Ultrasound diagnosis and therapeutic intervention in the spine

Spine pathology afflicts people across the globe and is responsible for a large portion of physician visits and healthcare costs. Imaging such as plain radiographs, CT, MRI, and ultrasound is vital to assess structure, function, and stability of the spine and also provide guidance in therapeutic int...

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Published inJournal of spine surgery (Hong Kong) Vol. 4; no. 2; pp. 423 - 432
Main Authors Ahmed, Adil S, Ramakrishnan, Raahul, Ramachandran, Vignesh, Ramachandran, Shyam S, Phan, Kevin, Antonsen, Erik L
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.06.2018
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Abstract Spine pathology afflicts people across the globe and is responsible for a large portion of physician visits and healthcare costs. Imaging such as plain radiographs, CT, MRI, and ultrasound is vital to assess structure, function, and stability of the spine and also provide guidance in therapeutic interventions. Ultrasound utilization in spine conditions is less ubiquitous, but provides benefits in low costs, portability, and dynamic imaging. This study assesses ultrasound efficacy in diagnosis and therapeutic interventions for spine pathology. A systematic review conducted via PubMed, MEDLINE, and Google Scholar identified 3,630 papers with eventual inclusion of 73 papers with an additional 21 papers supplemental papers subsequently added. Findings highlighted ultrasound utilization for different structural elements of the spine such as muscle, bone, disc, ligament, canal, and joints are presented and compared with radiographs, CT, and MRI imaging where relevant. Spinal curvature and mobility are similarly presented. Ultrasound efficacy for guided therapeutics about the spine is presented and assessed against other modalities. Ultrasound is a widely used and efficacious modality to guide injections about the spine. Diagnostic utility is less well studied, but shows promise in assessing fractures, posterior ligamentous stability, and intra-operative hardware placement. The low cost, portability, and dynamic imaging ability make it an attractive modality particularly for developing health systems and resource limited environments such as combat settings and the International Space Station. Further study is recommended before broad adoption in diagnostics.
AbstractList Spine pathology afflicts people across the globe and is responsible for a large portion of physician visits and healthcare costs. Imaging such as plain radiographs, CT, MRI, and ultrasound is vital to assess structure, function, and stability of the spine and also provide guidance in therapeutic interventions. Ultrasound utilization in spine conditions is less ubiquitous, but provides benefits in low costs, portability, and dynamic imaging. This study assesses ultrasound efficacy in diagnosis and therapeutic interventions for spine pathology. A systematic review conducted via PubMed, MEDLINE, and Google Scholar identified 3,630 papers with eventual inclusion of 73 papers with an additional 21 papers supplemental papers subsequently added. Findings highlighted ultrasound utilization for different structural elements of the spine such as muscle, bone, disc, ligament, canal, and joints are presented and compared with radiographs, CT, and MRI imaging where relevant. Spinal curvature and mobility are similarly presented. Ultrasound efficacy for guided therapeutics about the spine is presented and assessed against other modalities. Ultrasound is a widely used and efficacious modality to guide injections about the spine. Diagnostic utility is less well studied, but shows promise in assessing fractures, posterior ligamentous stability, and intra-operative hardware placement. The low cost, portability, and dynamic imaging ability make it an attractive modality particularly for developing health systems and resource limited environments such as combat settings and the International Space Station. Further study is recommended before broad adoption in diagnostics.
Author Ramakrishnan, Raahul
Antonsen, Erik L
Phan, Kevin
Ramachandran, Shyam S
Ahmed, Adil S
Ramachandran, Vignesh
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  organization: Department of Kinesiology and Health Education, University of Texas, Austin, Texas, USA
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  givenname: Kevin
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  organization: Department of Neurosurgery, Prince of Wales Private Hospital, Randwick, Sydney, Australia
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  givenname: Erik L
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  organization: National Aeronautics and Space Administration, Houston, Texas, USA
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Copyright 2018 Journal of Spine Surgery. All rights reserved. 2018 Journal of Spine Surgery.
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Contributions: (I) Conception and design: AS Ahmed, R Ramakrishnan, EL Antonsen; (II) Administrative support: None; (III) Provision of study materials or patients: None; (IV) Collection and assembly of data: AS Ahmed, R Ramakrishnan, V Ramachandran, SS Ramachandran; (V) Data analysis and interpretation: AS Ahmed, R Ramakrishnan, V Ramachandran, SS Ramachandran, K Phan; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
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