Ultrasonography of degenerative lumbar spine disease in surgery
Abstract This study was aimed to explore possibilities of ultrasound (US) in surgery of the lumbar spine degenerative diseases.
Material and methods. 22 patients undergoing surgical treatment for the lumbar spine degenerative disease in 2014 and 2015 were examined with ultrasound to study the ultrasound opportunities for identification of the lumbar vertebrae when navigating surgical access, intraoperative verification and localization of various spinal canal tissues, assessing the degree of decompression radicalism of neural structures and control the development of postoperative complications.
The assessment were conducted prior to the incision, intraoperative, prior and after decompres- sion of neural structures, and within early postoperative period.
Results. The use of ultrasound helped to identify lumbar vertebrae with high accuracy. It was noted that intraoperative ultrasound was a good method to verify various tissues and structures of the lumbar spine. Scanning provides a researcher with correct three-dimensional visualization of various anatomical structures and their spatial relationships in a real time setting and allows less traumatic and more radical operation. Ultrasound can be used in the postoperative period to avoid various surgical complications.
Conclusions. Ultrasound is an informative, simple, widely available, harmless and inexpensive method of visualization of different structures of the lumbar spine and tissues in real time in the preoperative, intraoperative and postoperative periods in patients with lumbar spine degenerative disease.
Keywords:ultrasound, intraoperative ultrasound, intraoperative imaging, discal hernia, surgical treatment for spine degenerative disease
Clin. Experiment. Surg. Petrovsky J. 2016. № 3. Р. 28–35.
Received: 10.05.2016. Accepted: 06.06.2016.
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