ULTRASONOGRAPHY AS AN INTRAOPERATIVE TOOL FOR LOCALIZATION OF THE ANATOMICAL LEVEL IN LUMBOSACRAL SPINE SURGERIES

Authors

  • Abhishek Patil Department of Neurosurgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
  • Nupur Pruthi Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i10.49525

Keywords:

Ultrasound, Lumbosacral surgeries, Accuracy, Spondylolisthesis

Abstract

Objectives: The aims and objectives of the study are to find the effectiveness of ultrasound as a pre-operative adjunct to localize the anatomical intervertebral level of interest and study its accuracy by comparing it with the gold standard intra-operative fluoroscopy and to study factors affecting localization of anatomical vertebral level by ultrasound.

Methods: This was a prospective study conducted in the Department of Neurology Department of Neurosurgery and Neuroimaging and Interventional Radiology, NIMHANS Hospital, Bengaluru, over a period of 1 year. 50 cases of lumbosacral degenerative diseases were included in this study on the basis of pre-defined inclusion and exclusion criteria. All patients underwent ultrasonography of the lumbosacral spine followed by pre-operative X-ray of the lumbosacral spine using the C-ARM. The accuracy of good localization of the desired level of the lumbosacral spine by ultrasound as compared to X-ray was determined. p<0.05 was taken as statistically significant.

Results: There were 22 (44%) males and 28 (56%) females with a M: F ratio of 1:1.27. The mean age was 46.7±13.5 years. 46 (92%) cases were diagnosed with prolapsed intervertebral disc (PIVD) and 4 (8%) cases with Grade II spondylolisthesis radiologically. Good localization which constitutes exact localization, close upper, and close lower localization added up to 82% of the cases (41/50) and the rest 18% were tagged as poor localization (9/50). The accuracy of good localization in both the groups of PIVD and spondylolisthesis (listhesis) was 82.6% and 75%, respectively.

Conclusion: Ultrasound can be used as an exceptionally good and accurate method of localizing the anatomical intervertebral level for patients undergoing various lumbosacral spinal surgeries.

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Published

07-10-2023

How to Cite

Abhishek Patil, and Nupur Pruthi. “ULTRASONOGRAPHY AS AN INTRAOPERATIVE TOOL FOR LOCALIZATION OF THE ANATOMICAL LEVEL IN LUMBOSACRAL SPINE SURGERIES”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 10, Oct. 2023, pp. 63-66, doi:10.22159/ajpcr.2023.v16i10.49525.

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