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Thoracic Spine Anatomy

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21. Diffuse Idiopathic Skeletal Hyperostosis Association With Thoracic Spine Kyphosis: A Cross-sectional Study for the Health Aging and Body Composition Study. (PubMed)

Diffuse Idiopathic Skeletal Hyperostosis Association With Thoracic Spine Kyphosis: A Cross-sectional Study for the Health Aging and Body Composition Study. A descriptive study of the association between diffuse idiopathic skeletal hyperostosis (DISH) and kyphosis.To investigate the association of DISH with Cobb angle of kyphosis in a large cohort of older subjects from the Health Aging and Body Composition Study.DISH and thoracic kyphosis are well-defined radiographical findings in spines (...) of older individuals. Characteristics of DISH (ossifications between vertebral segments) reflect changes of spine anatomy and physiology that may be associated with Cobb angle of kyphosis.Using data from 1172 subjects aged 70 to 79 years, we measured DISH and Cobb angle of kyphosis from computed tomographic lateral scout scans. Characteristics of participants with and without DISH were assessed using the χ² and t tests. Association between DISH and Cobb angle was analyzed using linear regression. Cobb

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2014 Spine

22. The Insertion Technique of Translaminar Screws in the Thoracic Spine: CT and Cadaveric Validation. (PubMed)

The Insertion Technique of Translaminar Screws in the Thoracic Spine: CT and Cadaveric Validation. Translaminar screws can be a good salvage technique in some cases of severe deformities, infection, tumor, osteoporosis, and revision cases with altered anatomy. To our knowledge, the insertion technique for translaminar screws in the thoracic spine has not been studied.To suggest a safe insertion technique of translaminar screws in the thoracic spine.A cadaveric study.Fifteen cadaveric spines (...) as previously described. The 2° screw diameter was downsized if there was not enough space because of the 1° screw. For each vertebra from the 11 separated cadaveric spines, inner or outer cortex breakage was checked visually. For the remaining four nonseparated spines, CT scans were used to find any inner or outer cortex breakage.Thirty-three vertebral levels were abandoned from Group S because of altered anatomy (eg, fusion, fracture during separation, anatomical anomaly of having only 11 thoracic spine

2014 The Spine Journal

23. Implementation of augmented reality support in spine surgery. (PubMed)

Implementation of augmented reality support in spine surgery. To implement a straightforward workflow that allows to establish augmented reality (AR) support in spine surgery.Intraoperative computed tomography (iCT) applying a 32-slice movable scanner was used for navigation registration in a series of 10 patients who underwent surgery for extra- or intradural spinal lesions. Preoperative multimodal image data were integrated by nonlinear registration with the iCT images. Automatic segmentation (...) for cervical, 2.16-6.92 mSv for thoracic, and 3.55-4.20 mSv for lumbar surgeries, which is a reduction in the effective radiation dose by 70%. The segmented structures were intuitively visualized in the surgical field using the heads-up display of the operating microscope. In parallel, the microscope video was superimposed with the segmented 3-D structures, which were visualized in a semitransparent manner along with various display modes of the image data.A microscope-based AR environment was successfully

2019 European Spine Journal

24. Image-guided Spine Stabilization for Traumatic or Osteoporotic Spine Injury: Radiological Accuracy and Neurological Outcome (PubMed)

surgery (MIS) techniques such as percutaneous screw placement, balloon kyphoplasty (BKP), or vertebroplasty (VP) were accomplished in 80 patients with traumatic or osteoprotic spine injury between 2007 and 2015. The injured vertebral levels included the following: cervical spine, 41; thoracic spine, 22; and lumbar spine, 17. Neurological condition before and after surgery was assessed using the American Spinal Injury Association Impairment Scale (AIS). A total of 419 pedicle, lateral mass, or laminar (...) neurovascular structures. The integration of MIS and IGS has proved feasible and safe in the treatment of traumatic or osteoporotic spine injury, although a thorough knowledge of surgical anatomy, spine biomechanics, and basic technique remain the most essential aspects for a successful surgery.

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2016 Neurologia medico-chirurgica

25. Ultrasound-assisted Versus Conventional Landmark-guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy

Ultrasound-assisted Versus Conventional Landmark-guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy Ultrasound-assisted Versus Conventional Landmark-guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Ultrasound-assisted Versus Conventional Landmark-guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03459105 Recruitment Status : Completed First Posted : March 8

2018 Clinical Trials

26. Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study. (PubMed)

Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study. The placement of thoracic epidurals can be technically challenging and requires a thorough understanding of neuraxial anatomy. Although ultrasound imaging of the thoracic spine has been described, no outcome studies on the use of this imaging have been performed. We evaluated whether preprocedural ultrasound of the thoracic spine would (...) facilitate the process of epidural catheterization.Subjects undergoing thoracic or upper abdominal surgery with planned thoracic epidural placement at T10 or higher were enrolled in this randomized double-blind study. Subjects were allocated into 1 of 2 groups for preoperative epidural placement: ultrasound guidance (group US) or palpation (group Palp). Subjects randomized to group US had a preprocedural ultrasound examination to identify pertinent spinal anatomy and make appropriate marks on the skin

2016 Regional Anesthesia and Pain Medicine Controlled trial quality: predicted high

27. Thoracic Spine Fractures and Dislocations (Overview)

Thoracic Spine Fractures and Dislocations (Overview) Thoracic Spine Fractures and Dislocations: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NzAyOS1vdmVydmlldw== processing (...) spinal instrumentation. From this, modern surgical techniques and instrumentation developed. Although the spinal stability and alignment established with these newer techniques have dramatically improved, there has been relatively little growth in the ability to improve the neurologic deficits sustained in these injuries over the years of spine fracture management. For patient education resources, see . Next: Anatomy A thorough knowledge of thoracic spine anatomy is essential in the treatment

2014 eMedicine Surgery

28. Thoracic Spine Fractures and Dislocations (Diagnosis)

Thoracic Spine Fractures and Dislocations (Diagnosis) Thoracic Spine Fractures and Dislocations: Background, Anatomy, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI2NzAyOS1vdmVydmlldw== processing (...) spinal instrumentation. From this, modern surgical techniques and instrumentation developed. Although the spinal stability and alignment established with these newer techniques have dramatically improved, there has been relatively little growth in the ability to improve the neurologic deficits sustained in these injuries over the years of spine fracture management. For patient education resources, see . Next: Anatomy A thorough knowledge of thoracic spine anatomy is essential in the treatment

2014 eMedicine Surgery

29. Thoracic Spine, Trauma

be rudimentary. Each rib is attached to the vertebral body by 2 joint cavities. The lateral costotransverse ligament, the articular capsule, the superior costotransverse ligament, and the intra-articular ligament provide flexible stability between the transverse process and the rib facets. Depictions of the anatomy of the thoracic spine and vertebra are provided in the images below. Thoracic spine trauma. Drawing of the thoracolumbar spine viewed from an oblique frontal projection. SC indicates the spinal (...) Thoracic Spine, Trauma Thoracic Spinal Trauma Imaging: Overview, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzk3ODk2LW92ZXJ2aWV3 processing > Thoracic Spinal Trauma Imaging

2014 eMedicine Radiology

30. Thoracic Spine Fractures and Dislocations (Follow-up)

of the thoracic pedicle as compared with the lumbar pedicle. [ ] At some institutions, cortical disruptions have been reported to occur as often as 50% of the time when standard fluoroscopic techniques are used. Computer image guidance is useful in dealing with difficult anatomy, as in the placement of thoracic pedicle screws and in rotational deformities. However, a clear role in spine trauma management has not been established. Fischer et al evaluated the feasibility and accuracy of minimally invasive (...) Thoracic Spine Fractures and Dislocations (Follow-up) Thoracic Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

31. Thoracic Spine Fractures and Dislocations (Treatment)

of the thoracic pedicle as compared with the lumbar pedicle. [ ] At some institutions, cortical disruptions have been reported to occur as often as 50% of the time when standard fluoroscopic techniques are used. Computer image guidance is useful in dealing with difficult anatomy, as in the placement of thoracic pedicle screws and in rotational deformities. However, a clear role in spine trauma management has not been established. Fischer et al evaluated the feasibility and accuracy of minimally invasive (...) Thoracic Spine Fractures and Dislocations (Treatment) Thoracic Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

32. Morphological characteristics of diffuse idiopathic skeletal hyperostosis in the cervical spine. (PubMed)

Morphological characteristics of diffuse idiopathic skeletal hyperostosis in the cervical spine. Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by anterior ossification of the spine and can lead to dysphagia and airway obstruction. The morphology of the newly formed bone in the cervical spine is different compared to the thoracic spine, possibly due to dissimilarities in local vascular anatomy. In this study the spatial relationship of the new bone with the arterial system (...) . The ossifications were non-flowing in the sagittal view and no segmental vessels were observed. Substantial displacement of the trachea/esophagus was present in the group with DISH compared to the controls.The hyperostosis at the cervical level was symmetrically distributed anterior to the vertebral bodies without a flowing pattern, in contrast to the asymmetrical flowing pattern typically found in the thoracic spine. The hypothesis that the vascular system acts as a natural barrier against new bone formation

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2017 PLoS ONE

33. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

. Moreover, patients after various spine surgeries may develop fibrous adhesions and scar tissue, thus further compromising the capacity of the epidural space and distorting the anatomy of the epidural vessels. The risk of bleeding is further increased in pain patients taking several concomitant medications with antiplatelet effects including NSAIDs, ASA, and SSRIs. | Anatomic Considerations for Hematoma Development in Spinal and Nonspinal Areas Although most cases of a spinal hematoma have (...) varies based on anatomical level with the posterior epidural space measuring approximately 0.4 mm at C7 to T1, 7.5 mm in the upper thoracic spine, 4.1 mm at the T11 to T12, and 4 to 7 mm in the lumbar regions. The epidural space has extensive thin-walled valveless venous plexi (plexus venous vertebralis interior, anterior, and posterior), which are vulnerable to damage during needle puncture and advancement of spinal cord stimulator leads and epidural and intrathecal catheters. These epidural veins

2015 American Society of Regional Anesthesia and Pain Medicine

34. Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation. (PubMed)

Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation. We investigated impact of vertebral axial rotation on neurovascular anatomy in adult spinal deformity (ASD) patients and provided recommendations on the approach based on degree of axial rotation. In order to isolate vertebral rotation (VR) impact from the superimposed degenerative cascade observed in adulthood, adolescent idiopathic scoliosis (AIS) patients were (...) ). Adult spinal deformity surgeons who approach a degenerated spine in patients with progressive AIS in adulthood must carefully plan for patient positioning, neurovascular anatomy, and realignment objectives prior to the day of surgical intervention.

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2018 International journal of spine surgery

35. Visualisation of facet joint recesses of the cadaveric spine: a micro-CT and sheet plastination study (PubMed)

Visualisation of facet joint recesses of the cadaveric spine: a micro-CT and sheet plastination study The size and shape of a joint cavity are the key determinates for the mobility of the joint. The anatomy and configuration of the facet joint (FJ) recesses at different levels of the spine remain unclear and controversial. The aim of this study was to identify the configuration of the FJ recesses in the cervical, thoracic and lumbar spine using a combination of micro-CT and sheet plastination (...) the spine. The optimal needle approach to the FJ cavity was via an anterolateral or posterolateral recess at the cervical level, along the tip of the inferior articular process at the thoracic level and via the posteromedial recess at the lumbar level. (2) The FJ cavity did not communicate with the retrodural space.The anatomical features of the FJ recesses at different levels of the spine confirm no direct communication between the FJ cavity and retrodural space.

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2018 BMJ Open Sport — Exercise Medicine

36. Erector Spinae Plane vs. Paravertebral Nerve Block for Thoracic Surgery

such as coagulopathy, use of clopidogrel in the past 48hs, patients on dual antiplatelet therapy, infection at the site of puncture, patient refusal, allergy to local anesthetics. Chronic opiate consumption Patient expected to be on therapeutic anticoagulation post procedure. Pregnancy Comorbid conditions: Any comorbid condition that in the judgment of the anesthesiologist would preclude the patient from any aspect of the study (ex. sepsis, possibly abnormalities of the thoracic spine or paravertebral anatomy (...) Erector Spinae Plane vs. Paravertebral Nerve Block for Thoracic Surgery Erector Spinae Plane vs. Paravertebral Nerve Block for Thoracic Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Erector Spinae

2018 Clinical Trials

37. Rate of presence of 11 thoracic vertebrae and 6 lumbar vertebrae in asymptomatic Chinese adult volunteers (PubMed)

Rate of presence of 11 thoracic vertebrae and 6 lumbar vertebrae in asymptomatic Chinese adult volunteers An increasing number of studies on spinal morphology in asymptomatic Asian and Western patients have been reported. Variation in spinal anatomy among patients is considered as the cause of wrong-level surgery in up to 40% of cases. The present study examined the rate of presence of 11 thoracic vertebrae and 6 lumbar vertebrae in 293 asymptomatic Chinese adult volunteers.From May 27, 2016 (...) , to November 11, 2017, a cohort of 325 asymptomatic Chinese adults meeting the study exclusion criteria was recruited. The radiographs were examined by a spine surgeon and a radiologist to assess the number of thoracic and lumbar vertebrae.In total, 293 volunteers were included in this study: 17 (5.8%) had 11 thoracic vertebrae, and 16 (5.5%) had 6 lumbar vertebrae. Among all volunteers, 12 (4.1%) had 7 cervical vertebrae (C), 11 thoracic vertebrae (T), and 5 lumbar vertebrae (L); 5 (1.7%) had 7C, 11T

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2018 Journal of orthopaedic surgery and research

38. The Effect of Functional Exercises on Balance With Postural Thoracic Kyphosis

: October 16, 2018 See Sponsor: Istanbul Medipol University Hospital Information provided by (Responsible Party): Istanbul Medipol University Hospital Study Details Study Description Go to Brief Summary: In a normal spine, the sagittal plane has four curvatures that balance each other. The cervical and lumbar spine is lordotic, the thoracic spine and sacral region are kyphotic. In the sagittal plane, there is an average of 40 kyphosis angles between the T1 vertebrae upper end plate and the T12 vertebra (...) lower end plate. Thoracic kyphosis is defined as an increase in the normal thoracic curvature (above 40) of the spine. Postural kyphosis usually occurs when individuals with weak muscle strength exert excessive external loads on their vertebrae. In rapidly growing young people, the abnormal flexion of the spine prevents the development of internal organs and excess thoracic kyphosis causes changes in respiratory functions, as well as postural disorders negatively affect the standing balance

2018 Clinical Trials

39. Study of Probable Benefit of the Neuro-Spinal Scaffoldâ„¢ in Subjects With Complete Thoracic AIS A Spinal Cord Injury as Compared to Standard of Care

the safety and probable benefit of the poly(lactic-co-glycolic acid)-b-poly(L-lysine) Scaffold ("Scaffold") in subjects with thoracic AIS A traumatic spinal cord injury at neurological level of injury of T2-T12 as compared to standard of care open spine surgery. Subjects will be randomized in a blinded manner to one of two study arms, the Treatment or "Scaffold" Arm and the Standard of Care or "Comparator" Arm. Subjects in the Scaffold Arm will have the Scaffold implantation immediately following (...) in the treatment of complete thoracic spinal cord injuries. Intended Use: The Scaffold is intended for use in patients age 16-70 years diagnosed with a T2-T12 neurological level of injury functionally complete (AIS A) spinal cord injury for whom open spine surgery, (e.g., laminectomy, spine stabilization) which allows access to the dura of the injured spinal cord, is recommended as an option. The Scaffold is intended to be implanted in a cavity at the epicenter of the spinal cord contusion during open spine

2018 Clinical Trials

40. Unusual spine anatomy contributing to wrong level spine surgery: a case report and recommendations for decreasing the risk of preventable 'never events' (PubMed)

Unusual spine anatomy contributing to wrong level spine surgery: a case report and recommendations for decreasing the risk of preventable 'never events' Wrong site surgery is one of five surgical "Never Events," which include performing surgery on the incorrect side or incorrect site, performing the wrong procedure, performing surgery on the wrong patient, unintended retention of a foreign object in a patient, and intraoperative/immediate postoperative death in an ASA Class I patient (...) . In the spine, wrong site surgery occurs when a procedure is performed on an unintended vertebral level. Despite the efforts of national safety protocols, literature suggests that the risk for wrong level spine surgery remains problematic.A 34-year-old male was referred to us to evaluate his persistent thoracic pain following right-sided microdiscectomy at T7-8 at an outside institution. Postoperative imaging showed the continued presence of a herniated disc at T7-8 and evidence of a microdiscectomy

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2011 Patient safety in surgery

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