Percutaneous Lumbar Discectomy
Percutaneous lumbar discectomy is a proven alternative to the more invasive open discectomy used to treat patients who experience discogenic pain. Estimated to cost the United States health care system…
Minimally Invasive Dynamic Stabilization of the Degenerated Lumbar Spine
Fusion techniques are considered the gold standard for treatment of lumbar spinal instability, although there are many shortcomings and disadvantages. In the past two decades the concept of dynamic stabilization…
Radiofrequency Neurolysis
Pain that develops in the cervical, thoracic, lumbar, and sacral spine is typically initiated from a clinical condition called spondylosis. Radiofrequency ablation is a key element in the treatment protocol…
Spinal Cord Stimulation: Uses and Applications
Spinal cord stimulation has been used successfully for more than 40 years. The application of an electrical impulse field on to the spinal cord is used with a battery generator…
Pharmaceuticals Used in Image-Guided Spine Interventions
As image-guided (nonvascular) spine interventions have become progressively more common in the interventional radiologic community, there is a growing need for physician expertise regarding the materials and pharmaceuticals that are…
Sacral Fractures and Sacroplasty
Pain from sacral insufficiency fractures or metastatic tumor to the sacrum, refractory to radiation and/or chemotherapy, can be extremely debilitating to affected patients. Conservative medical therapy with rest, limited ambulation,…
Percutaneous Therapy for Symptomatic Synovial Cysts
Synovial cysts have long been known to create radicular pain in the spine, with the clinical effect mimicking a disk herniation. These cysts have traditionally been treated with open surgical…
Epidural Steroid Injections
Epidural steroid injections have been used for decades as part of a rehabilitation program to relieve back or neck pain and the associated radicular nerve component that often accompanies these…
Vertebroplasty Technique in Metastatic Disease
The purpose of this article is to review the current state of the art of using vertebral augmentation techniques for treating symptomatic spinal fractures that are associated with malignant lesions…
Vertebral Body Reconstruction: Techniques and Tools
Vertebral augmentation techniques use image guidance for the percutaneous placement of spinal implants that stabilize a painful osteoporotic or pathologic vertebral compression fracture. The initial implant, acrylic bone cement, was…
