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Semin Musculoskelet Radiol 2022; 26(04): 412-423
DOI: 10.1055/s-0042-1748913
Review Article

Update on Interventional Radiology of the Spine

Dimitrios K. Filippiadis 
1   2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Haidari/Athens, Greece
,
Salvatore Masala
2   Diagnostic Imaging and Interventional Radiology, University of Rome Tor Vergata, Rome, Italy
,
Pierleone Lucatelli
3   Diagnostic Imaging and Interventional Radiology, Vascular and Interventional Radiology Unit, Sapienza University of Rome, Rome, Italy
,
Alexis Kelekis
1   2nd Department of Radiology, University General Hospital “ATTIKON,” Medical School, National and Kapodistrian University of Athens, Haidari/Athens, Greece
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Abstract

Interventional radiologists now perform spinal interventions routinely for diagnostic and therapeutic purposes. New technologies for the management of spine pathologies have emerged with promising results in terms of safety and efficacy. Interventional radiology techniques in the spine include percutaneous biopsy and therapies for intervertebral disk herniation or spinal stenosis, facet and sacroiliac joint pathologies, vertebral and sacral fractures, and metastases. These techniques can also be easily combined one with the other or to further therapeutic approaches including systemic therapies, surgical approaches, and radiotherapy. This review provides a comprehensive overview of current percutaneous imaging-guided interventional radiology techniques in the spine. It will help readers become familiar with the most common indications, learn about different technical considerations during performance, and review the available evidence. Controversies concerning new products and technical approaches are also addressed.

Keywords

interventional radiology - spine - augmentation - ablation - biopsy


Publication History

Article published online:
14 September 2022

© 2022. Thieme. All rights reserved.

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