Imaging in Spine Surgery

Epidural Steroid Injection, Cervical Spine

KEY FACTS Terminology Percutaneous injection of glucocorticoid into cervical epidural space Interlaminar: Approach epidural space between lamina Transforaminal: Approach epidural space via neural foramen Preprocedure Indication Cervical pain &/or cervical radiculopathy Coagulopathy Preprocedure imaging Assess adequate epidural space to accommodate…

Selective Nerve Root Block, Cervical Spine

KEY FACTS Terminology Selective anesthesia of cervical nerve root at level of neural foramen Preprocedure Radiculopathy corresponding to cervical dermatome Procedure Target Superior articular process of same number vertebra as nerve being injected (nerve comes out 1 level above) At…

Facet Joint Injection, Cervical Spine

KEY FACTS Terminology Anesthetic ± corticosteroid injection into cervical facet joint Diagnostic study for pain referable to cervical facet joint Preprocedure Indications Chronic or acute on chronic cervical facet osteoarthritis Posttraumatic osteoarthritis Preprocedure imaging Correlate imaging abnormality with patient symptoms…

Medial Branch Block, Cervical Spine

KEY FACTS Terminology Selective anesthesia of cervical nerve medial branch in diagnosis of cervical facet joint pain Preprocedure Facet joint pain Useful in selecting patients for medial branch radiofrequency ablation procedure Need to block level above and below facet joint…

Tibial Neuropathy

KEY FACTS Terminology Tarsal tunnel syndrome You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Common Peroneal Neuropathy

KEY FACTS Terminology Synonyms: Common peroneal nerve (CPN) palsy, CPN entrapment Common peroneal nerve entrapment at fibular head You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a…

Median Neuropathy

KEY FACTS Terminology Pronator syndrome: Nerve entrapment at pronator teres Carpal tunnel syndrome: Nerve entrapment at carpal tunnel You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a…

Suprascapular Neuropathy

KEY FACTS Terminology Suprascapular nerve impingement with muscle denervation You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Ulnar Neuropathy

KEY FACTS Terminology Synonyms: Ulnar nerve (UN) entrapment, cubital tunnel syndrome Partial fixation, compression, or distortion of UN You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a…

Femoral Neuropathy

KEY FACTS Terminology Synonyms: Femoral neuropathy, femoral mononeuropathy, femoral nerve (FN) palsy FN entrapment or injury 2° to direct trauma, compression, stretch injury, or ischemia You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited…