Bone cylinder plug and coil technique for accurate pedicle localization in thoracic spine surgery: A technical note.

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Version: author
License: CC BY 4.0
Serval ID
serval:BIB_052C8965AA95
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Bone cylinder plug and coil technique for accurate pedicle localization in thoracic spine surgery: A technical note.
Journal
Surgical neurology international
Author(s)
Maduri R., Starnoni D., Barges-Coll J., David Hajdu S., Michael Duff J.
ISSN
2229-5097 (Print)
ISSN-L
2152-7806
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
10
Pages
104
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Intraoperative identification of the correct level during thoracic spine surgery is essential to avoid wrong-level procedures. Despite technological progress, intraoperative imaging modalities for identifying the correct thoracic spine level remain unreliable and often lead to wrong-level surgery. To counter potential wrong-level operations, here, we have proposed a novel pedicle/bone cylinder marking technique for use in the thoracic spine utilizing biplanar fluoroscopy and confirmed with computed tomography (CT).
First, under fluoroscopic guidance, a bone cylinder is removed from the correct thoracic pedicle. Next, endovascular coils are packed into the cancellous bone defect followed by reinsertion of the bony plug. The patient then undergoes a CT scan of the entire thoracolumbosacral spine to precisely identify the marked level before surgery.
We utilized this bone cylinder plug/coil technique to identify the T9-T10 level in a 56-year-old female with a soft thoracic disc herniation. The index thoracic pedicle was successfully localized before performing the unilateral minimally invasive laminectomy followed by the transpedicular thoracic disc excision.
The bone cylinder plug/coil technique is a safe and effective method for marking the correct level in thoracic spine surgery, while also reducing the operative time.
Keywords
Disc herniation, Interventional radiology, Intervertebral disc, Surgical discectomy, Thoracic spine, Thoracic vertebrae
Pubmed
Open Access
Yes
Create date
24/06/2019 14:06
Last modification date
21/09/2019 6:08
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