Ultrasound-Guided DREZotomy: Technical Note.

Abstract:

:Dorsal root entry zone (DREZ) lesioning is still used as a choice of treatment for some painful conditions as well as spasticity in selected patients. The most commonly used techniques to perform DREZotomy are the microsurgical one and DREZ radiofrequency (RF) coagulation. The technical difficulties using punctures to perform RF lesions include complications such as occurrence of lesions in the dorsal columns or in the corticospinal tract. This paper describes a new technical improvement in RF lesions at DREZ using intraoperative ultrasound (US) to optimize the lesions and to minimize the risk of complications. Using intraoperative US after laminotomy allows the surgeon to differentiate between the gray matter of the spinal cord and white matter, showing the correct entry zone, the angle to introduce the RF electrode, and the depth. Using intraoperative US to guide DREZ lesions provides real-time optimization of DREZotomy.

authors

Monaco BA,Lopes AJM,Teixeira MJ

doi

10.1159/000500491

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

127-131

issue

2

eissn

1011-6125

issn

1423-0372

pii

000500491

journal_volume

97

pub_type

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