caa a22 4500 463178912 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070101xx s 000 0 eng 10.1007/s00381-006-0223-3 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0223-3 Preoperative localization of herniated thoracic discs using myelo-CT guided transpleural puncture: technical note [Elektronische Daten] [Erwin Cornips, Emile Beuls, Gijs Geskes, Maurice Janssens, Jasper van Aalst, Paul Hofman] Objective: In recent years, video-assisted thoracoscopic microdiscectomy has gained acceptance as a minimally invasive, safe, and efficient technique suited for herniated thoracic discs from T4T5 until T11T12. However, correct localization is difficult and wrong level exploration is an ever-present threat. We present a reliable and time-efficient localizing technique. Materials and methods: In 86 consecutive cases, 1day preoperatively intrathecal contrast was administered and a computed tomography (CT) scan was performed in prone position. Using local anesthesia, a hollow needle was advanced above the corresponding rib and through the pleura. The inner wire and corresponding pathological level were easily identified endoscopically. Conclusion: Myelo-CT provides detailed anatomical information, which is often helpful in determining the side of operative approach and the extent of bone removal needed. Needle localization obviates fluoroscopy, saves OR time, and allows the surgeon to focus on the technically demanding procedure. Furthermore, it is a relatively simple and safe technique. Springer-Verlag, 2006 Computed tomography nationallicence Discectomy nationallicence Herniated disc nationallicence Myelography nationallicence Preoperative procedures nationallicence Video-assisted thoracoscopic surgery nationallicence Cornips Erwin Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut Beuls Emile Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut Geskes Gijs Department of Cardiothoracic Surgery, University Hospital Maastricht, Maastricht, The Netherlands aut Janssens Maurice Department of Anaesthesiology, University Hospital Maastricht, Maastricht, The Netherlands aut van Aalst Jasper Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut Hofman Paul Department of Radiology, University Hospital Maastricht, Maastricht, The Netherlands aut Child's Nervous System Springer-Verlag 23/1(2007-01-01), 21-26 0256-7040 23:1<21 2007 23 381 https://doi.org/10.1007/s00381-006-0223-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0223-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cornips Erwin Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut NATIONALLICENCE 700 1- Beuls Emile Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut NATIONALLICENCE 700 1- Geskes Gijs Department of Cardiothoracic Surgery, University Hospital Maastricht, Maastricht, The Netherlands aut NATIONALLICENCE 700 1- Janssens Maurice Department of Anaesthesiology, University Hospital Maastricht, Maastricht, The Netherlands aut NATIONALLICENCE 700 1- van Aalst Jasper Department of Neuro-surgery, University Hospital Maastricht, P. Debyelaan 25, PB 5800, 6202 AZ, Maastricht, The Netherlands aut NATIONALLICENCE 700 1- Hofman Paul Department of Radiology, University Hospital Maastricht, Maastricht, The Netherlands aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/1(2007-01-01), 21-26 0256-7040 23:1<21 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer