Usefulness of Percutaneous Ultrasonography for Deciding the Need of Surgical Evacuation of Epidural Hematoma After Cervical Double-door Laminoplasty
| Autor: | Yoshiharu Nakaya, Yoshitada Usami, Sachio Hayama, Takashi Fujishiro, Masashi Neo, Atsushi Nakano, Toma Yano, Masahiro Mizutani |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous Decompression medicine.medical_treatment Laminoplasty fluids and secretions Epidural hematoma medicine Humans Orthopedics and Sports Medicine Retrospective Studies Ultrasonography medicine.diagnostic_test business.industry Postoperative complication Magnetic resonance imaging Retrospective cohort study Decompression Surgical Hematoma Epidural Spinal bacterial infections and mycoses medicine.disease Magnetic Resonance Imaging Surgery Treatment Outcome Spinal decompression Cervical Vertebrae Neurology (clinical) business |
| Zdroj: | Clinical Spine Surgery: A Spine Publication. 35:E216-E222 |
| ISSN: | 2380-0186 |
| DOI: | 10.1097/bsd.0000000000001189 |
| Popis: | STUDY DESIGN This was a retrospective study. OBJECTIVE The objective of this study was to investigate the diagnostic utility of percutaneous ultrasonography (PUS) for postoperative epidural hematoma (EH) as a postoperative complication. SUMMARY OF BACKGROUND DATA We investigated the usefulness of PUS for determining the need of surgical evacuation of postoperative EH by comparing the postoperative magnetic resonance imaging (MRI) and PUS of the spinal cord. MATERIALS AND METHODS This study included patients who underwent cervical laminoplasty using suture anchors. Regular MRI and PUS were performed 1 week postoperatively. Whenever the patients exhibited neurological deterioration, MRI and PUS were performed. The spinal cord decompression status was classified into 3 grades using MRI and PUS. The existence of spinal pulsation was determined by PUS. RESULTS One hundred thirty-one patients were investigated. The decompression status by MRI and PUS, and the pulsation status by PUS showed a correlation with neurological deterioration (P |
| Databáze: | OpenAIRE |
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