Intraoperative Sonography during Lumbar Laminectomy:
نویسندگان
چکیده
The feasibility of intraoperative sonography during lumbar laminectomy was demonstrated in six cases. The most obvious advantage was the ability to image the spinal canal anterior to the spinal cord or cauda equina, which cannot be seen directly from the posterior operative approach. A water bath of warm saline serves as an ideal acoustic window. This technique has the potential to be a significant contribution to intraoperative exploration and localization.
منابع مشابه
Intraoperative sonographic monitoring of reduction of thoracolumbar burst fractures.
Intraoperative real-time sonography was used to monitor surgical reduction of acute thoracolumbar burst fractures in eight patients. Real-time sonography was performed after laminectomy through a saline-filled operative field using either a 5.0 or a 7.5 MHz transducer. Sonography was performed during Harrington rod distraction and during fracture reduction to confirm adequacy of decompression o...
متن کاملIntraoperative pulmonary embolism during spinal instrumentation surgery. A prospective study using transoesophageal echocardiography.
Intraoperative pulmonary fat and bone-marrow embolism is a serious complication of bone and joint surgery. We have investigated the occurrence and incidence of intraoperative embolism in patients undergoing elective lumbar spinal surgery with or without instrumentation. Sixty adult patients with lumbar degenerative disease were examined by intraoperative transoesophageal echocardiography while ...
متن کاملLumbar disk herniation and canal stenosis: value of intraoperative sonography in diagnosis and surgical management.
One-hundred-four patients with preoperative diagnoses of lumbar canal stenosis, disk herniation, or a combination of both were evaluated with intraoperative sonography with the intent of (1) describing the sonographic characteristics of herniated disks and distinguishing these from bulging anuli, epidural fat, scar tissue, and spondylolisthesis; (2) establishing criteria for adequate decompress...
متن کامل[Left iliac artery injury during lumbar laminectomy: case report].
BACKGROUND AND OBJECTIVES Iliac artery injury during laminectomy is an uncommon, however very serious event. This report aimed at presenting a case of left iliac artery injury in patient submitted to lumbar laminectomy under spinal anesthesia, that was clinically manifested in the immediate postoperative period, seven hours after beginning of surgery. CASE REPORT Male patient, physical status...
متن کاملIntraoperative neuromonitoring in single-level spinal procedures: a retrospective propensity score-matched analysis in a national longitudinal database.
STUDY DESIGN Retrospective propensity score-matched analysis on a national database (MarketScan) between 2006 and 2010. OBJECTIVE To compare rates of neurological deficits after elective single-level spinal procedures with and without intraoperative neuromonitoring, as well as associated payment differences and geographic variance. SUMMARY OF BACKGROUND DATA Intraoperative neurophysiologic ...
متن کامل