A. Orlando Ortiz MD, MBA, Presenter: Nothing to Disclose

Bassem Adeeb Georgy MD, MSc, Presenter: Consultant, Johnson & Johnson Consultant, DFINE, Inc Medical Advisory Board, SpineAlign Medical, Inc Stockholder, DFINE, Inc Stockholder, SpineAlign Medical, Inc Stockholder, Spine Solutions, Inc

Allan L. Brook MD, Presenter: Advisor, Johnson & Johnson Advisor, Medtronic, Inc

Afshin Gangi MD, PhD, Presenter: Proctor, Galil Medical Ltd

Todd Stuart Miller MD, Presenter: Nothing to Disclose

Stanley Golovac MD, Presenter: Nothing to Disclose

1) Describe and demonstrate methods for patient selection, evaluation and technique for Image-guided injection procedures used in spine pain management. 2) These procedures will include epidural steroid injections, nerve root blocks, facet blocks, sacroiliac joint injections, lumbar synovial cyst therapy, radiofrequency ablations. 3) Review procedural complications and how to avoid them. 4) Discuss pertinent anatomy, instruments and pharmacology. 5) These objectives will be accomplished using didactic lectures complemented by procedure videos, supervised hands on lab work with training models and round table case discussions.

Neck and back pain complaints are very common in the general population. Radiologists can contribute to the diagnosis and management in patients who are not responding to conservative management. Spine injection procedures can frequently be performed on an outpatient basis with a brief recovery phase. These procedures are performed with imaging guidance, such as a multi-directional fluoroscope or under CT guidance, in order to correctly localize the specifice anatomic sites in or about the spine for diagnostic and or therapecutic needle localization. An understanding of patient selection, indications and contraindications, are paramount to the safety and success of these procedures. The diagnostic and therapeutic potential of these procedures is also facilitated by a thorough evaluation of the spine, with respect to both anatomy and potential pathology, with cross sectional imaging techniques as well as other radiologic tests. Communication of these results between the Radiologist and the spine proceduralist will contribute to optimal patient outcomes.

Ortiz, A, Georgy, B, Brook, A, Gangi, A, Miller, T, Golovac, S, Common Spinal Injection Procedures for Diagnosis and Treatment of Back Pain (Hands-on Workshop).  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/3010360.html