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YOU are here : Home > Spinecare Topics > Intervention - Spinal Disorders > Minimally Invasive Intervention for Spine Pain
Spinecare Topics
Intervention - Spinal Disorders
Minimally Invasive Intervention for Spine Pain
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Minimally Invasive Intervention for Spine Pain
Indication for the Procedure: General indications for SI joint injection include the presence of edema within the SI region on MRI or possible response to orthopedic test or stress maneuvers during physical examination. It should be reserved for those who failed to improve with spinal interventional techniques and an appropriate course of conservative care including physical therapy.
Procedure: Sacroiliac joint injections are usually performed on an outpatient basis. They can be performed under fluoroscopic CT or MRI guidance to improve the accuracy of injection. Intravenous sedation before during the procedure is usually not required. The patient is generally placed in a face down position. Sterile technique is utilized. Needle placement should be performed with imaging guidance. Incremental placement of the needle is utilized. The sacroiliac joint can only accommodate a small volume of contrast or pharmaceutical agent.
Goals of the Procedure: The primary goal of the procedure is to identify whether or not there is significant pain arising from the sacroiliac joint and to help reduce the degree of pain.
Percutaneous Vertebroplasty
Background: The use of the term vertebroplasty refers to a surgical approach, which has been used for many decades. It requires use of a substance, which can be used to modify or reconstruct a damaged vertebra. The materials used include bone graft, cement, or metal implants. The incidence of compression fractures of the spine exceeds that of hip fracture.
Indications for Procedure: Percutaneous vertebroplasty (PV) is indicated in patients who experience pain as a result of vertebral compression fractures. Compression fractures occur secondary to weakening of the bony elements secondary to mineral loss within the bone. The most common cause is osteoporosis. Severe compression fractures can lead to chronic pain as well as impaired physical capacity and reduced quality of life. They can further contribute to depression, loss of self-esteem, and obesity secondary to inactivity.
Procedure: Sacroiliac joint injections are usually performed on an outpatient basis. They can be performed under fluoroscopic CT or MRI guidance to improve the accuracy of injection. Intravenous sedation before during the procedure is usually not required. The patient is generally placed in a face down position. Sterile technique is utilized. Needle placement should be performed with imaging guidance. Incremental placement of the needle is utilized. The sacroiliac joint can only accommodate a small volume of contrast or pharmaceutical agent.
Goals of the Procedure: The primary goal of the procedure is to identify whether or not there is significant pain arising from the sacroiliac joint and to help reduce the degree of pain.
Percutaneous Vertebroplasty
Background: The use of the term vertebroplasty refers to a surgical approach, which has been used for many decades. It requires use of a substance, which can be used to modify or reconstruct a damaged vertebra. The materials used include bone graft, cement, or metal implants. The incidence of compression fractures of the spine exceeds that of hip fracture.
Indications for Procedure: Percutaneous vertebroplasty (PV) is indicated in patients who experience pain as a result of vertebral compression fractures. Compression fractures occur secondary to weakening of the bony elements secondary to mineral loss within the bone. The most common cause is osteoporosis. Severe compression fractures can lead to chronic pain as well as impaired physical capacity and reduced quality of life. They can further contribute to depression, loss of self-esteem, and obesity secondary to inactivity.
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