Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study
Background Needle insertion for spinal anesthesia using the Taylor approach is challenging as the L5-S1 space is difficult to locate from the surface anatomy. In this study, we suggest the use of three-dimensional (3D) pelvis computed tomography (CT) to assist anesthesiologists in locating the needl...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2023-02-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-22099.pdf |
| _version_ | 1797937970033983488 |
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| author | Saecheol Oh Yoojung Park Hana Kwoun Eunjin Eom Dal-ah Kim |
| author_facet | Saecheol Oh Yoojung Park Hana Kwoun Eunjin Eom Dal-ah Kim |
| author_sort | Saecheol Oh |
| collection | DOAJ |
| description | Background Needle insertion for spinal anesthesia using the Taylor approach is challenging as the L5-S1 space is difficult to locate from the surface anatomy. In this study, we suggest the use of three-dimensional (3D) pelvis computed tomography (CT) to assist anesthesiologists in locating the needle insertion point. By comparing the success rate of 3D pelvis CT-assisted Taylor approach to that of other approaches in the existing literatures, we suggest this technique as an alternative method for subarachnoid block in the L5-S1 space. Methods In this retrospective observational study, we reviewed the records of hip arthroplasty using the 3D pelvis CT-assisted Taylor approach. An imaginary guidance line was created from the intersection point of the midline and intercristal line on the posterior view of the 3D pelvis CT to the ideal skin insertion point for Taylor approach. The primary outcome was the success rate. The secondary outcomes included the angle between the intercristal line and the guidance line, and the length of the guidance line and the distance between the ideal needle insertion point and the L5-S1 space. Results We reviewed the records of the 276 patients who underwent hip arthroplasty using 3D CT-assisted Taylor approach. In this cohort, the 3D CT-assisted Taylor approach in L5-S1 subarachnoid block failed in only 25/276 patients. The success rate of 3D CT-assisted Taylor approach was 90.9%. Conclusions Three-dimensional pelvis CT-assisted Taylor approach of spinal anesthesia can be an alternative method for subarachnoid block in the L5-S1 space with an acceptable success rate. |
| first_indexed | 2024-04-10T18:53:44Z |
| format | Article |
| id | doaj.art-7deaacbc879446839eb903cfc1de35d9 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-10T18:53:44Z |
| publishDate | 2023-02-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-7deaacbc879446839eb903cfc1de35d92023-02-01T05:08:01ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632023-02-01761121610.4097/kja.220998840Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective studySaecheol Oh0Yoojung Park1Hana Kwoun2Eunjin Eom3Dal-ah Kim4 Department of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, Daejeon, Korea Department of Anesthesiology and Pain Medicine, St. Vincent’s Hospital, Suwon, Korea Department of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaBackground Needle insertion for spinal anesthesia using the Taylor approach is challenging as the L5-S1 space is difficult to locate from the surface anatomy. In this study, we suggest the use of three-dimensional (3D) pelvis computed tomography (CT) to assist anesthesiologists in locating the needle insertion point. By comparing the success rate of 3D pelvis CT-assisted Taylor approach to that of other approaches in the existing literatures, we suggest this technique as an alternative method for subarachnoid block in the L5-S1 space. Methods In this retrospective observational study, we reviewed the records of hip arthroplasty using the 3D pelvis CT-assisted Taylor approach. An imaginary guidance line was created from the intersection point of the midline and intercristal line on the posterior view of the 3D pelvis CT to the ideal skin insertion point for Taylor approach. The primary outcome was the success rate. The secondary outcomes included the angle between the intercristal line and the guidance line, and the length of the guidance line and the distance between the ideal needle insertion point and the L5-S1 space. Results We reviewed the records of the 276 patients who underwent hip arthroplasty using 3D CT-assisted Taylor approach. In this cohort, the 3D CT-assisted Taylor approach in L5-S1 subarachnoid block failed in only 25/276 patients. The success rate of 3D CT-assisted Taylor approach was 90.9%. Conclusions Three-dimensional pelvis CT-assisted Taylor approach of spinal anesthesia can be an alternative method for subarachnoid block in the L5-S1 space with an acceptable success rate.http://ekja.org/upload/pdf/kja-22099.pdfagedanesthesiologistsscongenital abnormalitiesfemoral neck fracturesmenpelvisspinal anesthesiawomen |
| spellingShingle | Saecheol Oh Yoojung Park Hana Kwoun Eunjin Eom Dal-ah Kim Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study Korean Journal of Anesthesiology aged anesthesiologistss congenital abnormalities femoral neck fractures men pelvis spinal anesthesia women |
| title | Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study |
| title_full | Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study |
| title_fullStr | Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study |
| title_full_unstemmed | Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study |
| title_short | Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study |
| title_sort | three dimensional pelvis computed tomography assisted taylor approach for spinal anesthesia in hip arthroplasty a retrospective study |
| topic | aged anesthesiologistss congenital abnormalities femoral neck fractures men pelvis spinal anesthesia women |
| url | http://ekja.org/upload/pdf/kja-22099.pdf |
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