Optimal Thoracic and Lumbar Spine Imaging for Trauma: Are Thoracic and Lumbar Spine Reformats Always Indicated?

2010 ◽  
Vol 69 (1) ◽  
pp. 119-121 ◽  
Author(s):  
D. Joshua Mancini ◽  
Kenneth W. Burchard ◽  
Joseph S. Pekala
Author(s):  
Nejc Mekiš ◽  
Rebeka Viltužnik

Introduction: General radiography is a common imaging technique and X-ray examinations of the thoracic and lumbar spine are among the most frequent procedures undertaken. The aim of this research was to investigate the success rate, dose-area product (DAP), and effective dose values of 1st and 2nd cycle radiographer students performing X-ray imaging of the thoracic and lumbar spine using a phantom. Methods: The students were divided into four groups according to the year of study (1st, 2nd, and 3rd years of 1st cycle degree, and all 2nd cycle degree students). They were asked to perform imaging of thoracic and lumbar spine on the phantom in both anteroposterior and lateral projections where IQ and DAP measurements were collated. The study was blind, so they did not know about the purpose of the study. Results: First, we have inspected the acceptability rate of the images performed. The highest success rate of performing an optimal image was discovered with the 2nd cycle degree students where the 1st year students had the most difficulties there. In the second part, DAP and effective dose values were compared, only for the acceptable images in which case the 1st and 2nd years, students of the 1st cycle degree were most successful. Conclusion: Based on that, we can conclude, that the 2nd cycle degree students had the lowest rejection rate regarding the optimal image quality, which was the price of using a larger primary X-ray field which leads to higher dose values.


2017 ◽  
Vol 0 (2) ◽  
pp. 30-34
Author(s):  
Mykola Korzh ◽  
Volodymyr Radchenko ◽  
Frieda Leontyeva ◽  
Volodymyr Kutsenko ◽  
Bogdan Shevtsov ◽  
...  

Author(s):  
Kohei Morita ◽  
Hiroki Ohashi ◽  
Daichi Kawamura ◽  
Satoshi Tani ◽  
Kostadin Karagiozov ◽  
...  

Author(s):  
Alice Giotta Lucifero ◽  
Cristian Gragnaniello ◽  
Matias Baldoncini ◽  
Alvaro Campero ◽  
Gabriele Savioli ◽  
...  

Abstract Purpose To assess the rate, timing of diagnosis, and repairing strategies of vascular injuries in thoracic and lumbar spine surgery as their relationship to the approach. Methods PubMed, Medline, and Embase databases were utilized for a comprehensive literature search based on keywords and mesh terms to find articles reporting iatrogenic vascular injury during thoracic and lumbar spine surgery. English articles published in the last ten years were selected. The search was refined based on best match and relevance. Results Fifty-six articles were eligible, for a cumulative volume of 261 lesions. Vascular injuries occurred in 82% of instrumented procedures and in 59% during anterior approaches. The common iliac vein (CIV) was the most involved vessel, injured in 49% of anterior lumbar approaches. Common iliac artery, CIV, and aorta were affected in 40%, 28%, and 28% of posterior approaches, respectively. Segmental arteries were injured in 68% of lateral approaches. Direct vessel laceration occurred in 81% of cases and recognized intraoperatively in 39% of cases. Conclusions Incidence of iatrogenic vascular injuries during thoracic and lumbar spine surgery is low but associated with an overall mortality rate up to 65%, of which less than 1% for anterior approaches and more than 50% for posterior ones. Anterior approaches for instrumented procedures are at risk of direct avulsion of CIV. Posterior instrumented fusions are at risk for injuries of iliac vessels and aorta. Lateral routes are frequently associated with lesions of segmental vessels. Suture repair and endovascular techniques are useful in the management of these severe complications.


Author(s):  
Yeqing Zhu ◽  
Natthaya Triphuridet ◽  
Rowena Yip ◽  
Betsy Becker ◽  
Yong Wang ◽  
...  

Spine ◽  
1992 ◽  
Vol 17 (5) ◽  
pp. 541-550 ◽  
Author(s):  
Rebecca P. Brightman ◽  
Carole A. Miller ◽  
Gary L. Rea ◽  
Donald W. Chakeres ◽  
William E. Hunt

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