Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report
Study DesignProspective clinical study.PurposeTo observe the usefulness of anterior cervical osteophytes as intrinsic markers for spinal level localization (SLL) during sub-axial cervical spinal surgery via the anterior approach.Overview of LiteratureVarious landmarks, such as the mandibular angle,...
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| Format: | Article |
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Korean Spine Society
2016-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-1033.pdf |
| _version_ | 1828854334424612864 |
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| author | Deepak Kumar Jha Anil Thakur Mukul Jain Arvind Arya Chandrabhushan Tripathi Rima Kumari Suman Kushwaha |
| author_facet | Deepak Kumar Jha Anil Thakur Mukul Jain Arvind Arya Chandrabhushan Tripathi Rima Kumari Suman Kushwaha |
| author_sort | Deepak Kumar Jha |
| collection | DOAJ |
| description | Study DesignProspective clinical study.PurposeTo observe the usefulness of anterior cervical osteophytes as intrinsic markers for spinal level localization (SLL) during sub-axial cervical spinal surgery via the anterior approach.Overview of LiteratureVarious landmarks, such as the mandibular angle, hyoid bone, thyroid cartilage, first cricoid ring, and C6 carotid tubercle, are used for gross cervical SLL; however, none are used during cervical spinal surgery via the anterior approach. We present our preliminary assessment of SLL over anterior vertebral surfaces (i.e., intrinsic markers) in 48 consecutive cases of anterior cervical spinal surgeries for the disc-osteophyte complex (DOC) in degenerative diseases and granulation or tumor tissue associated with infectious or neoplastic diseases, respectively, at an ill-equipped center.MethodsThis prospective study on patients undergoing anterior cervical surgery for various sub-axial cervical spinal pathologies aimed to evaluate the feasibility and accuracy of SLL via intraoperative palpation of disease-related morphological changes on anterior vertebral surfaces visible on preoperative midline sagittal T1/2-weighted magnetic resonance images.ResultsDuring a 3-year period, 48 patients (38 males,10 females; average age, 43.58 years) who underwent surgery via the anterior approach for various sub-axial cervical spinal pathologies, including degenerative disease (n= 42), tubercular infection (Pott's disease; n=3), traumatic prolapsed disc (n=2), and a metastatic lesion from thyroid carcinoma (n=1), comprised the study group. Intrinsic marker palpation yielded accurate SLL in 79% of patients (n=38). Among those with degenerative diseases (n=42), intrinsic marker palpation yielded accurate SLL in 76% of patients (n=32).ConclusionsIntrinsic marker palpation is an attractive potential adjunct for SLL during cervical spinal surgeries via the anterior approach in well-selected patients at ill-equipped centers (e.g., those found in developing countries). This technique may prove helpful when radiographic visualization is occasionally inadequate. |
| first_indexed | 2024-12-13T00:31:06Z |
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| id | doaj.art-84c47d41e3fb4ee3864fe04f3825c644 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-13T00:31:06Z |
| publishDate | 2016-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-84c47d41e3fb4ee3864fe04f3825c6442022-12-22T00:05:19ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-12-011061033104110.4184/asj.2016.10.6.103326Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary ReportDeepak Kumar Jha0Anil Thakur1Mukul Jain2Arvind Arya3Chandrabhushan Tripathi4Rima Kumari5Suman Kushwaha6Department of Neurosurgery, Institute of Human Behavior and Allied Sciences, Delhi, India.Department of Otolaryngology, PMCH, Dhanbad, India.Department of Neuro-anaesthesia, Institute of Human Behavior and Allied Sciences, Delhi, India.Department of Neuro-anaesthesia, Institute of Human Behavior and Allied Sciences, Delhi, India.Department of Bio-statistics, Institute of Human Behavior and Allied Sciences, Delhi, India.Department of Neuro-radiology, Institute of Human Behavior and Allied Sciences, Delhi, India.Department of Neurology, Institute of Human Behavior and Allied Sciences, Delhi, India.Study DesignProspective clinical study.PurposeTo observe the usefulness of anterior cervical osteophytes as intrinsic markers for spinal level localization (SLL) during sub-axial cervical spinal surgery via the anterior approach.Overview of LiteratureVarious landmarks, such as the mandibular angle, hyoid bone, thyroid cartilage, first cricoid ring, and C6 carotid tubercle, are used for gross cervical SLL; however, none are used during cervical spinal surgery via the anterior approach. We present our preliminary assessment of SLL over anterior vertebral surfaces (i.e., intrinsic markers) in 48 consecutive cases of anterior cervical spinal surgeries for the disc-osteophyte complex (DOC) in degenerative diseases and granulation or tumor tissue associated with infectious or neoplastic diseases, respectively, at an ill-equipped center.MethodsThis prospective study on patients undergoing anterior cervical surgery for various sub-axial cervical spinal pathologies aimed to evaluate the feasibility and accuracy of SLL via intraoperative palpation of disease-related morphological changes on anterior vertebral surfaces visible on preoperative midline sagittal T1/2-weighted magnetic resonance images.ResultsDuring a 3-year period, 48 patients (38 males,10 females; average age, 43.58 years) who underwent surgery via the anterior approach for various sub-axial cervical spinal pathologies, including degenerative disease (n= 42), tubercular infection (Pott's disease; n=3), traumatic prolapsed disc (n=2), and a metastatic lesion from thyroid carcinoma (n=1), comprised the study group. Intrinsic marker palpation yielded accurate SLL in 79% of patients (n=38). Among those with degenerative diseases (n=42), intrinsic marker palpation yielded accurate SLL in 76% of patients (n=32).ConclusionsIntrinsic marker palpation is an attractive potential adjunct for SLL during cervical spinal surgeries via the anterior approach in well-selected patients at ill-equipped centers (e.g., those found in developing countries). This technique may prove helpful when radiographic visualization is occasionally inadequate.http://www.asianspinejournal.org/upload/pdf/asj-10-1033.pdfCervical SpondylosisSpineDegenerative diseaseOsteophyteHerniated disc |
| spellingShingle | Deepak Kumar Jha Anil Thakur Mukul Jain Arvind Arya Chandrabhushan Tripathi Rima Kumari Suman Kushwaha Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report Asian Spine Journal Cervical Spondylosis Spine Degenerative disease Osteophyte Herniated disc |
| title | Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report |
| title_full | Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report |
| title_fullStr | Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report |
| title_full_unstemmed | Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report |
| title_short | Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report |
| title_sort | intrinsic vertebral markers for spinal level localization in anterior cervical spine surgery a preliminary report |
| topic | Cervical Spondylosis Spine Degenerative disease Osteophyte Herniated disc |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-1033.pdf |
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