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Biopsy, spine, accuracy, 193, 194 anatomy, cervical spine, 189, 190 lumbar spine, 192, 193 thoracic spine, transcostovertebral approach, 190-192 transpedicular approach, 190, 191 complications, 193 conscious sedation, 188, 189 contraindications, 181 image guidance, bone scintigraphy, 188 computed tomography, 188 fluoroscopy, 188 magnetic resonance imaging, 188 indications, 181

needle placement techniques, 189 needles, automated, spring-driven slotted cutting needles, 183 combination needles, 186 fine needle aspiration, 182, 183 magnetic resonance imaging-compatible needles, 186 trephine needle systems, 183, 184, 186 overview, 181

patient evaluation and preparation, 182 postprocedural care, 193 Blood supply, spine, anterior spinal artery, 17 posterior spinal arteries, 17 segmental arteries, 17, 18 tumor embolization anatomy, 216 vertebral artery, 18, 19 vertebral venous plexuses, 18 Bone scintigraphy, gallium scintigraphy, 70 indium-111 leukocyte scanning, 69, 70 intervertebral disc degeneration, 67 neoplasms, malignancy, 67, 68 osteoid osteoma, 68 osteoarthritis of articular facet, 66, 67 osteomyelitis, 69, 70 postoperative pain evaluation, 69 principles, 65, 75 sacroiliitis, 69 spine biopsy guidance, 188 spondylolisthesis, 65, 66 spondylolysis, 65, 66 stress fractures, 65, 66 tracer uptake in normal spine, 65 verteboplasty patients, 68 vertebral fracture, 68 Brudzinski's sign, 80

Burst fracture, magnetic resonance imaging, 57, 58 C

Cavernous angioma, magnetic resonance imaging, 61 Chemonucleolysis, historical perspective, 96, 97 Chondrosarcoma, computed tomography, 38 Chordoma, computed tomography, 38 Coccyx, anatomy, 5 Compression fracture, clinical evaluation, history, 89 imaging, 89, 90 physical examination, 89 computed tomography, 90 distribution, 88, 89

magnetic resonance imaging, 57, 58, 90 treatment, see Percutaneous verteboplasty Computed tomography (CT), facet joint degeneration, 25, 27, 28 image acquisition, 22 intervertebral disc degeneration, 23, 25 lumbar disc herniation, 23

magnetic resonance imaging comparison, 21, 22, 39 principles, 75 spinal canal stenosis, 28 spine biopsy guidance, 188 spondylolysis, 29 synovial cysts, 28, 29 trauma of the spine, 29-32, 34, 90 tumors of the spine, benign tumors, 35-38 malignant tumors, 38, 39 overview, 34, 35 Conscious sedation, guidelines, 115 spine biopsy, 188, 189 Contrast media, guidelines, 115 Conus medullaris, anatomy, 15 Corticosteroids, administration, 113, 114 adverse effects, 114, 115 epidural injection, see Epidural steroid injection mechanism of action, 112, 113 CT, see Computed tomography

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Arthritis Relief and Prevention

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