ANALYSIS OF MRI DATA ON THE LOCATION AND SIZE OF SPINAL NERVES IN THE PARAVERTEBRAL SPACE OF HIGH THORACIC LEVEL


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Abstract

А retrospective study of T2-weighted MRI images of the thoracic spine at the levels of Th1 to Th6, which was performed in 30 women. 956 MRI images were studied. Reduction of distances from the skin surface to the dorsal surface of the transverse process of the vertebrae to the nerve and the pleura was in the caudal direction. The distance from the surface of the skin to the dorsal surface of the transverse processes of the vertebrae was, the level of Th1 - 50,8 mm (43,8; 57,4) mm on the left and 53,6 (45,7; 59,8) mm on the right; at the level of Th6 - 30,8 (25,4; 35,2) and 29.1 mm on the left (25,1; 36,7) mm on the right. The largest diameter of the nerve was at the level of Th1 - 1,96±0,17 mm. the smallest diameter of the nerve was at the level of Th3 - of 1,52±0,20 mm. Reducing of the distance from skin to nerve and pleura from Th1 to Th6 is due to the decrease in the distance from skin to transverse process. Distance from the dorsal surface of the transverse process of the vertebrae to nerve and from nerve to the pleura is constant on the levels of Th1 to Th6. Clinical and anatomical characteristics and dimensions of spinal nerves in high thoracic level spine should be considered when performing thoracic PVB.

About the authors

Valery Victorovich Yaskevich

Bobruisk interdistrict oncology dispensary

Email: varera@tut.by
anesthesiologist of Department of anesthesiology and intensive care UZ «Bobruisk interdistrict oncology dispensary», 213825, Bobruisk, Republic of Belarus 213825, Bobruisk, Republic of Belarus

A. V Busel

Bobruisk Central hospital

213810, Bobruisk, Republic of Belarus

A. V. Marochkov

Mogilev regional hospital

212026, Mogilev, Republic of Belarus

References

  1. Cheng G.S., Ilfeld B.M. A review of postoperative analgesia for breast cancer surgery. Pain Manag. 2016; 6 (6): 603-18.
  2. Marhofer D., Marhofer P., Kettner S.C., Fleischmann E., Prayer D., Schernthaner M., et al. Magnetic resonance imaging analysis of the spread of local anesthetic solution after ultrasound-guided lateral thoracic paravertebral blockade: a volunteer study. Anesthes. 2013; 118 (5): 1106-122.
  3. Karmakar M.K., Ho A.M-H, Law B.K., Wong A.S.Y., Shafer S.L., Gin T. Arterial and venous pharmacokinetics of ropivacaine with and without epinephrine after thoracic paravertebral block. Anesthesiology. 2005; 103 (4): 704-11.
  4. Овечкин А. М. Клиническая фармакология местных анестетиков: классические представления и новые перспективы применения в интенсивной терапии. Регионарная анестезия и лечение острой боли. 2013; 7 (3): 6-15.
  5. Белоусова Е.И., Матинян Н.В., Салтанов А.И. Паравертебральная блокада при операциях в детской онкохирургии пособие для врачей. Вестник интенсивной терапии. 2015; 3: 53-61.
  6. Хаджич A. Блокады периферических нервов и регионарная анестезия под ультразвуковым контролем. М.: Практическая медицина, 2014. 688 с.
  7. Naja Z.M., El-Rajab M., Al-Tannir M.A., Ziade F.M., Tayara K., Younes F., et al. Thoracic Paravertebral Block: Influence of the Number of Injections. Regional Anesthesia and Pain Medicine. 2006; 31 (3): 196-201.
  8. Schnabel A., Reichl S.U., Kranke P., Pogatzki-Zahn E.M., Zahn P.K. Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials. Br. J. Anaesth. 2010; 105(6): 842-52.
  9. Эллипс. In: Википедия [Internet]. 2017 [cited 2017 Sep 10]. Available from: https://ru.wikipedia.org/w/index.php?title=%D0%AD%D0%BB%D0%BB%D0%B8%D0%BF%D1%81&oldid=87396849.
  10. Богуславская Т.Б. Топография задних грудных нервов. Матер. Юбилейной научной сессии 1 ММИ им. И. М. Сеченова. М., 1955, стр. 4-5.
  11. Максименков А. Н., ред. Внутриствольное строение периферических нервов. Л.: Медгиз, 1963. 376 с.
  12. Tazawa K., Matsuda M., Yoshida T., Shimojima Y., Gono T., Morita H., et al. Spinal nerve root hypertrophy on MRI: clinical significance in the diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy. Intern. Med. 2008; 47(23): 2019-24.
  13. Коноплев А.А. Различия во внутриствольном строении корешков грудного отдела спинного мозга. ХХ научная сессия Оренбург. мед. ин-та. Оренбург, 1963.
  14. Naja M.Z., Ziade M.F., El Rajab M., El Tayara K., Lönnqvist P.A. Varying anatomical injection points within the thoracic paravertebral space: effect on spread of solution and nerve blockade. Anaesthesia. 2004; 59(5): 459-63.
  15. Брухнов А.В., Печерский В.Г., Марочков А.В., Кохан З.В. Регионарная блокада плечевого сплетения межлестничным доступом с использованием минимальных доз местного анестетика. Новости хирургии. 2014;. 6: 715-20.

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