脊柱导航用于胸脊柱侧向仪器仪表
Maximilian Schwendner1,2, Raimunde Liang1, Vicki M Butenschöen1
1Department of Neurosurgery, Technical University of Munich, Germany, School of Medicine, Klinikum rechts der Isar, Munich, Germany.
Operative neurosurgery (Hagerstown, Md.)
|July 13, 2023
概括
基于三维成像的脊柱导航是有效的侧向仪器,确保精确的子放置和减少辐射暴露. 这项技术很容易被纳入临床实践,用于胸脊椎手术.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 医疗成像医学成像
背景情况:
- 脊柱导航主要用于脚螺丝的放置.
- 它的应用扩展到其他脊柱仪器仪表技术.
- 这项研究调查了侧侧胸柱仪器仪表的导航.
研究的目的:
- 评估基于3D成像导航的临床整合,用于横向脊柱仪器仪表.
- 评估这种技术在高体积的脊柱中心的可靠性和可行性.
主要方法:
- 对接受横向仪器仪表治疗的患者的潜在招募.
- 术内计算机断层扫描 (CT) 扫描用于导航和控制.
- 参考阵列连接到骨盆以进行跟踪.
主要成果:
- 登记了145例病例,其中植入了190个子 (脊椎体置换和体内融合).
- 在95.9%的案例中成功实现了导航.
- 外科医生报告的中度手术内精神负荷 (中位数为30/150).
结论:
- 基于3D成像的脊柱导航是侧向脊柱仪器仪表中精确植入物放置的可靠工具.
- 这项技术可以无地融入临床日常.
- 它有可能最大限度地减少外科人员的辐射暴露.
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