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Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach
OBJECTIVE: The purpose of this study is to compare the actual needle depth measured during cervical epidural block (CEB) with the predicted needle depth measured through a cervical flexion x-ray image at the paramedian approach. METHODS: The study was conducted based on the medical records of patien...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284158/ https://www.ncbi.nlm.nih.gov/pubmed/37351196 http://dx.doi.org/10.2147/JPR.S409347 |
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author | Choi, Dae Yun Lee, Sang Eun Lee, Min Woo Lee, Ki Hwa Kang, Eunsu Kwon, Ji Yeon Lee, Hyun-Seong Kim, Dong-chun |
author_facet | Choi, Dae Yun Lee, Sang Eun Lee, Min Woo Lee, Ki Hwa Kang, Eunsu Kwon, Ji Yeon Lee, Hyun-Seong Kim, Dong-chun |
author_sort | Choi, Dae Yun |
collection | PubMed |
description | OBJECTIVE: The purpose of this study is to compare the actual needle depth measured during cervical epidural block (CEB) with the predicted needle depth measured through a cervical flexion x-ray image at the paramedian approach. METHODS: The study was conducted based on the medical records of patients who underwent CEB at the pain clinic of Haeundae Paik Hospital. The actual needle distance (AD) was recorded after each successful CEB. The distance from the spinolaminar line to the skin, predicted median depth (PMD), was measured using lateral x-ray images. The medial to lateral distance (MLD), which is the distance from the midline of the spine to the needle insertion point, was measured using anteroposterior (AP) x-rays. The predicted paramedian depth (PPD) was calculated using the Pythagorean formula. The PMD represents the expected depth of the median approach, while the PPD represents the expected depth of the paramedian approach. The PMD, PPD, and AD were compared with each other. RESULTS: Concordance correlation coefficient (CCC) and Bland-Altman analysis were obtained for PMD and PPD. The CCC value of PMD was measured as 0.829, and the CCC value of PPD was measured as 0.830. In the Bland-Altman analysis, PPD was measured at −0.13 ± 8.37 mm, and PMD was measured at 1.29 ± 8.38 mm. CONCLUSION: When performing CEB through the paramedian approach, the depth can be predicted using a cervical flexion x-ray. At this time, the PMD can also be used to predict the depth during the paramedian approach. |
format | Online Article Text |
id | pubmed-10284158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-102841582023-06-22 Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach Choi, Dae Yun Lee, Sang Eun Lee, Min Woo Lee, Ki Hwa Kang, Eunsu Kwon, Ji Yeon Lee, Hyun-Seong Kim, Dong-chun J Pain Res Original Research OBJECTIVE: The purpose of this study is to compare the actual needle depth measured during cervical epidural block (CEB) with the predicted needle depth measured through a cervical flexion x-ray image at the paramedian approach. METHODS: The study was conducted based on the medical records of patients who underwent CEB at the pain clinic of Haeundae Paik Hospital. The actual needle distance (AD) was recorded after each successful CEB. The distance from the spinolaminar line to the skin, predicted median depth (PMD), was measured using lateral x-ray images. The medial to lateral distance (MLD), which is the distance from the midline of the spine to the needle insertion point, was measured using anteroposterior (AP) x-rays. The predicted paramedian depth (PPD) was calculated using the Pythagorean formula. The PMD represents the expected depth of the median approach, while the PPD represents the expected depth of the paramedian approach. The PMD, PPD, and AD were compared with each other. RESULTS: Concordance correlation coefficient (CCC) and Bland-Altman analysis were obtained for PMD and PPD. The CCC value of PMD was measured as 0.829, and the CCC value of PPD was measured as 0.830. In the Bland-Altman analysis, PPD was measured at −0.13 ± 8.37 mm, and PMD was measured at 1.29 ± 8.38 mm. CONCLUSION: When performing CEB through the paramedian approach, the depth can be predicted using a cervical flexion x-ray. At this time, the PMD can also be used to predict the depth during the paramedian approach. Dove 2023-06-17 /pmc/articles/PMC10284158/ /pubmed/37351196 http://dx.doi.org/10.2147/JPR.S409347 Text en © 2023 Choi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Choi, Dae Yun Lee, Sang Eun Lee, Min Woo Lee, Ki Hwa Kang, Eunsu Kwon, Ji Yeon Lee, Hyun-Seong Kim, Dong-chun Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title | Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title_full | Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title_fullStr | Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title_full_unstemmed | Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title_short | Prediction of the Cervical Epidural Space Depth from the Skin Using Cervical X-Ray, During Cervical Epidural Block with Paramedian Approach |
title_sort | prediction of the cervical epidural space depth from the skin using cervical x-ray, during cervical epidural block with paramedian approach |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284158/ https://www.ncbi.nlm.nih.gov/pubmed/37351196 http://dx.doi.org/10.2147/JPR.S409347 |
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