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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e847-e853
DOI: 10.1055/s-0044-1793824
Artigo Original
Coluna

Radiographic Study of L5–S1 Transforaminal Endoscopic Access in a Sample from the Brazilian Population

Artikel in mehreren Sprachen: português | English
Yoshinobu Nagasse
1   Departamento de Ortopedia e Traumatologia, Hospital Municipal Dr. Cármino Caricchio (Hospital do Tatuapé), São Paulo, SP, Brasil
,
Caio Justino Lima 
1   Departamento de Ortopedia e Traumatologia, Hospital Municipal Dr. Cármino Caricchio (Hospital do Tatuapé), São Paulo, SP, Brasil
,
João Pedro Alves Ferreira
1   Departamento de Ortopedia e Traumatologia, Hospital Municipal Dr. Cármino Caricchio (Hospital do Tatuapé), São Paulo, SP, Brasil
,
Edgar Takao Utino
2   Especialização em Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil
,
João Paulo Bergamaschi
3   Curso de Especialização em Cirurgia Endoscópica da Coluna Vertebral, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
,
Helton Luís Aparecido Defino
4   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
› Institutsangaben Financial Support The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
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Abstract

Objective This study evaluated lumbar spine radiographs using the Choi and Patgaonkar classifications to verify parameters potentially influencing the L5–S1 transforaminal approach.

Materials and Methods We studied 167 lumbosacral spine radiographs from patients over 18 years old with no history of surgeries, tumors, fractures, or scoliosis to measure the iliac crest height and rim angle. We categorized the cases per pelvic morphology, mega-apophysis presence, and Choi and Patgaonkar classifications.

Results Seventy-five cases had an android pelvis and 92 had a gynecoid pelvis. The mean iliac height was 25.9 ± 7.5 cm, and the rim angle was 23.4 ± 7.5 degrees. The gynecoid pelvis showed a lower iliac height. According to Patgaonkar, 63 cases indicated a suprailiac approach, and per the Choi classification, 37 were suitable for a suprailiac approach and 106 for a suprailiac approach with foraminoplasty.

Conclusion Gynecoid pelvises had a lower iliac height. Furthermore, 37.7% of the cases were suitable for a suprailiac approach per the Patgaonkar classification. The Choi classification indicated a suprailiac approach for 22.1% of the cases and a suprailiac approach with foraminoplasty for 63.4% of the subjects.

Keywords

discectomy, percutaneous - disc herniation - iliac crest - minimally invasive surgical procedures

Work carried out at the Hospital Municipal Dr. Cármino Caricchio (Hospital do Tatuapé), São Paulo, SP, Brazil.




Publikationsverlauf

Eingereicht: 17. Oktober 2023

Angenommen: 14. November 2023

Artikel online veröffentlicht:
21. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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