Research Article

Ultrasound-Guided Percutaneous Release Procedures in the Lumbar Ligamentum Flavum by Acupotomy: A Cadaveric study

Table 2

Paired t-test measurements between transverse- and longitudinal-axis approaches.

Comparison of the two approaches in the same segmentU-A (mm)U-B (mm)A (mm)B (mm)C (mm)D (°)

L3/L4Transverse axis48.48 ± 8.3032.57 ± 4.1556.97 ± 8.8635.60 ± 5.09154.14 ± 23.5157.85 ± 5.17
Longitudinal axis53.80 ± 6.13a65.79 ± 8.53a11.58 ± 8.52a122.61 ± 22.79a53.15 ± 5.46a

L4/L5Transverse axis50.00 ± 5.9534.46 ± 5.4061.01 ± 6.8437.51 ± 6.64129.16 ± 18.9154.88 ± 6.18
Longitudinal axis54.16 ± 5.50a67.06 ± 8.13a9.11 ± 4.52a99.23 ± 16.27a52.27 ± 6.05

L5/S1Transverse axis50.01 ± 7.0633.70 ± 4.7860.18 ± 6.8237.63 ± 6.63108.99 ± 13.7854.27 ± 6.03
Longitudinal axis54.00 ± 6.14a69.62 ± 6.35a10.38 ± 4.88a82.70 ± 13.81a52.67 ± 6.40

aStatistically significant differences between the transverse-axis approach and longitudinal-axis approach (). D, angle of acupotomy puncture; C, vertical distance from the puncture site to the horizontal line of the cornua sacralia; B, distance to the spinous process; A, depth of acupotome penetration measured in cadavers; U-A, depth of acupotome penetration; U-B, the distance from the puncture site to the spinous process.