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Rider sitting position widens lumbar intervertebral distance: a prospective observational study
Toker, Melike Korkmaz; Altiparmak, Basak; Uysal, Ali Ihsan; Turan, Mustafa; Demirbilek, Semra Gumus.
Afiliação
  • Toker, Melike Korkmaz; Mugla Sıtkı Kocman University. Department of Anesthesiology and Reanimation. Mugla. TR
  • Altiparmak, Basak; Mugla Sıtkı Kocman University. Department of Anesthesiology and Reanimation. Mugla. TR
  • Uysal, Ali Ihsan; Mugla Sıtkı Kocman University Research and Training Hospital. Research and Training Hospital. Department of Anesthesiology and Reanimation. Mugla. TR
  • Turan, Mustafa; The Health of Ministry of Republic of Turkey Ankara City Hospital. Ankara. TR
  • Demirbilek, Semra Gumus; Mugla Sıtkı Kocman University. Department of Anesthesiology and Reanimation. Mugla. TR
Braz. J. Anesth. (Impr.) ; 73(6): 758-763, Nov.Dec. 2023. tab, graf
Article em En | LILACS | ID: biblio-1520378
Biblioteca responsável: BR891.2
ABSTRACT
Abstract

Background:

Reduced lumbar lordosis may make the process of identifying the intervertebral distance easier. The primary aim of this study was to measure the L3-L4 intervertebral space in the same patients undergoing spinal anesthesia in three different sitting positions, including the classic sitting position (CSP), hamstring stretch position (HSP) and rider sitting position (RSP). The secondary aim was to compare ultrasonographic measurements of the depth of the ligamentum flavum and intrathecal space in these three defined positions.

Methods:

This study is a single-blinded, prospective, randomized study. Ninety patients were included in final analysis. the patients were positioned on the operating table in three different positions to perform ultrasonographic measurements of the spinal canal. The intervertebral distance (IVD), the distance between the skin and the ligamentum flavum (DBSLF) and the intrathecal space (IS) were measured in the L3 -L4 intervertebral space in three different positions.

Results:

The RSP produced the largest mean distance between the spinous processes. The RSP yielded a significantly larger IVD than did the CSP (p < 0.001) and HSP (p < 0.001). The DBSP was larger in the CSP than in the HSP (p = 0.001). The DBSLF was significantly larger in the RSP than in the HSP (p = 0.009).

Conclusions:

Positioning the patient in the RSP significantly increased the intervertebral distance between L3 -L4 vertebrae compared to the CSP and HSP, suggesting easier performance of lumbar neuraxial block.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Postura Sentada / Raquianestesia Limite: Humans Idioma: En Revista: Braz. J. Anesth. (Impr.) Assunto da revista: ANESTESIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Postura Sentada / Raquianestesia Limite: Humans Idioma: En Revista: Braz. J. Anesth. (Impr.) Assunto da revista: ANESTESIOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil