Anatomic and Radiologic Anatomy Studies on Posterolateral Approach in Percutaneous Discectony:with emphysis on the puncture method at L_5-S_1 intervertebral disc
- VernacularTitle:非钻孔法经皮穿刺L_5-S_1椎间盘进针法——附侧后路进针途径的解剖学和X线解剖学研究
- Author:
Gaojun TENG
;
Shicheng HE
;
Jinhe GUO
;
Xilei CAI
;
- Publication Type:Journal Article
- Keywords:
Lumbar spine;
Disc displacement;
Puncture;
L_5-S_1 disc;
Anatomy Radiological anatomy
- From:
Journal of Interventional Radiology
1994;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
A study of 10 cadavers and 100 CT scans of lumbar spine was performed to investigate the topographical anatomy of the posterolateral disc puncture in percutaneous lumbar discectomy.A way of the puncture at L_5-S_1 disc,with comparative plain films of lumbar spine in different positions were taken in 50 cases.The results showed that the pos- terolateral approach for percutaneous discectony was a safe way.However,it is important to have full knowledge of the regional topographical anatomy associated with the puncture tech- nique to avoid the potential neurovascular complications.The special position designed by authors for the puncture at L_5-S_1 disc is useful by lowering the position of iliac crest which hinders the entrance of needle,thus can raise the successful rate of the percutaneous discec- tomy 100% successful rate of the disc puncture at L_5-S_1 disc was obtained in 130 cases.The two puncture parameters of Chinese associated with percutaneous lumbar discectomy were first measured;and also the route including nearby structures,the complications were dis- cussed.
