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Interventional Spine - An Algorithmic Approach
By Curtis W. Slipman, MD, Richard Derby, MD, Frederick A. Simeone, MD and Tom G. Mayer, MD
1480 pages 500 ills
Trim size 8 5/8 X 10 7/8 in
Copyright 2007
Description
As many as 80% of patients will suffer from back pain at some point in their lifetime. It is the most common form of disability, and the second largest cause of work absenteeism. An early, proactive management approach offers the best route to minimizing these conditions. Renowned authority Curtis W. Slipman, MD and a team of multidisciplinary authorities present you with expert guidance on today's best non-surgical management methods, equipping you with the knowledge you need to offer your patients optimal pain relief.
Key Features
Refresh your knowledge of the basic principles that must be understood before patients with spinal pain can be properly treated.
Know what to do when first-line tests and therapies fail, using practice-proven diagnostic and therapeutic algorithms.
Offer your patients a full range of non-surgical treatment options, including pharmacology, physical therapy, injection techniques, ablative procedures, and percutaneous disc decompression.
Make an informed surgical referral with guidance on indications, contraindications, methods, and postoperative rehabilitation.
Better understand key techniques and procedures with visual guidance from more than 500 detailed illustrations.
Download all of the book's illustrations from the accompanying CD-ROM for use in electronic presentations.
Table of Contents
Part 1 General principles
Section 1: Introduction
1. Past, present and future of interventional physiatry 2. Epidemiology
Section 2: Spinal pain
3. Inflammatory basis of spinal pain 4. Transduction, transmission and perception of pain 5. Central influences on pain
Section 3: General diagnostic technique
6. Radiology 7. Nuclear medicine imaging with an emphasis on spinal infections 8. Electrodiagnostic approach to patients with suspected radiculopathy 9. The psychiatric and psychological evaluation of the chronic pain patient
Section 4: Practical pharmacology
10. Nonsteroidal antiinflammatory drugs 11. Adjuvant analgesics for radicular pain 12. Pharmacology of local anesthetic agents 13. Steroids in spine interventions 14. Opioid analgesics 15. The diagnosis and treatment of anxiety disorders in chronic spinal pain
Part 2: Interventional spine techniques
Section 1: Principles and concepts underpinning spinal injection procedures
16. Principles of diagnostic blocks 17. Neurophysiology of diagnostic injections 18. Placebo 19. Patient education and support 20. Side effects and complications of injection procedures: anticipation and management 21. Radiation Safety – Theory and Practical Concerns 22. Sedation for percutaneous procedures
Section 2: Interventional spine techniques
23. Spinal injections 24. Technique of radiofrequency denervation 25. Discography 26. IDET technique 27. Technique for chemonucleolysis of lumbar disc herniation 28. Automated percutaneous lumbar discectomy: technique 29. Laser 30. Spinal cord stimulation for chronic pain management implantation techniques 31. Intrathecal therapies and totally implantable drug delivery systems 32. Vertebroplasty 33. Kyphoplasty technique
Part 3: Specific disorders
Section 1: Medical spinal disoders
34. Medical Radiculopathies 35. Spondyloarthropathies 36. Spine Infections: an algorithmic approach 37. Nonosseous spinal tumors
Section 2: Osseus spinal tumors
Subsection i: Physiology and assessment
38. Bone biology 39. Osteoporosis 40. Paget’s disease 41. Secondary Bone Tumors 42. Primary Tumors
Subsection ii: Treatment
43. Spinal Orthoses 44. Vertebroplasty 45. Kyphoplasty
Section 3: Cervical Spine
Subsection i: Anatomy and assessment
46. Developmental and functional anatomy of the cervical spine 47. Medical causes of neck pain 48. Examination of the cervical spine 49. Biomechanics and assessment of the painful shoulder 50. Cervical myelopathy 51. Cervical instability
Subsection ii: Whiplash
52. Biomechanics of the cervical spine during whiplash injury 53. Pathophysiolgic evidence of injury 54. Sociocultural evidence and whiplash 55. Soft tissue injuries following whiplash 56. Epidemiology of disc, joint and root pain in whiplash
Subsection iii: Treatment
Subsubsection i: Cervical radicular pain
57. Cervical radicular pain: an algorithmic methodology 58. Rehabilitation methods in cervical radicular pain 59. Cervical radicular pain: injection procedures 60. Surgery for cervical radicular pain 61. Surgical decompression for foraminal stenosis
Subsubsection ii: Cervical axial pain
62. An algorithmic methodology for cervical axial neck pain 63. Rehabilitation methods 64. Therapeutic injections for the treatment of axial neck pain and cervicogenic headaches 65. Sympathetic System 66. Cervical spine 67. Cervical discography: diagnostic value and complications 68. Fusion Surgery for axial pain
Subsubsection iii: Other disorders of the cervical spine
69. Cervicogenic Headache 70. Surgical treatment of cervical myelopathy
Section 4: Biomechanical disorders of the thoracic spine
71. Developmental and functional anatomy and examination of the thoracic spine 72. Thoracic spinal pain 73. Injection procedures 74. Thoracic pain syndromes 75. Surgery: thoracic disc disease
Section 5: Biomechanical disorders of the lumbar spine
Subsection i: Intervertebral disk disorders
Subsubsection i: Physiology and assessment
76. Medical causes of low back pain 77. The Lumbar Degenerative Disc 78. Biomechanics of the intervertebral disc 79. Physical examination of the lumbar spine 80. Developmental and functional anatomy of the lumbar spine
Subsubsection ii: Lumbar radicular pain
81. Medical rehabilitation 82. An algorithmic methodology 83. Injection procedures 84. Percutaneous discectomy 85. Percutaneous disc decompression 86. Surgical decompression for herniated nucleus pulposus 87. Surgical decompression for spinal stenosis 88. Postoperative rehabilitation
Subsubsection iii: Lumbar axial pain
89. Lumbar axial pain – an algorithmic methodology 90. Medical Rehabilitation – Lumbar Axial Pain 91. Manipulation and Manual Methods 92. Injection procedures 93. Radiofrequency Denervation 94. Lumbar provocation discography: clinical relevance, sensitivity, specificity, and controversies 95. Intradiscal steroids and prolotherapy: clinical relevance, outcomes and efficacy 96. Intradiscal electrothermal annuloplasty 97. Surgical treatment of axial back pain 98. Spondylolisthesis: epidemiology and assessment 99. Spondylolisthesis: medical rehabilitation and interventional spine techniques 100. Surgical management of isthmic, dysplastic and degenerative spondylolisthesis 101. Instability: clinical manifestations and assessment 102. Fusion surgery
Subsection 4: FBSS - Cervical, Thoracic and Lumbar
103. Failed back surgery 104. Neural scarring 105. Postoperative pseudomeningocele, hematoma and seroma 106. Lysis of Adhesions 107. Spinal cord stimulation in chronic pain 108. Neuraxial drug administration to treat pain of spinal origin 109. Spinal ablative techniques for the treatment of chronic pain conditions
Subsubsection 1: Functional restoration
110. History and principles of pain rehabilitation 111. Deconditioning 112. Functional restoration program characteristics in chronic pain tertiary rehabilitation 113. Tertiary rehabilitation program outcomes
Part 4: Extra-spinal disorders
Section 1: Sacroiliac Joint Syndrome
114. Epidemiology and examination 115. Sacroiliac joint rehabilitation and manipulation 116. Therapeutic injections and radiofrequency denervation 117. Surgery for sacroiliac joint syndrome
Section 2: Sacral Disorders
118. Hip spine syndrome 119. Sacral insufficiency fractures 120. Coccydynia 121. Piriformis syndrome
Part 5: Pregnancy
122. Epidemiology 123. Low back pain and pregnancy–examination and diagnostic work-up in the pregnant patient 124. Treatment of low back pain in pregnancy – special considerations
Part 6: Interventional spine in sports
125. Biomechanics of the spine in sports 126. On-the-field assessment of the cervical spine-injured athlete 127. Epidemiology of injuries 128. Acute Intervention and Return to Play 129. Spondylolysis 130. Return to competition following prolonged injury
Part 7: New Frontiers
131. Disc replacement 132. Fusion – minimally invasive techniques 133. Endoscopic discectomy and foraminal decompression
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