Serbülent Gökhan Beyaz1,2, Havva Sayhan3, Mustafa Erkan İnanmaz4, Mustafa Orhan3. 1. Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine, Adapazarı, Sakarya, Turkey. sgbeyaz@gmail.com. 2. Anesthesiology and Pain Medicine, Sakarya University Training Research Hospital, Korucuk Campus, 54290, Adapazarı, Sakarya, Turkey. sgbeyaz@gmail.com. 3. Department of Anesthesiology and Pain Medicine, Sakarya University Faculty of Medicine, Adapazarı, Sakarya, Turkey. 4. Department of Orthopaedics and Traumatology, Sakarya University Faculty of Medicine, Adapazarı, Sakarya, Turkey.
Abstract
PURPOSE: The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. METHODS: A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications. RESULTS: This case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature. CONCLUSION: We consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation.
PURPOSE: The aim of this report was to describe a case using combined USG and fluoroscopy for cervical VP via a percutaneous route under sedoanalgesia. METHODS: A 70-year-old male patient had severe neck pain for 6 weeks because of metastatic mass lesions in C6. After the decision to VP, the patient was placed on the operating table and 2 mg midazolam and 75 µg fentanyl were administered for conscious sedation. Localisation of the carotid artery, internal jugular vein, and trachea had been determined with USG. 3 mL of 2% lidocaine was infiltrated after proceeding a needle from the axis of the trochar to the C6 vertebra corpus. The trochar entered into the vertebra corpus between the carotid artery and trachea right-antero-laterally under C-arm and USG guidance. 6 mL of PMMA was injected into this field. Then C6 VP procedure had been completed without complications. RESULTS: This case has three differences from studies in the literature. First, cervical VP was conducted under sedoanalgesia. The second important feature of this case is that cervical VP was performed via a percutaneous route. A third important feature of this case is that it was performed under USG guidance for the first time in the literature. CONCLUSION: We consider that the combined use of C-arm fluoroscopy and USG should improve success rates and prevent vascular and neural injuries and dura perforation.
Entities:
Keywords:
Cancer pain; Cervical; Conscious sedation; Ultrasound; Vertebroplasty
Authors: Jochen Obernauer; Klaus Galiano; Hannes Gruber; Reto Bale; Alois Albert Obwegeser; Reinhold Schatzer; Alexander Loizides Journal: Eur Spine J Date: 2013-07-23 Impact factor: 3.134
Authors: Abdullah S Terkawi; Dimitrios Karakitsos; Mahmoud Elbarbary; Michael Blaivas; Marcel E Durieux Journal: ScientificWorldJournal Date: 2013-11-20