6533b82efe1ef96bd1292591

RESEARCH PRODUCT

Die Sonoanatomie des Spinalkanales der LWS

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UNLABELLED Results of an Experimental Study and Report of Intraoperative Application: AIM Intraoperative sonography has been used in neurosurgery (especially in tumors) and in traumatology (assess reduction of dorsal vertebral body fragments). This study was performed to determine the value of sonography in detecting vertebral disc tissue. RESULTS We examined 6 specimens of the Lumbar spine using the extended flavectomy approach. We found that sono-anatomy was reproducible and that the assessable area was large enough to make sonography useful for detection of sequesters. Dislocated vertebral disc tissue could be differentiated clearly from original disc tissue and from other intraspinal structures. In 6 of 8 cases of intraoperative sonography in nucleotomies we were able to evaluate intraspinal and intraforaminal structures. The complete removal of the detected prolapses could be documented. In 2 cases the examination failed because the probe had a too large diameter and could not be pushed down between the spinous processus and the wound distractor to the extended flavectomy. CONCLUSIONS Sonography allows one to document complete resection of disc herniations. Limitations of the method are due to technical problems.