Lerch, Klaus and Voelk, Markus and Heers, Guido and Baer, Wolfgang and Nerlich, Michael (2002) Ultrasound-guided decompression of the spinal canal in traumatic stenosis. ULTRASOUND IN MEDICINE AND BIOLOGY, 28 (1): PII S0301-. pp. 27-32. ISSN 0301-5629
Full text not available from this repository. (Request a copy)Abstract
The purpose of this study was to examine the efficacy of ultrasound (US)-guided decompression of the myelon in the surgical treatment of spinal fractures. Intraoperative ultrasonography was performed in 22 patients with traumatic stenosis of the spinal canal during spinal cord surgery with removal of retropulsed bony fragments. US imaging requires a posterior approach and an enlarged foramen interarcuale. The posterior vertebral facet and the myelon can accurately be distinguished from small bony fragments by ultrasonography. Pre- and postoperative computed tomography was compared with intraoperative US imaging. Complete decompression of the spinal canal was controlled by US imaging of the restored ventral epidural space, as seen after repositioning of displaced fragments. Thus, the required extent of the surgical procedure was determined by intraoperative ultrasonography. We conclude that intraoperative US imaging is an important tool to monitor the restoration of the spinal canal and decompression of the spinal cord in case of fracture. The repositioning of stenosing bony fragments using surgical instruments can be monitored. US imaging as a real-time method intraoperatively provides the surgeon with additional information and significantly influences treatment options. (E-mail: klaus.lerch@klinik.uni-regensburg.de) (C) 2002 World Federation for Ultrasound in Medicine Biology.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INTRAOPERATIVE ULTRASONOGRAPHY; THORACOLUMBAR FRACTURES; STABILITY; myelon; spinal stenosis; ultrasonography; fracture; spinal fragments |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Lehrstuhl für Orthopädie Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Nov 2021 08:06 |
| Last Modified: | 22 Nov 2021 08:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/40847 |
Actions (login required)
 |
View Item |
