| Figure 7 Biopsy of the C4/5 infective spondylodiscitis
in a 50-year-old man using the anterolateral approach. (a) Lateral radiograph
shows irregular narrowing of the C4/5 disc space with mild anterior wedging
of C4 and C5 vertebral bodies and mild kyphotic deformity. (b) Photograph
shows the patient lying in a supine position with the neck being cleaned
after the selected level was surface-marked. (c) Photograph taken after
the patient was draped shows the radiologist’s fingers palpating the
carotid pulsation and guarding the right major neurovascular bundle. (d)
Photograph shows the skin incision being made following administration of
local anaesthetic. (e) Photograph shows insertion of the Ostycut biopsy
needle. Note that the radiologist’s fingers are guarding the adjacent
major neurovascular bundle during needle insertion. (f) CT fluoroscopic
image taken with the patient lying supine shows the tip of the Ostycut needle
within the inferior C4 vertebral body osteolytic lesion. |
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