John M. Mathis – författare

The field of interventional radiology is constantly undergoing change, and its procedures evolve over time. There is currently tremendous pressure on our specialty, as cardiology and vascular surgery app- priate existing vascular interventions. We need to be looking constantly for new procedures that will replace this loss. In the 1980s, the int- duction of vascular access provided new procedures that included the placement of temporary venous catheters, ports, tunneled catheters, and dialysis maintenance. As a result of vascular access the number of procedures performed in some interventional labs doubled. The same revolution is occurring again with the advent of image-guided spine intervention. Five percent of the American population at any one time has back pain. This huge patient population is seeking help for this disabling and persistent problem. Image-Guided Spine Interventions describes the varied and numerous procedures that are available to the image-guided interventionist, who may provide these therapies for the spine. This book embraces clinical evaluation, pharmacological requirements, procedural recommen- tions, and a spectrum of procedures that will be of interest to the image-guided spine interventionist. It covers a broad range of ma- rial that is presented by experts in each field, including discography, intradiscal electrothermal therapy (IDET), percutaneous discectomy, vertebroplasty and ballon kyphoplasty, epidural steroid injections, - lective nerve root blocks and autonomic nerve blockade, diagnostic epidurography and therapeutic epidurolysis, sacroiliac and facet joint injections, implanted drug delivery systems, and epidural blood and fibrin patches for CSF leaks.

Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used “off label” or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used “off label” or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

The field of minimally invasive spine intervention continues to evolve rapidly. Numerous changes and developments have been added to our tools and capabilities over the past decade. Image-Guided Spine Interventions, Second Edition, describes the v- ied and numerous tools that are available to the physicians who are involved in providing these procedures to appropriate patients. This book embraces clinical evaluation, pharmacological requirements, p- cedural recommendations, and a spectrum of procedures that will be of interest to the minimally invasive spine interventionalist. It covers a broad range of material that is presented by experts in each field, such as discography, percutaneous discectomy, vertebroplasty and balloon kyphoplasty, epidural steroid injections, selective nerve root blocks, autonomic nerve blocks, spinal stimulator implantation, and spine v- cular intervention. This book will be useful to all physicians who deal with back pain, including pain anesthesiologists, spine neurosurgeons, orthopedists, and radiologists. Both editors have clinical practices devoted solely to spine pro- dures and pain management. This rewarding area has grown rapidly, and it provides great opportunities for clinical development as well as potential to aid a very needy patient population. We sincerely hope this work will be useful in helping our colleagues – new and old – establish, grow, and refine a minimally invasive spine interventional practice.

The field of minimally invasive spine intervention continues to evolve rapidly. Numerous changes and developments have been added to our tools and capabilities over the past decade. Image-Guided Spine Interventions, Second Edition, describes the v- ied and numerous tools that are available to the physicians who are involved in providing these procedures to appropriate patients. This book embraces clinical evaluation, pharmacological requirements, p- cedural recommendations, and a spectrum of procedures that will be of interest to the minimally invasive spine interventionalist. It covers a broad range of material that is presented by experts in each field, such as discography, percutaneous discectomy, vertebroplasty and balloon kyphoplasty, epidural steroid injections, selective nerve root blocks, autonomic nerve blocks, spinal stimulator implantation, and spine v- cular intervention. This book will be useful to all physicians who deal with back pain, including pain anesthesiologists, spine neurosurgeons, orthopedists, and radiologists. Both editors have clinical practices devoted solely to spine pro- dures and pain management. This rewarding area has grown rapidly, and it provides great opportunities for clinical development as well as potential to aid a very needy patient population. We sincerely hope this work will be useful in helping our colleagues – new and old – establish, grow, and refine a minimally invasive spine interventional practice.

Since the ?rst edition of this book was published in 2002, there have been many advances in our knowledge of percutaneous vertoplasty (PV), particularly about how to perform the procedure more safely and how to approach more complex case situations. Additionally, mate- als that were initially used “off label” or that simply were not FDA approved have completed their governmental review and have received FDA approval. This has increased the legitimacy of the p- cedure from the legal and reimbursement perspective. Controversy over height restoration and device selection has become a progressively bigger issue over time. Kyphoplasty (balloon assisted vertebroplasty) has received tremendous emphasis. This book c- pares and contrasts data and claims that differentiate kyphoplasty from percutaneous vertebroplasty. We also look at other methods that pot- tially can be used for height restoration. New procedures that deal with bone augmentation in other anatomic regions have evolved (i.e., sacroplasty) and are discussed. As this re- lution in image-guided percutaneous bone augmentation has dev- oped, multiple medical specialties have embraced these procedures in their training programs for both residents and practicing physicians.

Percutaneous Vertebroplasty is a concise and up-to-date reference that details the essentials for setting up a modern clinical lab, selecting patients, safely performing the procedure and avoiding pitfalls that are commonly encountered. Over 95 photographs, specially created for this book, provide the reader with detailed examples of how each aspect of the procedure is performed in an understandable step by step format. The authors are world-renowned pioneers in the field who have developed the basic science and clinical information relating to percutaneous vertebroplasty. This rapidly proliferating procedure is used to treat the pain associated with compression fractures of the spine resulting from osteoporotic vertebral collapse or tumor destruction. Subspecialty groups such as radiology, neuroradiology, orthopaedic surgery, and neurosurgery will benefit from the in-depth coverage of this cutting edge procedure.