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Conventional Image-Guided Procedures for Painful Spine.
Miriam E Peckham1, Troy A Hutchins1, Lubdha M Shah1
1Department of Radiology, University of Utah, 30 North 1900 East, Room #1A71, Salt Lake City, UT 84132, USA.
Neuroimaging Clinics of North America
|November 4, 2019
Summary
This review covers image-guided treatments for common spine pain. It details approaches targeting the epidural space, facet joints, sacroiliac joints, and synovial cysts for pain relief.
Area of Science:
- Interventional pain management
- Spinal imaging techniques
- Musculoskeletal medicine
Background:
- Spine pain is a prevalent condition with diverse etiologies.
- Accurate diagnosis of pain generators is crucial for effective treatment.
- Minimally invasive techniques offer alternatives to conservative or surgical options.
Purpose of the Study:
- To review image-guided interventions for common spinal pain generators.
- To elucidate procedural techniques for specific anatomical targets.
- To provide an overview of current therapeutic strategies in interventional spine care.
Main Methods:
- Literature review of image-guided spine procedures.
- Discussion of techniques including interlaminar and transforaminal epidural approaches.
- Analysis of interventions targeting facet joints, sacroiliac joints, and synovial cysts.
Main Results:
- Image guidance enhances precision in targeting spinal pain generators.
- Various approaches are effective for epidural space, facet, and sacroiliac joint pain.
- Image-guided treatment of synovial cysts is a viable option.
Conclusions:
- Image-guided interventions represent a key modality in managing spinal pain.
- Precise targeting of pain generators improves treatment outcomes.
- This review highlights the utility of image guidance across multiple spinal targets.

