Interventional Spine

Alessandro, Cianfoni, MD
Daniel, T, Zapton, MD, Non ASSR Member
Sandro, Lunghi, MD, Non ASSR Member
Zoran, Rumboldt, MD, Non ASSR Member
Giuseppe, Bonaldi, MD, Non ASSR Member

Poster

Purpose

To review pertinent normal, fluoroscopic, and CT spine anatomy for spine interventionalists
To review the main practical principles for effective and safe imaging guidance in spine interventions
To review fluoroscopic projections and views for percutaneous spine procedures, in combination and comparison to 3D and cross-sectional CT anatomy

Methods & Materials

Pertinent normal spine anatomy
Pertinent radiographic, 3D and multiplanar cross-sectional CT spine anatomy
Practical principles in fluoroscopy and CT imaging-guidance for spine procedures
Fluoroscopy projections and views for the main interventional spine procedures, in combination and comparison with the correspondent 3D and multiplanar cross-sectional CT images, obtained at a workstation, from spine-CT raw data sets.

Results

General spine anatomy, fluoroscopy spine anatomy, fluoroscopy-guidance, and CT-guidance principles for spine interventions are presented. The most common percutaneous accesses to the spine are reviewed, with explanation of fluoroscopy landmarks, compared to the CT correlates.

Conclusion

Imaging guidance, with fluoroscopy or CT, allows safe performance of many percutaneous spine procedures. Knowledge of spine anatomy and imaging guidance principles is critical for spine interventionalists. This educational exhibit reviews pertinent spine anatomy, image-guidance principles and tips, and presents fluoroscopic views of the spine, in combination and comparison with the correspondant 3D and cross-sectional CT images, for a better understanding of the relevant underlying anatomy

References/Financial Disclosures

None