Morphometric Analysis of the Retroperitoneal Vessels With Respect to Lateral Access Surgery in Adult Scoliosis
| Autor: | Kirkham B. Wood, Louis G. Jenis, Hai Le, Thomas D. Cha, Heeren S. Makanji |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Scoliosis Inferior vena cava 03 medical and health sciences 0302 clinical medicine Lumbar medicine Deformity Humans Orthopedics and Sports Medicine Retroperitoneal Space 030222 orthopedics medicine.diagnostic_test business.industry Magnetic resonance imaging Anatomy Middle Aged medicine.disease Magnetic Resonance Imaging Vertebra Biomechanical Phenomena Intervertebral disk medicine.anatomical_structure medicine.vein Surgery Female Neurology (clinical) Tomography medicine.symptom business Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | Clinical spine surgery. 30(7) |
| ISSN: | 2380-0194 |
| Popis: | STUDY DESIGN Cross-sectional study reviewing 62 magnetic resonance imaging or computed tomography scans from consecutive adult patients with scoliotic spinal deformity in the thoracolumbar spine. OBJECTIVE To investigate the variation in anatomic position of retroperitoneal vessels in relationship to curve direction, location, magnitude, and axial rotation of curves in adult scoliosis. SUMMARY OF BACKGROUND DATA The minimally invasive lateral approach to the thoracolumbar spine avoids manipulation of abdominal and retroperitoneal structures and decreases risk of injury to paraspinal musculature. In adult patients with scoliosis, the varying anatomic relationship between retroperitoneal vessels and intervertebral disk spaces can increase the risk of vascular injury. MATERIALS AND METHODS Axial images were used to measure the anterior-posterior diameter of the inferior vertebral endplate with respect to the disk space perpendicular to the widest length of the disk. The overlap of the retroperitoneal vessels with the endplate were measured at the cephalad end vertebra, apex, and caudad end vertebra of each curve. Overlap and accessible disk space for individual disk spaces were also measured. RESULTS There was a significant difference in percentage overlap of the apex and cephalad vertebral endplate and inferior vena cava in right versus left-sided curves (P=0.002). Overlap between the inferior vertebral endplate and inferior vena cava at the cephalad, apex, and caudad end of the curve was significantly different between thoracolumbar and lumbar curves (P |
| Databáze: | OpenAIRE |
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