Abstract
An acoustic guidance method for pedicle screw placement during spine fixation surgery was recently investigated, with a view toward preventing complications such as injury to the spinal cord, thecal sac, and spinal nerve roots due to screw misplacement. The method relies upon the change in the ultrasound amplitude reflected at different sites - from the outer posterior cortex, through the pedicle, and towards the distal ventral cortex. The amplitude change was empirically observed through in vitro measurement of ultrasound amplitude at the different sites by inserting a 2.5-MHz single element transducer into a vertebral body through insertion pathway created by an advancing screw. This paper provides a theoretical and experimental rationale behind these empirical findings and distance-dependent correlation coefficients between amplitude and bone mineral density within the vertebral body, which approached 97%.
Original language | English |
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Pages (from-to) | 253-257 |
Number of pages | 5 |
Journal | Ultrasonics |
Volume | 51 |
Issue number | 3 |
DOIs | |
State | Published - Apr 2011 |
Bibliographical note
Funding Information:Support for this study was provided by National Institute of Health/National Institute of Arthritis and Musculoskeletal Diseases Research Grant R41AR055834-01.
Keywords
- Acoustic devices
- Pedicle screw
- Spine fixation surgery
- Ultrasound guidance