Intermittent Feet Dorsiflexion as a Simple Trick to Improve Cervical Fluoroscopic Visualization.
World Neurosurg
; 92: 548-551.e1, 2016 Aug.
Article
en En
| MEDLINE
| ID: mdl-27241093
ABSTRACT
BACKGROUND:
Anterior cervical surgery is routinely performed using fluoroscopy. Visualizing the lower cervical levels can be challenging, particularly in obese, muscular, and broad-shouldered patients. We found that grabbing both feet of the patient at the level of the metatarsals and cranially pushing the feet, creating dorsiflexion at the ankle joints, seems to increase the number of fluoroscopically visualized cervical levels. We aimed to measure the average change in fluoroscopically visualized levels when performing this maneuver.METHODS:
In 10 consecutive patients undergoing an anterior cervical discectomy and fusion procedure, we counted the number of fluoroscopically visualized cervical levels. Visible cervical levels in lateral fluoroscopic cervical images that were taken with and without the execution of the aforementioned maneuver were counted by 2 blinded observers.RESULTS:
Performing this maneuver added on average almost 1 vertebral body height to the fluoroscopic image. The additional number of fluoroscopically visible cervical levels was significantly higher in patients <50 years old but was not affected by sex or body mass index.CONCLUSIONS:
We propose a simple, convenient, and effective technique to increase the number of visualized cervical levels on lateral cervical fluoroscopy. This maneuver may have some advantages compared with other commonly used techniques.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fluoroscopía
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Intensificación de Imagen Radiográfica
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Vértebras Cervicales
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Discectomía
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Cirugía Asistida por Computador
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Posicionamiento del Paciente
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
World Neurosurg
Asunto de la revista:
NEUROCIRURGIA
Año:
2016
Tipo del documento:
Article