scholarly journals Surface anatomy as a guide to vertebral level for thoracic epidurals

2007 ◽  
Vol 54 (S1) ◽  
pp. 44525-44525
Author(s):  
Desiree Teoh ◽  
Kristi Santosham ◽  
Carmen Leydell ◽  
M. T. Beriault ◽  
D. F. Smith
Keyword(s):  
Vertebral Level ◽  
Surface Anatomy

scholarly journals Revisiting thoracic surface anatomy in an adult population: A computed tomography evaluation of vertebral level

2017 ◽  
Vol 30 (2) ◽  
pp. 227-236 ◽  
Author(s):  
Masroor Badshah ◽  
Roger Soames ◽  
Muhammad Jaffar Khan ◽  
Muhammad Ibrahim ◽  
Adnan Khan
Keyword(s):  
Computed Tomography ◽  
Adult Population ◽  
Vertebral Level ◽  
Surface Anatomy

Surface Anatomy as a Guide to Vertebral Level for Thoracic Epidural Placement

2009 ◽  
Vol 108 (5) ◽  
pp. 1705-1707 ◽  
Author(s):  
Desiree A. Teoh ◽  
Kristi L. Santosham ◽  
Carmen C. Lydell ◽  
Dean F. Smith ◽  
Michael T. Beriault
Keyword(s):  
Vertebral Level ◽  
Thoracic Epidural ◽  
Surface Anatomy

scholarly journals Ultrasound Imaging of the Spine for Central Neuraxial Blockade: a Technical Description and Evidence Update

2021 ◽  
Author(s):  
Hari Kalagara ◽  
Harsha Nair ◽  
Sree Kolli ◽  
Gopal Thota ◽  
Vishal Uppal
Keyword(s):  
Ultrasound Imaging ◽  
Spine Surgery ◽  
Postoperative Analgesia ◽  
Spinal Deformity ◽  
Ultrasound Examination ◽  
Technical Difficulty ◽  
Vertebral Level ◽  
Reliable Technique ◽  
Neuraxial Blockade ◽  
Preprocedural Imaging

Abstract Purpose of Review This article describes the anatomy of the spine, relevant ultrasonographic views, and the techniques used to perform the neuraxial blocks using ultrasound imaging. Finally, we review the available evidence for the use of ultrasound imaging to perform neuraxial blocks. Recent Findings Central neuraxial blockade using traditional landmark palpation is a reliable technique to provide surgical anesthesia and postoperative analgesia. However, factors like obesity, spinal deformity, and previous spine surgery can make the procedure challenging. The use of ultrasound imaging has been shown to assist in these scenarios. Summary Preprocedural imaging minimizes the technical difficulty of spinal and epidural placement with fewer needle passes and skin punctures. It helps to accurately identify the midline, vertebral level, interlaminar space, and can predict the depth to the epidural and intrathecal spaces. By providing information about the best angle and direction of approach, in addition to the depth, ultrasound imaging allows planning an ideal trajectory for a successful block. These benefits are most noticeable when expert operators carry out the ultrasound examination and for patients with predicted difficult spinal anatomy. Recent evidence suggests that pre-procedural neuraxial ultrasound imaging may reduce complications such as vascular puncture, headache, and backache. Neuraxial ultrasound imaging should be in the skill set of every anesthesiologist who routinely performs lumbar or thoracic neuraxial blockade. We recommend using preprocedural neuraxial imaging routinely to acquire and maintain the imaging skills to enable success for challenging neuraxial procedures.

scholarly journals Surface anatomy MR scanning of the brain using HASTE sequences.

1996 ◽  
Vol 167 (6) ◽  
pp. 1585-1587 ◽  
Author(s):  
K Tsuchiya ◽  
Y Mizutani ◽  
J Hachiya
Keyword(s):  
Surface Anatomy ◽  
The Brain ◽  
Mr Scanning

Surface anatomy of branchial food traps of tadpoles: A comparative study

1979 ◽  
Vol 159 (3) ◽  
pp. 393-425 ◽  
Author(s):  
Richard J. Wassersug ◽  
Karen Rosenberg
Keyword(s):  
Comparative Study ◽  
Surface Anatomy

Surface Anatomy of the Thumb Carpometacarpal Joint

2011 ◽  
Vol 36 (8) ◽  
pp. 26-27
Author(s):  
Christopher Got ◽  
Eni Halilaj ◽  
Amy L. Ladd ◽  
Arnold-Peter C. Weiss ◽  
Joseph J. Crisco
Keyword(s):  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Surface Anatomy ◽  
Thumb Carpometacarpal

Impact of non-contrast enhanced volumetric MRI-based feeder localization in the treatment of spinal dural arteriovenous fistula

2016 ◽  
Vol 9 (2) ◽  
pp. 178-182 ◽  
Author(s):  
Santhosh Kumar Kannath ◽  
Bejoy Thomas ◽  
P Sankara Sarma ◽  
Jayadevan Enakshy Rajan
Keyword(s):  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Definitive Treatment ◽  
Spinal Angiography ◽  
Vertebral Level ◽  
Spinal Dural Arteriovenous Fistula ◽  
Historical Cohort ◽  
Contrast Enhanced ◽  
The Impact

BackgroundThe preoperative localization of the feeder of spinal dural arteriovenous fistula (SDAVF) could simplify the diagnostic spinal angiographic procedure. Localization by non-contrast-enhanced MRI-based techniques is an attractive option. However, the usefulness of such an approach for evaluation of SDAVF has not yet been reported.ObjectiveTo study the impact of non-contrast MRI-based feeder localization, followed by targeted spinal angiography, in the evaluation of SDAVF before endovascular intervention.Materials and methodsProspectively collected data were analyzed and the level of the feeder was localized preoperatively. The procedural time for targeted spinal angiography was calculated and compared with that of a historical cohort, who underwent routine spinal angiographic examination before the study period. Follow-up MRI was carried out to assess the reliability of this model for detection of occasional metachronous lesions that might be missed with this approach.ResultsSeven patients underwent targeted spinal angiography during the study. The feeder level was accurately identified in five patients and was localized to one vertebral level in six patients. The correlation between MRI and DSA was statistically significant. The number of spinal levels assessed was fewer and overall procedure time was significantly shorter compared to historical cohort (58 min vs 162 min, respectively; p<0.001). Intervention was coupled with targeted angiography in two patients. Follow-up MRI demonstrated flow voids in one patient, who had recurrent fistula at one vertebral level below the previously embolized feeder.ConclusionsThe non-contrast MRI-based localization technique can reliably detect the level of feeder and help in therapeutic planning of SDAVF. The localization techniques potentially shorten the angiographic procedure and may facilitate simultaneous endovascular definitive treatment. Inclusion of follow-up MRI may be useful for detection of synchronous or metachronous lesions if a targeted approach is adopted. Additionally, this helps to identify failed endovascular therapy.

Muscular and Surface Anatomy

2014 ◽  
pp. 19-39 ◽  
Author(s):  
Alfredo E. Hoyos ◽  
Peter M. Prendergast
Keyword(s):  
Surface Anatomy
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