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Percutaneous Image-Guided Spine Treatment

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Clinical Neuroradiology

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Abstract

Percutaneous spine interventions are nowadays procedures performed in the daily practice. These require a wide spectrum of technical and clinical knowledge involving benign and malignant pathologies of the spine.

Pain is part of patient symptoms, and one of the main goals of the intervention is to reduce/resolve it. In the vast majority of the cases of low back pain and neuralgia, intervertebral discs and facet joints act as pain generators due to nerve root compression with consequent inflammation processes.

Similarly, percutaneous disc decompression by reducing nucleus pulposus volume prescribed for small- to medium-sized hernias is worldwide accepted as a valid alternative to surgical intervention or medical and physical therapy, showing good clinical outcomes.

In osteoporosis and osteoporotic fractures, long time bed rest with long immobilization and medical treatment were the only treatment leading to chronic health effects. Minimally invasive management (including vertebroplasty and assisted technique cementoplasty) for vertebral fractures has been introduced 20 years ago as effective and well accepted treatment allowing pain relief and normal mobility within 3 weeks from the percutaneous treatment.

Finally, spine tumors, both primary and metastasis, involve frequently the axial skeleton with complex management. Treatment options for these patients include percutaneous treatment, surgery, chemotherapy and/or radiotherapy, or tailored treatment.

This chapter aims to provide an overview of all the currently accepted percutaneous procedures on the spine.

This publication is endorsed by: European Society of Neuroradiology (www.esnr.org).

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Abbreviations

ABC:

Aneurysmal bone cyst

AT:

Assisted technique

BKP:

Balloon kyphoplasty procedure

CHT:

Chemotherapy

CT:

Computed tomography

ESI:

Epidural steroid injection

FDA:

Food and Drug Administration

GCT:

Giant cell tumor

MRI:

Magnetic resonance imaging

NSAIDs:

Nonsteroidal anti-inflammatory drugs

OB:

Osteoblastoma

ODI:

Oswestry disability index

OPM:

Optimal pain medication

PDPH:

Post dural puncture hypotension

PMMA:

Poly (methyl methacrylate)

RFA:

Radio-frequency ablation

RMD scale:

Roland-Morris disability scale

RT:

Radiotherapy

SM:

Spine metastasis

ST:

Spine tumor

STIR:

Short tau inversion recovery

VAS:

Visual analogic scale

VCF:

Vertebral compression fracture

VH:

Vertebral hemangioma

VP:

Vertebroplasty

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Author information

Authors and Affiliations

  1. Department High Technology, Neuroradiology, Cardarelli Hospital, Naples, Italy

    Mario Muto & Gianluigi Guarnieri

  2. Vascular and Interventional Radiology Department, Cardarelli Hospital, Naples, Italy

    Francesco Giurazza

  3. Neuroradiology Department, Santissima Trinità Hospital, Cagliari, Italy

    Stefano Marcia

Authors
  1. Mario Muto
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  2. Francesco Giurazza
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  3. Gianluigi Guarnieri
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  4. Stefano Marcia
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Corresponding author

Correspondence to Mario Muto .

Editor information

Editors and Affiliations

  1. Department of Radiology and Nuclear Medicine, VU University Medical Centre (VUmc), Amsterdam, The Netherlands

    Frederik Barkhof

  2. The National Hospital for Neurology and Neurosurgery and University College Hospital (UCH), UCL Institute of Neurology, London, UK

    Hans Rolf Jäger

  3. Section of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-guided Therapy, University Hospital Vienna, Vienna, Austria

    Majda M. Thurnher

  4. Department of Radiology and Nuclear Medicine Vall d’Hebron University Hospital Professor of Radiology and Neuroimmunology, Autonomous University of Barcelona Vall d’Hebron Research Institute (VHIR), Barcelona, Spain

    Àlex Rovira

Section Editor information

  1. Neuroradiology Department, Cardarelli Hospital, Naples, Italy

    Mario Muto

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Muto, M., Giurazza, F., Guarnieri, G., Marcia, S. (2019). Percutaneous Image-Guided Spine Treatment. In: Barkhof, F., Jäger, H., Thurnher, M., Rovira, À. (eds) Clinical Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-68536-6_39

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  • DOI: https://doi.org/10.1007/978-3-319-68536-6_39

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68535-9

  • Online ISBN: 978-3-319-68536-6

  • eBook Packages: MedicineReference Module Medicine

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