Int J Med Robot - Overcoming challenges associated with upright imaging of the cervicothoracic junction: a case report involving a novel repurposing of the O-arm.

Tópicos

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Resumo

CKGROUND: Prior to the mobilization of patients with spinal fractures following treatment, it is important to confirm stability in the upright position.METHODS: A patient presented with T2 and T3 vertebral body fractures visible on recumbent CT. Supine and upright plain x-rays with additional swimmer's views were deemed suboptimal prior to mobilization. The default configuration of the O-arm was modified to enable imaging in the upright position.RESULTS: Images utilizing the O-arm were satisfactory and anatomic alignment confirmed in an upright position. It is believed that this is the first time the O-arm has been used for upright diagnostic imaging (off-label application). Excellent visualization of the cervicothoracic junction and upper thoracic regions was obtained in the desired upright position.CONCLUSION: The O-arm was used successfully to image spinal trauma in the upright position and may represent a new application of the device, potentially fulfilling a frequently unmet medical imaging need.

Resumo Limpo

ckground prior mobil patient spinal fractur follow treatment import confirm stabil upright positionmethod patient present t t vertebr bodi fractur visibl recumb ct supin upright plain xray addit swimmer view deem suboptim prior mobil default configur oarm modifi enabl imag upright positionresult imag util oarm satisfactori anatom align confirm upright posit believ first time oarm use upright diagnost imag offlabel applic excel visual cervicothorac junction upper thorac region obtain desir upright positionconclus oarm use success imag spinal trauma upright posit may repres new applic devic potenti fulfil frequent unmet medic imag need

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