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The identification of the operative site of lumbar ductal stenosis and lumbar disc herniation is classically done by radioscopy, thus inducing irradiation of the patient.
The use of ultrasound in spine surgery is little studied and poorly mentioned in the scientific literature. However, it is commonly used for other types of scouting (especially anesthetics). Thus, in the absence of consensus and clear recommendations, some practitioners perform ultrasound scans . Methodological developments also validate the feasibility of the ultrasound approach.
The double benefit of an ultrasound identification is firstly a lack of exposure to X-rays for both the patient and the operating team and secondly a lower cost than a conventional radiography.
The main objective is to demonstrate the interest of the ultrasound identification of the surgical site in the intervention of lumbar ductal stenosis and lumbar disc herniations in terms of concordance of the operating site between ultrasound and fluoroscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single arm study | Experimental | Ultrasound plus radiographic guidance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound guidance in addition to radiographic guidance | Procedure | Patients that will be operated will receive ultrasound guidance in addition to radiographic guidance, that is gold standard |
| Measure | Description | Time Frame |
|---|---|---|
| concordance of the operating site after radiological and ultrasound guidance | ok / not ok | day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| number of shots made and preventable | number | day 0 |
| preventable radiation dose | Gys | day 0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre MCO Côte d'Opale | Boulogne-sur-Mer | Pas De Calais | 62222 | France |
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| ID | Term |
|---|---|
| C563613 | Lumbar Stenosis, Familial |
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| exam costs (based on national cost scale) | euros | day 0 |