Techniques in Regional Anesthesia & Pain Management
Volume 11, Issue 2 , Pages 81-89, April 2007

Imaging for percutaneous lumbar disc decompression procedures

  • Timothy Deer, MD

      Affiliations

    • Center for Pain Relief, Charleston, West Virginia
    • Corresponding Author InformationAddress reprint requests and correspondence: Timothy Deer, MD, Center for Pain Relief and Professor, Department of Anesthesiology, West Virginia University, 400 Court Street, Suite 304, Charleston, WV 25301.
  • ,
  • Leonardo Kapural, MD, PhD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio.

This article analyzes the proper use of imaging in the performance of procedures for disc decompression by minimally invasive techniques. The importance of obtaining and reviewing images before the procedure is discussed. Reviewed are the positioning, preparation, performance, and follow up of patients undergoing these procedures. The proper views on fluoroscopic imaging are highlighted, and examples are given of desirable images for performing these cutting edge techniques. Clinical pearls and pitfalls for those procedures are reviewed, and examples of proper imaging are shown.

Keywords: Percutaneous decompression, Nucleoplasty, Dekompressor, Decompressive catheter, Herniated disc, Imaging, Fluoroscopy

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PII: S1084-208X(07)00015-8

doi:10.1053/j.trap.2007.02.014

Techniques in Regional Anesthesia & Pain Management
Volume 11, Issue 2 , Pages 81-89, April 2007