Outline
- BASIC FLUOROSCOPIC CONCEPTS AND ANATOMY
- Technical considerations of fluoroscopy in spine procedures
- Radiation Safety
- Role of Radiographic Contrast
- Maximizing Effectiveness
- Translation of important 3D spine structures to 2D image
- Locating bony landmarks
- Image optimization
- Targeting (or Avoiding) neurologic structures
- Avoiding intravascular complications
- HEAD AND NECK BLOCKS
- Indications and techniques for:
- Stellate ganglion block
- Trigeminal block
- Sphenopalatine block
- Cervical plexus block
- Avoiding complications
- (TRUNCAL) SYMPATHETIC BLOCKS
- Indications and techniques for:
- Thoracic splanchnic nerve block
- Celiac plexus block
- Lumbar sympathetic block
- Superior hypogastric plexus block
- Ganglion impar block
- Avoiding complications
- RADIOFREQUENCY ABLATION FOR SPINE PAIN
- Safety and technical aspects of RF ablation
- Updates: Cooled RF
- Indications and techniques for:
- Facet joint denervation
- Sacroiliac joint denervation
- Other peripheral nerve denervation
- Avoiding complications
- OVERVIEW OF DISC STIMULATION AND PERCUTANEOUS INTRADISCAL THERAPIES
- Indications and techniques for:
- Provocative discography
- Disc decompression
- Intradiscal Electrothermal Therapy (IDET)
- Disc Biacuplasty
- Other disc injections
- Avoiding complications
- SPINAL CORD STIMULATION FOR PAIN MANAGEMENT
- Scientific basis for spinal cord stimulation (SCS)
- Review of the goals of SCS trials
- Techniques for epidural access and battery implantation
- Maximizing long term outcomes / Avoiding complications
- ULTRASOUND GUIDED INJECTIONS
- Basics of ultrasound techniques and anatomy
- Novel application of ultrasound in interventional management of extremity and spine pain
- Avoiding complications
- INTRATHECAL THERAPY FOR SPASTICITY
- Role of intrathecal baclofen and current outcomes
- Considerations for trials and pump implantation
- Notable complications of intrathecal baclofen therapy
- INTRATHECAL THERAPY FOR PAIN
- Review of current maximum concentration guidelines
- Selection of appropriate candidates for intrathecal pain medications
- Overview of novel intrathecal medications (e.g. ziconatide)
- VERTEBRAL AUGMENTATION
- Indications and techniques for vertebral augmentation
- Appropriate patient selection
- Technical and safety considerations
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