Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning

Detalhes bibliográficos
Autor(a) principal: Sousa, José Miguel
Data de Publicação: 2023
Outros Autores: Serrano, António, Nave, Afonso, Mascarenhas, Vasco, Nogueira, Paulo Jorge, Gamelas, Joao, Guimarães Consciência, José
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/58653
Resumo: © 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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spelling Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planningEndoscopyHigh iliac crestL5S1Reference valueTransforaminal© 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Objective: To determine and compare pelvic and lumbosacral reference parameters with computed tomography in patients with low back pain (LBP) and a control group of asymptomatic patients to provide quantification data and morphological correlations for L5S1 transforaminal endoscopic approach (L5S1TEA). Methods: We prospectively evaluated 100 patients with LBP and a control group of 100 individuals, with spinopelvic computed tomography. We measured lumbopelvic and L5S1 transforaminal approach parameters: maximum approach angle (maxAA) and minimum approach angle (minAA) and skin incision (maxSI and minSI), iliac crest (IC) projection at intersection point (ICPi), distance between the projected intersection of maxAA with the ilium (ICi) and the posterior limit of the IC (ΔICi-ICpost), and distance between ICi and spinous process (ΔICi-SP). Results: Females and ICPi were increased in the LBP group: maxAA: 48.38° ± 5.09°; minAA:32.5° ± 3.90°; maxSI: 11.39 ± 1.86 cm; and minSI: 8.30 ± 1.48 cm. Ilium intersection was increased in males; IC projection at the highest point (ICPh) was higher than ICPi; maxAA intersected the ilium in 28% and minAA in 1.5% of cases; ICi was positively correlated with facet angle, ICPh, and ICPi and negatively with ΔICi-SP. Conclusions: Our results set preliminary reference values for L5S1TEA surgical planning. Besides higher ICPi, there were no differences between groups in measured parameters. Traditional IC height (ICPh) does not correspond to the point of intersection of the approach and is significantly higher than ICPi. ICi correlated to higher facet angle values, ICPh and ICPi grades, and lower ΔICi-SP. Potential conflict with the ilium is increased in the male population. IC is not impeditive of L5S1TEA in most cases.ElsevierRepositório da Universidade de LisboaSousa, José MiguelSerrano, AntónioNave, AfonsoMascarenhas, VascoNogueira, Paulo JorgeGamelas, JoaoGuimarães Consciência, José2023-07-18T12:56:20Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/58653engWorld Neurosurg. 2023 Jul;175:e809-e8171878-875010.1016/j.wneu.2023.04.0261878-8769info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:07:14Zoai:repositorio.ul.pt:10451/58653Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:08:40.013638Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
title Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
spellingShingle Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
Sousa, José Miguel
Endoscopy
High iliac crest
L5S1
Reference value
Transforaminal
title_short Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
title_full Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
title_fullStr Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
title_full_unstemmed Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
title_sort Transforaminal endoscopic approach to L5S1: imaging characterization of the lower lumbar spine and pelvis for surgical planning
author Sousa, José Miguel
author_facet Sousa, José Miguel
Serrano, António
Nave, Afonso
Mascarenhas, Vasco
Nogueira, Paulo Jorge
Gamelas, Joao
Guimarães Consciência, José
author_role author
author2 Serrano, António
Nave, Afonso
Mascarenhas, Vasco
Nogueira, Paulo Jorge
Gamelas, Joao
Guimarães Consciência, José
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Sousa, José Miguel
Serrano, António
Nave, Afonso
Mascarenhas, Vasco
Nogueira, Paulo Jorge
Gamelas, Joao
Guimarães Consciência, José
dc.subject.por.fl_str_mv Endoscopy
High iliac crest
L5S1
Reference value
Transforaminal
topic Endoscopy
High iliac crest
L5S1
Reference value
Transforaminal
description © 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
publishDate 2023
dc.date.none.fl_str_mv 2023-07-18T12:56:20Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/58653
url http://hdl.handle.net/10451/58653
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv World Neurosurg. 2023 Jul;175:e809-e817
1878-8750
10.1016/j.wneu.2023.04.026
1878-8769
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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