Debussche-depriester Neuroradiology

Percutaneous vertebroplasty has been shown to be very effective at relieving the pain associated with compression fractures of vertebra caused by both primary (age-related) and secondary (steroid-induced) osteoporosis. It also has substantial benefit in neoplastic-induced vertebral compression fracture pain but with a higher chance of associated complication. PV is rapidly becoming the standard of care for compression fracture pain that does not respond to conservative medical therapy. However,...

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Percutaneous radiofrequency neurotomy in the treatment of cervical zygapophysial joint pain a caution. Neurosurgery 36 732-739, 1995. 48. Slipman C, Jackson H, Lipetz J, Chan K, Lenrow D, Vresilovic E. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil 81 334-338, 2000. 49. Tullberg T, Blomberg S, Branth B, Johnsson R. Manipulation does not alter the position of the sacroiliac joint a roentgen stereophotogrammatic analysis. Spine 23 10 1124-1129,...

Facet Joints in Spinal Pain

Facet Joint Injection Side Effects

As a synovial joint, the z-joint may be affected by any of the inflammatory processes that involve joints, including rheumatoid arthritis Figure 11.4. Axial computed tomography images depicting the anatomical variation in the articular surface of the facet joints. Joints may have straight or curved articular surfaces, and osteophytic ridging may make joint access difficult for intra-articular injections. A The L2-3 facet joints, which have a nearly straight contour in this patient, are oriented...

Cervical Discography

Neck Pain From

Studies have proven that MR imaging is insensitive in the detection of painful cervical disc annular lesions and internal disc derange-ments.17,18,28 Positive intense, concordant pain cervical discography in symptomatic patients with either normal or mildly abnormal MR stud ies is common. Discography often reveals cervical disc annular lesions that are simply not visible on the highest resolution MR imaging studies. Prior research has demonstrated that discographically normal cervical discs...