Visibility of Prevertebral Soft Tissues in the Neck Using Ultrasonography: A Feasibility Study.

IF 1.7 Q2 SURGERY

International Journal of Spine Surgery Pub Date : 2023-12-26 DOI:10.14444/8546

O Kenechi Nwawka, Noah Cha, Lydia M Ko, Vincent R LaSala

{"title":"Visibility of Prevertebral Soft Tissues in the Neck Using Ultrasonography: A Feasibility Study.","authors":"O Kenechi Nwawka, Noah Cha, Lydia M Ko, Vincent R LaSala","doi":"10.14444/8546","DOIUrl":null,"url":null,"abstract":"Objective: To aid emergent diagnosis of postoperative retropharyngeal hematoma in anterior cervical spine surgery patients, this study investigates ultrasonography's potential role by evaluating the visibility of retropharyngeal and prevertebral soft tissues in the neck using ultrasound and potential correlations with body habitus.Methods: The visibility of the anterior vertebral bodies and the prevertebral soft tissues in both sides of the neck was recorded and analyzed with 95% CI using the Wilson method. Body mass index, neck circumference, and neck length were measured. A point-biserial correlation was performed to compare body habitus with visibility of vertebrae and prevertebral tissues.Results: Longus colli muscle and C3 to C6 were successfully visualized in all 10 (100%) cases on both sides. C2 was only visible in 6 (60%) on both sides. C7 was visible in 9 (90%) on the right and 7 (70%) on the left. The esophagus was visible in 7 (70%) on the right and 10 (100%) on the left. There was a significant negative correlation with neck circumference and C2 visibility on the right side, r(8) = -0.76, P = 0.011.Conclusions: Ultrasonography was successful in visualizing prevertebral tissues, with a trend of obstructed visibility with wider and longer necks.Clinical relevance: Ultrasonography has potential to aid early detection of postoperative retropharyngeal hematoma after cervical spine surgery.Level of evidence: 4: ","PeriodicalId":38486,"journal":{"name":"International Journal of Spine Surgery","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753337/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14444/8546","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To aid emergent diagnosis of postoperative retropharyngeal hematoma in anterior cervical spine surgery patients, this study investigates ultrasonography's potential role by evaluating the visibility of retropharyngeal and prevertebral soft tissues in the neck using ultrasound and potential correlations with body habitus.

Methods: The visibility of the anterior vertebral bodies and the prevertebral soft tissues in both sides of the neck was recorded and analyzed with 95% CI using the Wilson method. Body mass index, neck circumference, and neck length were measured. A point-biserial correlation was performed to compare body habitus with visibility of vertebrae and prevertebral tissues.

Results: Longus colli muscle and C3 to C6 were successfully visualized in all 10 (100%) cases on both sides. C2 was only visible in 6 (60%) on both sides. C7 was visible in 9 (90%) on the right and 7 (70%) on the left. The esophagus was visible in 7 (70%) on the right and 10 (100%) on the left. There was a significant negative correlation with neck circumference and C2 visibility on the right side, r(8) = -0.76, P = 0.011.

Conclusions: Ultrasonography was successful in visualizing prevertebral tissues, with a trend of obstructed visibility with wider and longer necks.

Clinical relevance: Ultrasonography has potential to aid early detection of postoperative retropharyngeal hematoma after cervical spine surgery.

Level of evidence: 4:

查看原文本刊更多论文

颈部椎前软组织超声检查的可行性研究。

目的：为了帮助颈前路手术患者术后咽后血肿的紧急诊断，本研究通过超声评估颈部咽后和椎前软组织的可见性以及与身体习惯的潜在相关性，探讨超声的潜在作用。方法：采用Wilson方法，记录颈前椎体及两侧椎前软组织的可见度，并用95%可信区间进行分析。测量体重指数、颈围和颈长。进行点-双序列相关以比较身体习惯与椎骨和椎前组织的可见性。结果：双侧10例（100%）均成功显示颈长肌和C3～C6。C2在两侧仅可见6例（60%）。右侧9例（90%）和左侧7例（70%）可见C7。右侧7例（70%）可见食道，左侧10例（100%）可见食道。颈围和右侧C2可见度呈显著负相关，r（8）=-0.76，P=0.011。临床相关性：超声检查有可能帮助早期发现颈椎手术后咽后血肿。证据级别：4:

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Spine Surgery Medicine-Surgery

CiteScore

3.10

自引率

0.00%

发文量

162

期刊介绍： The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.