Abstract

I read with interest the article by English et al in the August 1994 issue of the British Journal of Radiology [1]. We use a similar system for marking the vertebral level in cases of thoracic spinal cord compression. A series of sealed plastic tubes containing Lipiodol are taped to the back enabling skin marking of the abnormal level. In cases of spinal cord compression going to immediate surgery after the magnetic resonance (MR) examination it is unlikely the skin mark will be erased. However, if a patient needs to be transferred to another centre for surgery, or is awaiting irradiation, the time lapse increases the possibility of erasure of the skin mark and a fall back method is useful.

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