Spondylolisthesis
Conditions
Keywords
optimal angle
Brief summary
This study is to evaluate the anatomical characteristics of spondylolisthesis patients using spine ultrasound imaging. The optimal angle of spinal needle insertion for spinal anesthesia in spondylolisthesis patients was compared to that of normal patients without abnormal spinal anatomy.
Interventions
Spondylolisthesis at a single level
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients scheduled for elective orthopedic surgery. * with ASA physical status classification system I, II, III.
Exclusion criteria
* Patients with communication difficulties. * Patient who can not take a lateral decubitus position for spinal anesthesia. (e.g) fracture) * Patients with a medical history of spinal surgery. * Patients with significant spinal anatomical deformity any other than spondylolisthesis. (for spondylolisthesis patients group)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The predicted optimal angle of spinal needle insertion for spinal anesthesia at the level of spondylolisthesis. (alpha 1) | Preanesthesia | The needle insertion angle where the height of ligamentum flavum/dura mater complex(LFD) is measured the longest in ultrasound image. |
| The predicted optimal angle of spinal needle insertion for spinal anesthesia at the one upper level of spondylolisthesis. (alpha 2) | Preanesthesia | The needle insertion angle where the height of LFD is measured the longest in ultrasound image. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The height of LFD measured by ultrasound image. | Preanesthesia | The height of LFD at the interlaminar space in midline and paramedian ultrasonography view at the angle of alpha 1 & alpha 2. |
| The depth from skin (needle insertion point) to LFD. | Preanesthesia | The depth from skin to LFD at the interlaminar space in midline and paramedian ultrasonography view at the angle of alpha 1 & alpha 2. |
| The depth from skin (needle insertion point) to posterior longitudinal ligament(PLL). | Preanesthesia | The depth from skin to PLL at the interlaminar space in midline and paramedian ultrasonography view at the angle of alpha 1 & alpha 2. |
| Patients' gender, age, height, weight, BMI, etc. | Preanesthesia | gender, age, height, weight, BMI |
Countries
South Korea