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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: Jun 19, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Intra-operative MRI-assisted spinal localization.

Chris Barrett1, Philip English, Jerry Evans

  • 1Department of Neurosurgery, Regional Neurosciences Centre, Newcastle General Hospital, Newcastle Upon Tyne, UK. chris.barrett@nuth.nhs.uk

Acta Neurochirurgica
|October 21, 2009
PubMed
Summary

A novel technique accurately localizes thoracic spine levels using MRI-guided contrast-filled tubing. This method simplifies surgical access for challenging spinal lesions, minimizing bone removal.

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Area of Science:

  • Neurosurgery
  • Radiology
  • Spinal Surgery

Background:

  • Thoracic spine level localization presents challenges, particularly for mid-thoracic, small, or MRI-only lesions.
  • Accurate localization is crucial for effective surgical planning and intervention.

Observation:

  • A new intraoperative technique involves wrapping contrast-filled tubing around exposed thoracic spinous processes.
  • The patient undergoes MRI with the tubing in place, allowing precise visualization of the lesion and tubing.
  • This facilitates direct correlation between the lesion and anatomical landmarks.

Findings:

  • The described method demonstrated high accuracy in localizing thoracic spine levels.
  • It effectively minimized the extent of bone removal necessary for surgical access.

Implications:

  • This repeatable technique offers a valuable solution for difficult thoracic spine localization cases.
  • It does not require specialized equipment or extensive training, making it widely applicable.
  • Enhances surgical precision and patient outcomes in complex spinal procedures.