Feasibility and Efficacy of the Segmental Localization of Lumbar Vertebrae by Ultrasound vs X-ray Examination: A Prospective Comparative Study

Yu, MD Bo; Huang, MD Peng; Luo, MD Yukun; Zhang, MD Mingbo

doi:10.37015/AUDT.2021.200062

ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2021 , Vol. 5 >Issue 3: 212 - 218

DOI: https://doi.org/10.37015/AUDT.2021.200062

Original Researchs

Feasibility and Efficacy of the Segmental Localization of Lumbar Vertebrae by Ultrasound vs X-ray Examination: A Prospective Comparative Study

Yu, MD Bo ,
Huang, MD Peng ,
Luo, MD Yukun ,
Zhang, MD Mingbo

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^aDepartment of Ultrasound, The First Medical Center, General Hospital of Chinese PLA, Beijing, China
^bDepartment of Orthopedics, The Fourth Medical Center, General Hospital of Chinese PLA, Beijing, China

Received date: 2020-10-24

Revised date: 2020-11-05

Online published: 2021-08-31

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Abstract

Objectives: To explore the feasibility and efficacy of the segmental localization of lumbar vertebrae by ultrasound (US) compared with X-ray.
Methods: From February 2019 to May 2019, 43 patients (24 males and 19 females), with an average age of 46±15 years, were prospectively enrolled in this study. Longitudinal paramedian sagittal and transverse process sections were used to determine the lumbar segments by US scan. X-ray examination was used to verify the segmentation. The time for segmentation was recorded, and the learning curve of the average localization time was analyzed.
Results: Of all the enrolled patients, 5 had lumbar segmental and alignment abnormalities, and 38 had normal lumbar vertebrae. US accurately located vertebrae in 38 normal cases and 5 abnormal cases, with a 100% accuracy rate, as verified by X-ray examination. The localization time was significantly less for US than for X-ray examination, both in normal cases and in cases with segmental or alignment abnormalities (all P < 0.001). The learning curve of US-guided segmental localization continuously decreased with an increasing number of operations and entered the plateau stage after the third operation day.
Conclusions: The US-guided segmental localization of lumbar vertebrae is an accurate new method that is efficient and easy to learn and does not require radiation.

Key words： Ultrasound; Guidance; Lumbar; Vertebrae; Localization; X-ray; Radiation

Cite this article

Yu, MD Bo , Huang, MD Peng , Luo, MD Yukun , Zhang, MD Mingbo . Feasibility and Efficacy of the Segmental Localization of Lumbar Vertebrae by Ultrasound vs X-ray Examination: A Prospective Comparative Study[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2021 , 5(3) : 212 -218 . DOI: 10.37015/AUDT.2021.200062

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