Department of Trauma and Orthopaedic Surgery, University College Hospital, Newcastle Road, Galway City (G1), County Galway, Ireland.
J Clin Neurosci. 2012 Sep;19(9):1278-80. doi: 10.1016/j.jocn.2011.12.006. Epub 2012 Jun 15.
A transverse skin incision for anterior cervical spine surgery gives an excellent cosmetic result but is not extensile, thus accuracy of incision placement is essential. We describe a new, fast and inexpensive method of accurate transverse skin incision placement that does not rely on anatomical landmarks or intraoperative fluoroscopy. A ratio, determined by measurements from a lateral cervical spine radiograph, was applied to measurements on the patients' neck to determine the site for incision. The use of a ratio was designed to remove any inaccuracies related to X-ray magnification differences. A retrospective review of 54 consecutive anterior cervical spine procedures undertaken with this technique was performed. The operative level ranged from C2-C3 to C7-T1, the most common being C5-C6. Post-operative radiographic measurement of the incision site (marked by skin clips) demonstrated a mean distance of 5 mm (range 1-8 mm) from the centre of the skin clips to the predetermined ideal midpoint for each individual. In no case was it necessary to radically extend or to make a separate incision. The technique described is an accurate method of determining the level of transverse skin incision placement for cervical spine surgery that reduces intra-operative fluoroscopy time, radiation dose and expense.
前路颈椎手术的横向皮肤切口可获得极佳的美容效果，但不具有扩展性，因此切口位置的准确性至关重要。我们描述了一种新的、快速且经济的准确横向皮肤切口定位方法，该方法不依赖于解剖学标志或术中透视。通过对侧位颈椎 X 线片进行测量，确定一个比值，然后将该比值应用于患者颈部的测量，以确定切口的位置。使用比值是为了消除与 X 射线放大率差异相关的任何不准确性。对采用该技术进行的 54 例连续前路颈椎手术进行回顾性研究。手术节段范围从 C2-C3 到 C7-T1，最常见的是 C5-C6。术后对切口部位（用皮肤夹标记）进行放射影像学测量，结果显示，从皮肤夹的中心到每个个体预定的理想中点的平均距离为 5 毫米（范围为 1-8 毫米）。在任何情况下，都没有必要进行激进的延伸或额外的切口。该技术是一种准确确定颈椎手术横向皮肤切口位置的方法，可减少术中透视时间、辐射剂量和费用。
