修改的龙头钻孔技术用于中部脚螺丝的放置:一个案例系列473连续的螺丝
Hasan Kâmil Sucu1, İsmail Ertan Sevin1, Gökhan Gürkan2
1Department of Neurosurgery, İzmir Kâtip Çelebi University, Atatürk Research and Training Hospital.
Clinical spine surgery
|March 16, 2024
概括
本研究介绍了一种修改后的式钻孔技术,用于部脚的螺杆放置,在回顾性队列中证明了其安全性和准确性. 该技术涉及仔细检查骨壁,以尽量减少与椎脊椎手术相关的风险.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
背景情况:
- 宫脚螺丝固定提供强大的脊柱稳定性,但对神经血管结构有风险.
- 现有的技术旨在提高部脚螺杆放置的准确性和安全性.
研究的目的:
- 为介绍一个修改的龙头钻孔技术,用于中部脚螺丝插入.
- 评估这种新技术的安全性和准确性.
主要方法:
- 在122名患者 (2005-2020年) 中,对473个宫中脚螺丝进行了回顾性分析.
- 修改后的技术包括用手钻逐渐钻,用球尖探测器仔细检查骨壁.
- 螺丝被插入而没有敲击;通过术后CT扫描评估违规率.
主要成果:
- 在122名患者中没有发生手术后并发症.
- 405个螺丝的手术后CT扫描显示了131个螺丝的偏差,只有25个螺丝的临界偏差.
- 这项技术在没有导航或计算机辅助的情况下进行.
结论:
- 子宫脚螺丝插入是一个高风险但可行的程序.
- 描述的修改自来水钻孔技术,强调骨壁的彻底评估,可以提高椎脚螺丝放置的安全性和有效性.
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