post-lumbar puncture headache 4, is a common complication after lumbar puncture (LP), which is often performed for cerebrospinal fluid (CSF) sampling, spinal anesthesia, myelography, etc.
Epidemiology
Post-dural puncture headaches occur after ~...
Article
Dry tap (lumbar puncture)
A dry tap refers to a lumbar puncture where cerebrospinal fluid (CSF) cannot be obtained despite the needle tip being in the thecal sac 1. Dry taps may be associated with needle misplacement or blockage, dehydration, low CSF pressure, severe spinal canal stenosis (including epidural lipomatosis)...
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
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
Fluoroscopy guided lumbar puncture
Fluoroscopy-guided lumbar puncture (LP) is a minimally invasive, image-guided diagnostic and therapeutic procedure that involves the removal of a small volume of cerebrospinal fluid (CSF) from, or an injection of medication or other substance (e.g. radiotracer, chemotherapy agents) into the lumb...
Article
Vertebroplasty and kyphoplasty
Vertebroplasty and its balloon-assisted variant, kyphoplasty, are imaging-guided procedures that involve percutaneous injection of surgical polymethylmethacrylate (PMMA) cement into a diseased vertebral body. Vertebroplasty provides pain relief and strengthens the bone of vertebrae weakened by d...
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
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
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
Spinal epidural injection
Epidural spinal injections are one of the more frequently performed spinal interventional procedures. Three approaches to the epidural space exist:
caudal epidural injection (via the sacral hiatus)
interlaminar epidural injection
cervical interlaminar epidural injection
lumbar in...
Article
Superior hypogastric nerve block
Superior hypogastric nerve block is a valuable tool for pain relief in the setting of uterine fibroid embolization. This procedure results in significant ischemic pain, peaking at 6-8 hours and lasting approximately 24 hours, then followed by a lesser degree of post-embolization pain which can l...
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