New Percutaneous Access Method for Minimally Invasive Anterior Lumbosacral Surgery
| Autor: | Flavio Casteneda, Allen L. Carl, Andrew H. Cragg, Lee Guterman, Carlos E. Oliveira, Curtis A. Dickman |
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| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Sacrum medicine.medical_specialty Percutaneous Biopsy Sus scrofa Pilot Projects Neurosurgical Procedures Catheterization Postoperative Complications Lumbar Cadaver Monitoring Intraoperative medicine Animals Humans Diskectomy Percutaneous Orthopedics and Sports Medicine Intraoperative Complications Lumbar Vertebrae medicine.diagnostic_test Human studies business.industry Reproducibility of Results Magnetic Resonance Imaging Surgery Dissection Spinal Fusion Treatment Outcome Fluoroscopy Feasibility Studies Lumbar spine Neurology (clinical) Radiology business Lumbosacral joint |
| Zdroj: | Journal of Spinal Disorders & Techniques. 17:21-28 |
| ISSN: | 1536-0652 |
| Popis: | Preliminary cadaver, animal, and human studies were performed to determine the feasibility of axial anterior lumbosacral spine access using a percutaneous, presacral approach. Custom instruments were directed under fluoroscopic guidance along the midline of the anterior sacrum to the surface of the sacral promontory where an axial bore was created into the lower lumbar vertebral bodies and discs. Imaging and gross dissection were performed in cadavers and animals. The procedure was used for lumbosacral biopsy in human subjects guided by intraoperative imaging and clinical monitoring. All procedures were technically successful. This study demonstrates the feasibility of the axial access technique to the anterior lower lumbar spine. |
| Databáze: | OpenAIRE |
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