Ultrasound of the Spine in Focal Stenosis and Disc Disease

Engel, Juliette M.; Engel, Gregory M.; Gunn, Donald R.

doi:10.1097/00007632-198512000-00011

Cited by 16 publications

(3 citation statements)

References 0 publications

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“…US has been reported to display intervertebral disc degeneration[12,13] and focal stenosis[14]. It has been used in the guidance of facet joint injections[15], selective nerve root blocks[16], lumbar transforaminal injections[17] and so on.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guidance for transforaminal percutaneous endoscopic lumbar discectomy may prevent radiation exposure: A case report

Zhang¹,

Yan²,

Li³

et al. 2019

WJCC

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BACKGROUND Percutaneous endoscopic lumbar discectomy (PELD) has become a mature and mainstream minimally invasive surgical technique for treating lumbar disc herniation (LDH). Repeated ﬂuoroscopy, with more than 30 shots on average, is inevitable to ensure its accuracy and safety. However, exposure to X-rays may pose a threat to human health. We herein report a case of ultrasound (US)-assisted PELD in two levels of LDH to explore a new possibility that can reduce the radiation dose during puncture and cannulation in PELD. CASE SUMMARY A 38-year-old man with low back pain and left leg pain for more than 7 years came to our clinic, his symptoms had aggravated for 1 month, and he was diagnosed with L3-4 and L4-5 disc herniations. He received US-guided PELD with good results: His straight leg elevation increased from 40 to 90 degrees after PELD, and his visual analog scale (VAS) and Oswestry Disability Index scores both significantly decreased immediately and 6 mo after PELD. With the guidance of US, he received only two shots of fluoroscopy (fluoroscopic time: 4.4 s; radiation dose: 3.98 mGy). To our knowledge, this is the first case of US-guided puncture and cannulation of PELD for LDH at two levels. CONCLUSION US could be used to guide PELD and has the potential to largely reduce radiation than traditional X-ray guidance.

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Section: Discussionmentioning

confidence: 99%

Ultrasound guidance for transforaminal percutaneous endoscopic lumbar discectomy may prevent radiation exposure: A case report

Zhang¹,

Yan²,

Li³

et al. 2019

WJCC

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“…20,21 Ultrasound was evaluated in one of the studies that used surgery as a reference standard; in this study a sensitivity of 95% was reported. 17 The specificity of most imaging studies that used surgical confirmation as a reference standard could not be estimated; only in 3 studies was this possible. 18,20,21 In these cases, sensitivity and specificity were estimated based on involved levels or nerve roots.…”

Section: Imaging Tests Surgery As a Reference Standardmentioning

confidence: 99%

Diagnosis of Lumbar Spinal Stenosis

Graaf¹,

Prak²,

Bierma-Zeinstra³

et al. 2006

Spine

100

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“…Transcutaneous sonographic evaluation of the intervertebral disk can be performed by an anterior 35 or posterior 43,44 approach. Additional techniques including the transesophageal 45 and laparoscopic 46 approaches also have been reported.…”

Section: Technical Considerationsmentioning

confidence: 99%