64 SLICE CT ARRAYS APPLICATION WITH VASCULAR IMAGING EVALUATION IN LUMBAR DISC REPLACEMENT SURGERY WITH L5S1

Đình Toản Trần1,2,, Văn Thạch Nguyễn2, Lê Bảo Tiến Nguyễn2
1 Hanoi medical university
2 Viet Duc hospital

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Abstract

To determine the efficacy of 64-slices computed tomography in the evaluation of anterior spinal anatomy in patients undergoing anterior lumbar spine surgery. Methods: Cross-sectional description study of 56 patients undergoing CT 64 slines of abdominal arrays with an image construction of the vascular anatomy at Viet Duc Hospital. Results: Of the 56 patients, 29 were female and 37 male, with a median age of 41,3 years. Of the patients studied, 21 underwent anterior spine surgery, accounting for 37,5% and 1 patient had a transverse intravenous division of the L5S1 disc causing difficulties in surgery. The common division in the artery is at the level of the L4 vertebral body, accounting for 42,8%, while the common division of the vein is at the level of the L45 disc, accounting for 57,1%. Conclusion: MSCT is highly valuable in evaluating anatomy, variants, arterial abnormalities, 3-host renal veins. It plays an important role in anterior lumbar spine surgery, helping surgeons plan ahead of surgery for the incision and prepare materials that can be needed during surgery for prompt actions.

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References

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