PT - JOURNAL ARTICLE AU - Liu, B.P. AU - Aghaei Lasboo, A. AU - Rozenfeld, M. AU - Hijaz, T.A. AU - Futterer, S.F. AU - Walker, M.T. TI - Percutaneous Transosseous Translaminar Approach for Thecal Sac Access in Advanced Ankylosing Spondylitis with Instrumented Posterior Spinal Fusion AID - 10.3174/ajnr.A1701 DP - 2010 Jan 01 TA - American Journal of Neuroradiology PG - 193--195 VI - 31 IP - 1 4099 - http://www.ajnr.org/content/31/1/193.short 4100 - http://www.ajnr.org/content/31/1/193.full SO - Am. J. Neuroradiol.2010 Jan 01; 31 AB - SUMMARY: A novel transosseous approach for percutaneous access of the lumbar subarachnoid space is described in a patient with advanced ankylosing spondylitis (AS) and instrumented spinal fusion who presented for myelography. Use of a coaxial threaded bone biopsy system to provide transosseous access to the thecal sac, imaging findings, and outcome are discussed. This technique provided access to an otherwise inaccessible subarachnoid space and is an alternative approach in the setting of advanced AS or posterior spinal fusion.