Spinal Skeletal Interventions

The spine is a vital and intricate structure housing essential components such as the spinal cord and proximal peripheral nerves. Pathologies affecting these structures, whether benign or malignant, can result in significant pain and disability. Interventional radiologists now routinely perform spinal procedures for diagnostic and therapeutic purposes, leveraging advancements in technology that have introduced innovative and effective approaches to managing spinal conditions with improved safety and outcomes. Modern spinal interventions rely heavily on imaging guidance to ensure precise needle placement, real-time monitoring, and the protection of adjacent critical structures. Osteoporotic vertebral fractures, for example, have transitioned from being treated with open vertebroplasty to minimally invasive percutaneous techniques, reflecting the evolution of care in this field. This chapter provides a comprehensive overview of percutaneous image-guided spinal interventions. It delves into their indications, the techniques employed, and potential complications, offering readers an in-depth understanding of these advanced procedures and their growing role in spinal pathology management.