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Published on: August 9, 2024
A Technical Improvement for Percutaneous Puncture of the Intervertebral disc by Passing Lateral to the Superior
Shingo Hamaguchi1, Shinji Wada2, Yukihisa Ogawa2
1Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, Japan.
Purpose:
Percutaneous intervertebral disc puncture is useful in various situations. The isocenter puncture method enables easy, accurate, and safe punctures under fluoroscopic guidance. Herein, we present a clinical application of this technique that improves upon percutaneous puncture of intervertebral discs.
Material And Methods:
We performed percutaneous punctures of intervertebral discs slightly lateral to the superior articular process using the isocenter puncture method in 19 cases (10 men, 9 women; mean age, 64.5 years; range, 23-87 years). We assessed the technical success rate, procedure time, and complications.
Results:
We achieved successful punctures in all cases, with a median puncture time of 14.5 min (mean, 18.7 ± 11.3 min; range, 8-49 min). No patients complained of complications that were permanent or required treatment.
Conclusions:
Improved puncture of intervertebral discs seems to be possible using the isocenter puncture method.
