Intraoperative localization of thoracic spine level with preoperative percutaneous placement of intravertebral polymethylmethacrylate

Journal of Spinal Disorders & Techniques
Wesley HsuKieran Murphy

Abstract

To evaluate the safety and utility of preoperative vertebroplasty for intraoperative localization of thoracic spinal levels. Intraoperative fluoroscopy or plain radiographs are traditionally used to localize thoracic spine levels during thoracic spine operations. Unfortunately, such localization can occasionally be difficult in the midthoracic levels due to lack of landmarks, scapular shadows, and the body habitus of the morbidly obese. There are multiple techniques described in the literature that allow for preoperative localization of thoracic spinal levels during approaches to the posterior thoracic spine. For efficient and accurate intraoperative localization of thoracic spinal levels during anterior thoracic spine procedures, we describe a method that uses preoperative percutaneous placement of polymethylmethacrylate (PMMA) into the vertebral body using standard vertebroplasty technique. Four patients with morbid obesity and symptomatic thoracic disc herniations underwent preoperative vertebroplasty procedures using standard percutaneous techniques. The PMMA cement was used to expeditiously identify thoracic spinal levels of interest using intraoperative fluoroscopy. All 4 patients underwent successful vertebroplasty proce...Continue Reading

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Citations

Feb 22, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sathya Thambiraj, Nasir A Quraishi
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