Basic Neuro-Interventional Spine Procedures

Interventional spine procedures represent a well-known alternative to conservative management and highly debated surgical procedures in the management and relief of spinal pain. Basic Neuro-Interventional Spine Procedures allow minimally invasive treatment for both degenerative and tumor conditions, such as spine metastasis, osteoid osteoma, vertebral hemangioma, aneurysmal bone cyst, and osteoblastoma. Diagnostic imaging, both MRI—T1w, T2w, and STIR sequences—and CT, is of main importance for understanding underlying condition and planning the best therapeutic approach. Epidural steroid injection in the care of radiculopathy, oxygen-ozone therapy for the treatment of herniated disk, and percutaneous vertebroplasty in the management of vertebral body compression fracture are only few of the most used and widely accepted techniques in the setting of neuro-interventional spine interventions. In this chapter, we review the basic of anatomy and pathophysiology of spinal pain and then the current practice on neuro-interventional spinal interventions, including indications, contraindications, and complication and discuss the most used techniques in the clinical practice.