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 segment
U-A (mm)
U-B (mm)
A (mm)
B (mm)
C (mm)
D (°)
L3/L4
Transverse axis
48.48 ± 8.30
32.57 ± 4.15
56.97 ± 8.86
35.60 ± 5.09
154.14 ± 23.51
57.85 ± 5.17
Longitudinal axis
53.80 ± 6.13a
—
65.79 ± 8.53a
11.58 ± 8.52a
122.61 ± 22.79a
53.15 ± 5.46a
L4/L5
Transverse axis
50.00 ± 5.95
34.46 ± 5.40
61.01 ± 6.84
37.51 ± 6.64
129.16 ± 18.91
54.88 ± 6.18
Longitudinal axis
54.16 ± 5.50a
—
67.06 ± 8.13a
9.11 ± 4.52a
99.23 ± 16.27a
52.27 ± 6.05
L5/S1
Transverse axis
50.01 ± 7.06
33.70 ± 4.78
60.18 ± 6.82
37.63 ± 6.63
108.99 ± 13.78
54.27 ± 6.03
Longitudinal axis
54.00 ± 6.14a
—
69.62 ± 6.35a
10.38 ± 4.88a
82.70 ± 13.81a
52.67 ± 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.