Atlas Of Image-guided Spinal Procedures

[Marylouise Colleen]

Thesecond edition of Atlas of Image-Guided Spinal Procedures features a highly visual atlas format to illustrate exactly how to perform each technique. This medical reference walks you through each procedure, step-by-step, to safely and efficiently relieve patients' pain. This book presents an algorithmic, image-guided approach for each technique; trajectory view (demonstrates fluoroscopic "setup"); multiplanar confirmation views (AP, lateral, oblique); and "safety view" (what should be avoided during injection), along with optimal and suboptimal contrast patterns. Each fluoroscopic and ultrasound chapter also has the same "voice" so it is easy to follow.

Give your patients the non-surgical spine pain relief they need with help from the Atlas of Image-Guided Spinal Procedures by Dr. Michael Bruce Furman. This medical reference book features a highly visual atlas format that shows you exactly how to safely and efficiently perform each technique step-by-step.

A unique, systematic, safe, and efficient approach makes Atlas of Image-Guided Spinal Procedures your go-to resource for spine pain relief for your patients. The highly visual format shows you exactly how to perform each technique, highlighting imaging pearls and emphasizing optimal and suboptimal imaging. Updated content includes ultrasound techniques and procedures for "spine mimickers," including hip and shoulder image-guided procedures, keeping you on the cutting edge of contemporary spine pain-relief methods.

The second edition of Atlas of Image-Guided Spinal Procedures features a highly visual atlas format to illustrate exactly how to perform each technique. This medical reference walks you through each procedure, step-by-step, to safely and efficiently relieve patients' pain. This book presents an algorithmic, image-guided approach for each technique; trajectory view (demonstrates fluoroscopic "setup"); multiplanar confirmation views (AP, lateral, oblique); and "safety view" (what should be avoided during injection), along with optimal and suboptimal contrast patterns. Each fluoroscopic and ultrasound chapter also has the same "voice" so it is easy to follow.

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Bucks County Orthopedic Specialists would like to extend sincere congratulations to our very own Sean Butler, D.O. on the publication of the second and newest edition of the Atlas of Image-Guided Spinal Procedures, for which he was a reviewer. The Atlas provides a comprehensive and definitive guide to interventional spine procedures for pain management that orthopedic and rehabilitative specialists should know. Dr. Butler was a key reviewer for the first edition of the textbook, contributing his expertise by editing, commenting, and reviewing the diagrams, charts, and images included within. Given his involvement with the first edition and his extensive experience base as a leading practitioner, he was a preferred resource for insight and knowledge contribution to the second edition.

Widely used nationally and internationally, the Atlas is the go-to textbook of choice among leading fellowships for interventional pain management and spinal procedures. The book distinguishes itself with its highly visual format that provides detailed guidance for how to safely perform each procedure. At almost double the length of the original, this new edition significantly expands the authoritative body of knowledge about a variety of new techniques for pain management.

Our team of physicians at Bucks County Orthopedic Specialists have the knowledge, experience, and equipment needed to provide you state-of-the-art orthopedic care. Under the guidance of Dr. Butler, we can even complete image-guided injections as a developing form of interventional pain management. If your back, neck, or joints bother you at all hours, or even get so painful you cannot sit comfortably, then please call us at (215) 348-7000 to schedule an appointment with our staff. We offer appointments on most nights and weekends for your convenience, as well as urgent orthopedic care.

The information on this website is for general information purposes only. Nothing on this site should be taken as medical advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute, a doctor-patient relationship.

Give your patients the non-surgical pain relief they need with help from the Atlas of Image-Guided Spinal Procedures. This medical reference book features a highly visual format that shows you exactly how to perform each technique to get the best results.

Key Features

Give your patients the pain relief they need with the latest image-guided spinal injection procedures! A highly visual format shows you exactly how to perform each technique.

Safely and efficiently relieve your patients' pain thanks to an atlas format that displays each procedure step-by-step.

See properly performed injections for yourself with an algorithmic,image-guided approach for each technique: trajectory view (demonstrates fluoroscopic "set up"); multi-planar confi rmation views (AP, lateral, oblique); and "safety view" (what should be avoided during injection), along with optimal and suboptimal contrast patterns.

Special chapters on Needle Techniques, Fluoroscopic Imaging Pearls, Radiation Safety, and L5-S1 Disc Access provide additional visual instruction.

View drawings of radiopaque landmarks and key radiolucent anatomy that cannot be viewed fluoroscopically.

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Study design: This is a feasibility study of image-guided surgery for C1-C2 transarticular screw fixation comparing postoperative screw position in a nonrandomized prospective cohort with a historic control group in which fluoroscopic guidance was used alone.

Summary of background data: C1-C2 transarticular screw fixation is biomechanically superior to other current surgical stabilization procedures. The original technique for C1-C2 screw placement relies on anatomic landmarks and intraoperative fluoroscopy. Screw misplacement or anatomic variations can result in vertebral artery injury. Image-guided surgery involves using computed tomography (CT) data to plan the optimal screw trajectory before surgery and then use this data to guide screw placement during the actual surgery. Promising results of this technique are reported in the literature, but no direct comparison between image-guided surgery and conventional surgical techniques has been previously reported.

Methods: The image-guided surgery group consisted of 37 prospective patients. The historic control group included 78 patients who had similar surgeries performed using only fluoroscopic guidance. For the image-guided surgery group, subluxation was reduced by positioning at the time of CT examination. The CT data were transferred to a StealthStation (Sofamor-Danek, Memphis, TN) surgical planning and guidance computer system, and an optimal screw trajectory was determined for the right and left transarticular screws. After matching the surgical field to the virtual computer field, C2 was drilled according to the planned screw trajectory, and screws were placed. Plain radiographs and CT were used for postoperative evaluation of the image-guided surgery group.

Conclusions: Image-guided surgery is an effective tool for the achievement of correct screw placement in C1-C2 transarticular screw fixation procedures. The procedure remains technically demanding.

With a background in Physical Medicine & Rehabilitation (PM&R/ Physiatry) and fellowship training in Interventional Spine and Sports Medicine, Dr. Bednarek provides a guided approach to pain management including musculoskeletal ultrasound guided injections, fluoroscopically guided spine procedures including epidural steroid injections, facet injections, medial branch blocks, radiofrequency ablations, and neuromodulation through spinal cord stimulation. A holistic, conservative, and multidisciplinary regimen is recommended for his patients.

He is a contributing author to multiple chapters and a reviewer of the well-known Atlas of Image-Guided Spinal Procedures. As an active member of the American Academy of Physical Medicine and Rehabilitation (AAPM&R) and the Spine Intervention Society (SIS), he remains up to date on the latest research and developments in his practice.

Dr. Bednarek is a Baltimore native. He holds an undergraduate degree from the University of Maryland, Baltimore County (UMBC). He has a medical degree from the Jagiellonian University Medical College in Krakow, Poland. He has completed an internship in General Surgery and a residency program in Physical Medicine and Rehabilitation at the Virginia Commonwealth University/ Medical College of Virginia. An Interventional Spine and Sports Medicine fellowship was completed at OSS Health in York, PA. He is proud to serve the community in his home state of Maryland.

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