Intraoperative Ultrasound in Spine Decompression Surgery: A Systematic Review.

Szczegóły
Abstrakt

Tytuł:: Intraoperative Ultrasound in Spine Decompression Surgery: A Systematic Review.
Autorzy:: Tat J; Division of Orthopedic Surgery, University of Toronto, Toronto, Canada.
Tat J; Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.
Yoon S; Division of Orthopedic Surgery, University of Toronto, Toronto, Canada.
Yee AJM; Department of Surgery, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Center, Toronto, ON, Canada.
Larouche J; Department of Surgery, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Center, Toronto, ON, Canada.
Źródło:: Spine [Spine (Phila Pa 1976)] 2022 Jan 15; Vol. 47 (2), pp. E73-E85.
Typ publikacji:: Journal Article; Systematic Review
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Hagerstown, Md., Medical Dept., Harper & Row.
MeSH Terms:: Decompression, Surgical*
Spinal Stenosis*/surgery
Humans ; Reproducibility of Results ; Ultrasonography
References:: Gooding GA, Boggan JE, Weinstein PR. Intraoperative sonography during lumbar laminectomy: work in progress. Am J Neuroradiol 1984; 5:751–753.
Koivukangas J, Tervonen O. Intraoperative ultrasound imaging in lumbar disc herniation surgery. Acta Neurochirur 1989; 98:47–54.
Vincent KA, Benson DR, McGahan JP. Intraoperative ultrasonography for reduction of thoracolumbar burst fractures. Spine (Phila Pa 1976) 1989; 14:387–390.
Vasudeva VS, Abd-El-Barr M, Pompeu YA, et al. Use of intraoperative ultrasound during spinal surgery. Global Spine J 2017; 7:648–656.
Alaqeel A, Abou Al-Shaar H, Alaqeel A, et al. The utility of ultrasound for surgical spinal decompression. Med Ultrason 2015; 17:211–218.
Matz PG, Pritchard PR, Hadley MN. Anterior cervical approach for the treatment of cervical myelopathy. Neurosurgery 2007; 60: (suppl 1): S1–S64.
Mueller LA, Degreif J, Schmidt R, et al. Ultrasound-guided spinal fracture repositioning, ligamentotaxis, and remodeling after thor-acolumbar burst fractures. Spine (Phila Pa 1976) 2006; 31:E739–E746.
Mihara H, Kondo S, Takeguchi H, et al. Spinal cord morphology and dynamics during cervical laminoplasty: evaluaion with intraoperative sonography. Spine (Phila Pa 1976) 2007; 32:2306–2309.
Naruse T, Yanase M, Takahashi H, et al. Prediction ofclinical results of laminoplasty for cervical myelopathy focusing on spinal cord motion in intraoperative ultrasonography and postoperative magnetic resonance imaging. Spine (Phila Pa 1976) 2009; 34:2634–2641.
Seichi A, Chikuda H, Kimura A, et al. Intraoperative ultrasonographic evaluation of posterior decompression via laminoplasty in patients with cervical ossification of the posterior longitudinal ligament: correlation with 2-year follow-up results. J Neurosurg Spine 2010; 13:47–51.
Matsuyama Y, Kawakami N, Mimatsu K. Spinal cord expansion after decompression in cervical myelopathy. Investigation by computed tomography myelography and ultrasonography. Spine (Phila Pa 1976) 1995; 20:1657–1663.
Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. ANZ J Surg 2003; 73:712–716.
Kawakami N, Mimatsu K, Kato F, et al. Intraoperative ultrasonographic evaluation of the spinal cord in cervical myelopathy. Spine (Phila Pa 1976) 1994; 19:34–41.
Mihara H, Kondo S, Katoh S, et al. Intraoperative neural mobility and postoperative neurological recovery in anterior cervical decompression surgery: evaluation with intraoperative sonography. Clin Spine Surg 2016; 29:212–216.
Raynor RB. Intraoperative ultrasound for immediate evaluation of anterior cervical decompression and discectomy. Spine (Phila Pa 1976) 1997; 22:389–395.
Moses V, Daniel RT, Chacko AG. The value of intraoperative ultrasound in oblique corpectomy for cervical spondylotic myelopathy and ossified posterior longitudinal ligament. Br J Neurosurg 2010; 24:518–525.
Goodkin R, Haynor DR, Kliot M. Intraoperative ultrasound for monitoring anterior cervical vertebrectomy. J Neurosurg 1996; 84:702–704.
Nardone EM, Chen JW, Maggio WW, et al. The value of intraoperative ultrasonography in cervical corpectomy: assessment by postoperative computed tomography. Neurosurgery 1996; 39:971–975.
Schär RT, Wilson JR, Ginsberg HJ. Intraoperative ultrasound-guided posterior cervical laminectomy for degenerative cervical myelopathy. World Neurosurg 2019; 121:62–70.
Hu P, Yu M, Liu X, et al. A circumferential decompression-based surgical strategy for multilevel ossification of thoracic posterior longitudinal ligament. Spine J 2015; 15:2484–2492.
Imagama S, Ando K, Kobayashi K, et al. Factors for a good surgical outcome in posterior decompression and dekyphotic corrective fusion with instrumentation for thoracic ossification of the posterior longitudinal ligament: prospective single-center study. Oper Neurosurg 2017; 13:661–669.
Nishimura Y, Thani NB, Tochigi S. Thoracic discectomy by posterior pedicle-sparing, transfacet approach with real-time intraoperative ultrasonography. J Neurosurg Spine 2014; 21:568–576.
Tan LA, Lopes DK, Fontes RB. Ultrasound-guided posterolateral approach for midline calcified thoracic disc herniation. J Korean Neurosurg Soc 2014; 55:383.
Tian W, Weng C, Liu B, et al. Intraoperative 3-dimensional navigation and ultrasonography during posterior decompression with instrumented fusion for ossification of the posterior longitudinal ligament in the thoracic spine. Clin Spine Surg 2013; 26:E227–E234.
Tokuhashi Y, Matsuzaki H, Oda H, et al. Effectiveness of posterior decompression for patients with ossification of the posterior longitudinal ligament in the thoracic spine: usefulness of the ossification-kyphosis angle on MRI. Spine (Phila Pa 1976) 2006; 31:E26–30.
Ando K, Imagama S, Ito Z, et al. Ponte osteotomy during deky-phosis for indirect posterior decompression with ossification of the posterior longitudinal ligament of the thoracic spine. Clin Spine Surg 2017; 30:E358–E362.
Matsuyama Y, Sakai Y, Katayama Y, et al. Indirect posterior decompression with corrective fusion for ossification of the posterior longitudinal ligament of the thoracic spine: is it possible to predict the surgical results? EurSpine J 2009; 18:943–948.
Blumenkopf B, Daniels T. Intraoperative ultrasonography (IOUS) in thoracolumbar fractures. J Spinal Disord 1988; 1:86–93.
Degreif J, Wenda K. Ultrasound-guided spinal fracture repositioning. Surg Endosc 1998; 12:164–169.
Lazennec JY, Saillant G, Hansen S, et al. Intraoperative ultrasonography evaluation of posterior vertebral wall displacement in thoracolumbar fractures. Neurol Medicochirur 1999; 39:8–15.
Lerch K, Völk M, Heers G, et al. Ultrasound-guided decompression of the spinal canal in traumatic stenosis. Ultrasound Med Biol 2002; 28:27–32.
Wang YQ, Liu XG, Jiang L. Intraoperative ultrasonography in “cave-in” 360 circumferential decompression for thoracic spinal stenosis. Chin Med J 2011; 124:3879–3885.
Aoyama T, Hida K, Akino M, et al. Detection of residual disc hernia material and confirmation of nerve root decompression at lumbar disc herniation surgery by intraoperative ultrasound. Ultrasound Medicine Biol 2009; 35:920–927.
Montalvo BM, Quencer RM, Brown MD, et al. Lumbar disk herniation and canal stenosis: value of intraoperative sonography in diagnosis and surgical management. AJR Am J Roentgenol 1990; 154:821–830.
Kimura A, Seichi A, Inoue H, et al. Ultrasonographic quantification of spinal cord and dural pulsations during cervical lamino-plasty in patients with compressive myelopathy. Eur Spine J 2012; 21:2450–2455.
Hirabayashi K, Miyakawa J, Satomi K, et al. Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine (Phila Pa 1976) 1981; 6:354–364.
Entry Date(s):: Date Created: 20210902 Date Completed: 20211214 Latest Revision: 20220614
Update Code:: 20240105
DOI:: 10.1097/BRS.0000000000004111
PMID:: 34474449
: Czasopismo naukowe

Study Design: Systematic review.
Objective: The aim of this study was to review the current spine surgery literature to establish a definition for adequate spine decompression using intraoperative ultrasound (IOUS) imaging.
Summary of Background Data: IOUS remains one of the few imaging modalities that allows spine surgeons to continuously monitor the spinal cord in real-time, while also allowing visualization of surrounding soft tissue anatomy during an operation. Although this has valuable applications for decompression surgery in spinal canal stenosis, it remains unclear how to best characterize adequacy of spinal decompression using IOUS.
Methods: We conducted a systematic search of multiple databases including: Medline, Embase, and Cochrane Central Register of Controlled Trials Strategy. Our search terms were spine, spinal cord diseases, decompression surgery, ultrasonogra-phy, and intraoperative period. We were interested in studies that used intraoperative use of ultrasound imaging in spinal decompression surgery for the cervical, thoracic, and lumbar spine. Study quality was evaluated using the Methodological Index for Non-Randomized Studies (MINORS).
Results: Our search strategy yielded 985 of potentially relevant publications, 776 underwent title and abstract screening, and 31 full-text articles were reviewed. We found IOUS to be useful in spine surgery for decompression of degenerative cases in all regions of the spine. The thoracic spine was unique for IOUS-guided decompression of fractures, and the lumbar spine for decompressing nerve roots. Although we did not identify a universal definition for adequate decompression, there was common description of decompression that qualitatively described the ventral aspect of the spinal cord being "free floating" within the cerebrospinal fluid. Other measurable definitions, such as spinal cord diameter or spinal cord pulsatility, were not good definitions given there was insufficient evidence and/or poor reliability.
Conclusion: The systematic review examines the current literature on IOUS and spinal decompression surgery. We identified a common qualitative definition for adequate decompression involving a "free floating" spinal cord within the cerebrospinal fluid which indicates that the spinal cord is free from contact of the anterior elements.Level of Evidence: 1.
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