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puncture case 1

Vertebroplasty Puncture Case 1:

 This movie illustrates vertebral puncture (transpedicular route) under dual guidance CT and fluoroscopy.

 

View Movie High resolution 16 Mo

View Movie Medium resolution 12 Mo

View Movie Low resolution 4 Mo

Film screen shots :

Figure 8e. A short scalpel incision.

Figure 8e.  A short scalpel incision.

Figure 8f. Vertebroplasty needle placement under fluoroscopy.

Figure 8f.   Vertebroplasty needle placement under fluoroscopy.

Figure 8g. CT control, transpedicular route, bevel facing the canal leading the course of the needle leftwards.

Figure 8g.   CT control, transpedicular route, bevel facing the canal leading the course of the needle leftwards.

Figure 8h. Vertebroplasty needle progression under fluoroscopy.

Figure 8h.   Vertebroplasty needle progression under fluoroscopy.

Figure 8i. Needle bevel facing the upper vertebral plate leading the course of the needle downwards .

Figure 8i.  Needle bevel facing the upper vertebral plate leading the course of the needle downwards .

Figure 8j. Optimal course .

Figure 8j. Optimal course .

Figure 8k. CT control, optimal needle placement (anterior third of the vertebral body) .

Figure 8k.   CT control, optimal needle placement (anterior third of the vertebral body) .

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