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Image-Guided Spine Interventions for Pain: Ongoing Controversies.

Publication ,  Journal Article
Peckham, ME; Miller, TS; Amrhein, TJ; Hirsch, JA; Kranz, PG
Published in: AJR Am J Roentgenol
May 2023

An expanding array of image-guided spine interventions have the potential to provide immediate and effective pain relief. Innovations in spine intervention have proceeded rapidly, with clinical adoption of new techniques at times occurring before the development of bodies of evidence to establish efficacy. Although new spine interventions have been evaluated by clinical trials, acceptance of results has been hindered by controversies regarding trial methodology. This article explores controversial aspects of four categories of image-guided interventions for painful conditions: spine interventions for postdural puncture headache resulting from prior lumbar procedures, epidural steroid injections for cervical and lumbar radiculopathy, interventions for facet and sacroiliac joint pain, and vertebral augmentations for compression fractures. For each intervention, we summarize the available literature, with an emphasis on persistent controversies, and discuss how current areas of disagreement and challenge may shape future research and innovation. Despite the ongoing areas of debate regarding various aspects of these procedures, effective treatments continue to emerge and show promise for aiding relief of a range of debilitating conditions.

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Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

May 2023

Volume

220

Issue

5

Start / End Page

736 / 745

Location

United States

Related Subject Headings

  • Spine
  • Pain Management
  • Nuclear Medicine & Medical Imaging
  • Lumbosacral Region
  • Injections, Epidural
  • Humans
  • Fractures, Compression
  • Arthralgia
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Peckham, M. E., Miller, T. S., Amrhein, T. J., Hirsch, J. A., & Kranz, P. G. (2023). Image-Guided Spine Interventions for Pain: Ongoing Controversies. AJR Am J Roentgenol, 220(5), 736–745. https://doi.org/10.2214/AJR.22.28643
Peckham, Miriam E., Todd S. Miller, Timothy J. Amrhein, Joshua A. Hirsch, and Peter G. Kranz. “Image-Guided Spine Interventions for Pain: Ongoing Controversies.AJR Am J Roentgenol 220, no. 5 (May 2023): 736–45. https://doi.org/10.2214/AJR.22.28643.
Peckham ME, Miller TS, Amrhein TJ, Hirsch JA, Kranz PG. Image-Guided Spine Interventions for Pain: Ongoing Controversies. AJR Am J Roentgenol. 2023 May;220(5):736–45.
Peckham, Miriam E., et al. “Image-Guided Spine Interventions for Pain: Ongoing Controversies.AJR Am J Roentgenol, vol. 220, no. 5, May 2023, pp. 736–45. Pubmed, doi:10.2214/AJR.22.28643.
Peckham ME, Miller TS, Amrhein TJ, Hirsch JA, Kranz PG. Image-Guided Spine Interventions for Pain: Ongoing Controversies. AJR Am J Roentgenol. 2023 May;220(5):736–745.

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

May 2023

Volume

220

Issue

5

Start / End Page

736 / 745

Location

United States

Related Subject Headings

  • Spine
  • Pain Management
  • Nuclear Medicine & Medical Imaging
  • Lumbosacral Region
  • Injections, Epidural
  • Humans
  • Fractures, Compression
  • Arthralgia
  • 3202 Clinical sciences
  • 1103 Clinical Sciences