Radiologic clinics of North America
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Radiol. Clin. North Am. · May 2008
Review Comparative StudySpinal injection procedures: a review of concepts, controversies, and complications.
The field of spinal injection procedures is growing at a tremendous rate. Many disciplines are involved, including radiology, anesthesiology, orthopedics, physiatry and rehabilitation medicine, as well as other specialties. However, there remains tremendous variability in the assessment of patients receiving these therapies, methods for evaluation of outcome, and in the understanding of where these procedures belong in the triaging of those who require surgery. In this article, we attempt to highlight the biologic concepts on which these therapies are based, controversies that have arisen with their increasing use, and a description of complications that have been reported.
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Radiol. Clin. North Am. · May 2008
Review Comparative StudyPercutaneous vertebral augmentation: vertebroplasty, kyphoplasty and skyphoplasty.
Percutaneous vertebroplasty is a safe, inexpensive, and effective interventional vertebral augmentation technique that provides pain relief and stabilization in carefully selected patients with severe back pain due to vertebral compression. Complications from percutaneous vertebroplasty can be devastating, but are rare and avoidable with application of a meticulous technique. ⋯ Kyphoplasty is as effective and safe as vertebroplasty in treatment of painful vertebral compression fractures. Skyphoplasty, a modification of kyphoplasty, is a promising new technique.
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Radiol. Clin. North Am. · May 2008
Review Comparative StudyMusculoskeletal ultrasound intervention: principles and advances.
Ultrasound scan is an invaluable tool in the diagnosis and treatment of disorders of the musculoskeletal system. Core concepts that are common to most ultrasound-guided procedures are reviewed, including an in-depth discussion regarding the use of injectable corticosteroids. Various aspects of intra-articular, intratendinous, bursal, and ganglion cyst intervention are discussed and promising advances in the treatment of chronic tendon disorders are presented.