Spine Secrets

Spinal orthoses

1 What is a spinal orthosis? A spinal orthosis is a device that provides support or restricts motion of the spine. Spinal orthoses may also be prescribed to treat spinal deformities such as scoliosis. All orthoses are force systems that…

Electrodiagnosis in spinal disorders

1 List the common reasons for requesting electrodiagnostic tests for the evaluation of patients with spinal disorders. To establish and/or confirm a clinical diagnosis . Electrodiagnostic tests (EDX) may help determine whether extremity symptoms are due to radiculopathy, peripheral entrapment…

Diagnostic and therapeutic spinal injections

General considerations 1 What specialists perform diagnostic and therapeutic spinal injections? A diverse community of physicians from many specialties perform spinal injections including anesthesiologists, physiatrists, interventional radiologists, neurologists, and spine surgeons. 2 What is the preferred setting for performing spinal…

Pharmacologic management of pain in spine disorders

1 What is the definition of pain? Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. 2 What are some common criteria used to classify spinal pain? Various criteria may be used to classify…

Nuclear imaging and spinal disorders

1 What nuclear medicine studies play a role in the evaluation of spinal pathology? The technetium-99m ( 99m Tc) bone scan has demonstrated utility in the evaluation of osseous lesions. Positron emission tomography (PET) with 18 F-fluoro-2-deoxy-2D-glucose (FDG) has shown…

Computed tomography and CT-myelography

1 What is computed tomography? Computed tomography (CT) is a noninvasive imaging technology that generates detailed cross-sectional images using a computer and rotating x-ray emitter. The CT scanner is a circular, rotating frame with an x-ray emitter mounted on one…