September-October 2017

Introduction

Image-Guided Spine Pain Management

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Vinil Shah

It is my pleasure to serve as the guest editor of this edition of the AJNR News Digest, which focuses on the topic of image-guided spine pain management. Disorders of the spine have a tremendous impact on society—directly through the morbidity of afflicted individuals and … more »

Spine

CT Fluoroscopic Cervical Transforaminal Epidural Steroid Injections: Extraforaminal Needle Tip Position Decreases Risk of Intravascular Injection

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Gerritt Lagemann

Transforaminal epidural steroid injections (TFESIs) are commonly performed in the evaluation and treatment of radicular neuropathy. Although TFESIs are widely performed in the lumbar spine, many proceduralists are reluctant to perform cervical TFESIs due to the risk of rare but serious complications such as posterior … more »

Spine

Inadvertent Intrafacet Injection during Lumbar Interlaminar Epidural Steroid Injection: A Comparison of CT Fluoroscopic and Conventional Fluoroscopic Guidance

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Peter Kranz

CT fluoroscopy (CTF) is a powerful technology for performing image-guided procedures. It marries the benefits of cross-sectional imaging with real-time intraprocedural imaging to allow for highly precise image guidance. Procedures can usually be performed as quickly as conventional fluoroscopy-guided procedures and with equivalent or decreased … more »

Spine

Percutaneous Injection of Radiopaque Gelified Ethanol for the Treatment of Lumbar and Cervical Intervertebral Disc Herniations: Experience and Clinical Outcome in 80 Patients

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Matteo Bellini

Sciatica due to a lumbar disc herniation and nerve root irritation is a huge public health problem not yet benefiting from an unequivocal treatment approach. Even cervical hernias with brachialgia afflict a substantial range of the population.

Medical and physical therapies represent the first therapeutic steps. … more »