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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2021; 9(18): 4607-4616
Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4607
Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4607
Observation and measurement of applied anatomical features for thoracic intervertebral foramen puncture on computed tomography images
Ran Wang, Wei-Wei Sun, Xue-Qin Pan, Li-Juan Lu, Department of Pain Management, Nanjing Drum Tower Hospital, Clinical College of Xuzhou Medical University, Nanjing 210008, Jiangsu Province, China
Ying Han, Xiao-Xue Fan, Shi-Chong Wang, Department of Pain Management, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu Province, China
Author contributions: Lu LJ and Wang R initiated and designed the experiments; Han Y, Fan XX, Pan XQ, and Wang SC completed the computed tomography image processing and characteristic measurement; Sun WW and Wang R completed the statistical work and wrote the article; Lu LJ revised the article; Wang R and Sun WW contributed equally to this work.
Supported by The Key R & D Project in Jiangsu Province , No. BE2017603 and No. BE2017675 ; and the Key Program of Medical Science and Technology Development Projects in Nanjing , No. ZKX19016 .
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Nanjing Drum Tower Hospital Clinical College of Xuzhou Medical University (2020-347-01).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical image data from picture archiving and communication system. Non-informed consent has been allied to the Ethics Committee of Nanjing Drum Tower Hospital Clinical College of Xuzhou Medical University.
Conflict-of-interest statement: All authors have nothing to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Juan Lu, MD, Chief Doctor, Department of Pain Management, Nanjing Drum Tower Hospital, Clinical College of Xuzhou Medical University, No. 321 Zhongshan Road, Nanjing 210008, Jiangsu Province, China. lulijuan@njglyy.com
Received: January 19, 2021
Peer-review started: January 19, 2021
First decision: March 25, 2021
Revised: April 5, 2021
Accepted: April 20, 2021
Article in press: April 20, 2021
Published online: June 26, 2021
Peer-review started: January 19, 2021
First decision: March 25, 2021
Revised: April 5, 2021
Accepted: April 20, 2021
Article in press: April 20, 2021
Published online: June 26, 2021
Core Tip
Core Tip: We measured and summarized the features of applied anatomy for thoracic intervertebral foramina cannulation. Based on our results, we found that the rib head/neck in the middle thoracic segments greatly influences the puncture path for the intervertebral foramen. It is necessary to identify the space between the transverse process and rib head/neck for puncture. The inclination angle for puncture varies in different segments. The closer the segment is to the lower thoracic vertebrae, the larger the horizontal inclination angle of puncture is. This study also provides an anatomic reference for performing clinical intervertebral foramen puncture with ultrasound guidance.