减少脊柱融合中的残余力,使用定制的杆曲机
Marco von Atzigen1, Florentin Liebmann1, Nicola A Cavalcanti2
1Research in Orthopedic Computer Science, Balgrist University Hospital, University of Zurich, Zurich, Switzerland; Laboratory for Orthopaedic Biomechanics, ETH Zurich, Zurich, Switzerland.
Computer methods and programs in biomedicine
|March 6, 2024
概括
这项研究引入了一个自动化机器人系统用于脊柱融合杆曲,与手动方法相比,显著减少剩余力和仪器仪表时间. 这一创新提高了外科手术的精度和结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 机器人在医学中的机器人
- 手术导航 手术导航
背景情况:
- 在脊柱融合中手动的棒轮是耗时且容易出现错误的.
- 不适当的轮杆可以对脚螺丝造成压力,导致松动或拉出.
研究的目的:
- 开发和评估第一个完全自动化的解决方案,用于脊柱融合杆曲.
- 利用增强现实和机器人技术提高外科准确性和效率.
主要方法:
- 利用增强现实用于螺丝位置的手术内数字化.
- 集成了一个定制的机器人杆曲机器,具有外科医生-计算机接口.
- 采用定制测试装置来测量螺丝骨接口的残余力.
主要成果:
- 实现了平均绝对余力显著降低 (p=0.0015).
- 减少了每个螺丝的平均仪表时间.
- 显著减少了减速器每杆的投入 (p=0.0037).
结论:
- 增强现实和机器人的整合提供了一种有前途的方法,以提高脊髓融合手术的结果.
- 这种自动化系统最大限度地减少了对个体外科医生技能的依赖,提高了一致性,并可能减少并发症.
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