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

Détails

Ressource 1Télécharger: SNI-10-104.pdf (736.31 [Ko])
Etat: Public
Version: de l'auteur
Licence: CC BY 4.0
ID Serval
serval:BIB_052C8965AA95
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Bone cylinder plug and coil technique for accurate pedicle localization in thoracic spine surgery: A technical note.
Périodique
Surgical neurology international
Auteur(s)
Maduri R., Starnoni D., Barges-Coll J., David Hajdu S., Michael Duff J.
ISSN
2229-5097 (Print)
ISSN-L
2152-7806
Statut éditorial
Publié
Date de publication
2019
Peer-reviewed
Oui
Volume
10
Pages
104
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
Disc herniation, Interventional radiology, Intervertebral disc, Surgical discectomy, Thoracic spine, Thoracic vertebrae
Pubmed
Open Access
Oui
Création de la notice
24/06/2019 14:06
Dernière modification de la notice
20/09/2019 22:35
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