The transversoclasiotome: a novel instrument for examining the vertebral artery.

Autor: Boscolo-Berto R; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy., Macchi V; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy., Tubbs RS; Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.; Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.; Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA.; Department of Anatomical Sciences, St. George's University, St. George's, Grenada., Emmi A; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy., Stecco C; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy., Loukas M; Department of Anatomical Sciences, St. George's University, St. George's, Grenada., Porzionato A; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy., De Caro R; Institute of Human Anatomy, Department of Neurosciences, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy. rdecaro@unipd.it.; Veneto Region Reference Center for the Preservation and Use of Gifted Bodies, Veneto Region, Padua, Italy. rdecaro@unipd.it.; National Reference Center for the Preservation and Use of Gifted Bodies, Padua, Italy. rdecaro@unipd.it.
Jazyk: angličtina
Zdroj: Forensic science, medicine, and pathology [Forensic Sci Med Pathol] 2024 Jun; Vol. 20 (2), pp. 325-334. Date of Electronic Publication: 2023 May 24.
DOI: 10.1007/s12024-023-00638-x
Abstrakt: Opening the foramen transversarium of the cervical vertebrae is necessary for accessing the vertebral vessels. There are no specialist tools for cutting the anterior lamina of the transverse processes, and alternatives lead to questionable results. A novel tool, the transversoclasiotome, is described and tested. The literature and patent databases were systematically reviewed. A blueprint of the transversoclasiotome was created, and the prototype was tested through autopsy on ten fresh-frozen cadavers within our Body Donation Program. The transversoclasiotome consists of two delicate branches mounted as a scissor, one a cutting jaw and the other a knocker with a rounded tip, both angled 30° to the principal axis. The jaws shut, facing each other in parallel. The cutting jaw corresponds to a slit on the knocker profile without protruding beyond it even when entirely closed. It acts by cutting and wedging. The testing autopsies demonstrated its suitability for its purpose, with an adequate response to the pressure exerted on the bone lamina. The section cut cleanly, without sliding off while closing on the bone. The vertebral vessels were not injured either during instrument insertion or cutting. Their morphological features are described. The transversoclasiotome has been proven appropriate for sectioning the anterior lamina of transverse processes of the cervical vertebrae. It meets the needs of clinical anatomy in teaching and training clinicians or surgeons, forensic clinical anatomy during medico-legal investigation, and research.
(© 2023. The Author(s).)
Databáze: MEDLINE
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