Cervical vertebroplasty under sedoanalgesia using combined ultrasonography and fluoroscopy guidance: a novel technique
Purpose The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. Methods A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient w...
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Published in | European spine journal Vol. 27; no. Suppl 3; pp. 353 - 358 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.07.2018
Springer Nature B.V |
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Abstract | Purpose
The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.
Methods
A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications.
Results
This case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature.
Conclusion
We consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation. |
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AbstractList | PURPOSEThe aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.METHODSA 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications.RESULTSThis case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature.CONCLUSIONWe consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation. Purpose The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. Methods A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications. Results This case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature. Conclusion We consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation. The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications. This case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature. We consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation. PurposeThe aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.MethodsA 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications.ResultsThis case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature. ConclusionWe consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation. |
Author | Beyaz, Serbülent Gökhan Sayhan, Havva Orhan, Mustafa İnanmaz, Mustafa Erkan |
Author_xml | – sequence: 1 givenname: Serbülent Gökhan surname: Beyaz fullname: Beyaz, Serbülent Gökhan email: sgbeyaz@gmail.com organization: Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine, Anesthesiology and Pain Medicine, Sakarya University Training Research Hospital – sequence: 2 givenname: Havva surname: Sayhan fullname: Sayhan, Havva organization: Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine – sequence: 3 givenname: Mustafa Erkan surname: İnanmaz fullname: İnanmaz, Mustafa Erkan organization: Department of Orthopaedics and Traumatology, Sakarya University Faculty of Medicine – sequence: 4 givenname: Mustafa surname: Orhan fullname: Orhan, Mustafa organization: Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28887680$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1111/j.1553-2712.2001.tb01132.x 10.1016/0952-8180(94)00001-K 10.1111/j.1365-2044.2009.06200.x 10.1111/j.1399-6576.2008.01666.x 10.1093/bja/50.9.965 10.1007/s00586-009-1073-y 10.1007/s00256-012-1434-1 10.1016/j.spinee.2004.09.013 10.1055/s-2003-44950 10.1007/s001340050432 10.1007/s00586-013-2916-0 10.1016/j.otsr.2012.01.004 10.1097/AAP.0b013e3181d266f0 10.1111/papr.12425 10.1007/s00402-011-1270-0 10.1007/s00586-011-1918-z 10.1007/s00270-006-0146-0 10.1016/j.spinee.2009.01.003 10.3816/CLC.2009.n.030 10.1111/j.1526-4637.2011.01299.x 10.1186/cc5101 10.1155/2013/683685 10.1097/AAP.0b013e3181ac7e5c 10.1007/s00402-010-1083-6 10.1097/01.blo.0000093841.72468.a8 10.3816/CLC.2009.n.030.) |
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Copyright | Springer-Verlag GmbH Germany 2017 European Spine Journal is a copyright of Springer, (2017). All Rights Reserved. |
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Keywords | Conscious sedation Cancer pain Vertebroplasty Ultrasound Cervical |
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The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.
Methods... The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. A 70-year-old... PurposeThe aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.MethodsA... PURPOSEThe aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia.METHODSA... |
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SubjectTerms | Bone surgery Carotid arteries Carotid artery Case Report Fentanyl Fluoroscopy Jugular vein Lidocaine Medicine Medicine & Public Health Metastases Midazolam Neck Neurosurgery Pain Polymethylmethacrylate Surgical Orthopedics Trachea Ultrasound Vertebrae |
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Title | Cervical vertebroplasty under sedoanalgesia using combined ultrasonography and fluoroscopy guidance: a novel technique |
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