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Doody's Review ServiceReviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This is a step-by-step description of percutaneous pain procedures and minimally invasive spine surgical procedures for pain control. The book is full of wonderful illustrations, tables, and fluoroscopy images.
Purpose: The primary purpose is to provide a single, updated resource on pain procedures, a worthy objective in the expanding field of pain techniques.
Audience: The target audience is practicing interventional pain physicians and spine surgeons. The authors are experienced pain clinicians.
Features: This is a pretty exhaustive book, with 38 chapters over roughly 500 pages. Initial chapters cover anatomy, pathology, and radiology of the spine and discs. The next series of chapters describe fluoroscopic guided procedures from the cervical spine to the sacrum, and include spinal cord stimulation, intrathecal pump placement, different disc injection therapies, and vertebral augmentation techniques. The concluding chapters consider surgical procedures for discectomy and the fusion of the spine. Chapters are concise, nicely illustrated, and organized in an easy to follow format of bulleted lists with lots of tables. The procedures are described thoroughly and cover all aspects including the purpose of the injections, contraindications, complications, preprocedural evaluation, and instruments required to perform the block. The best part is the detailed discussion of anatomy as it relates to the procedure. Fluoro images guide readers to the proper final needle position. Surprisingly, the book lacks discussions of injections for facial pain, peripheral neuromodulation techniques for pain control, and a few disc therapies for pain control, making it less than a comprehensive procedural book. The entire text is also available online through an access code that comes with the book. A supplemental DVD shows 28 video clips of procedures (also available online). However, the video clips have no audio and, honestly speaking, are pretty disappointing compared to the quality of the book.
Assessment: This is a very nice attempt to compile a book on pain procedures and is a unique combination of surgical and injection techniques. The detailed anatomical considerations that accompany every injection technique are the best part of the book.