S2 Alar-Iliac螺丝插入安全性与增强现实辅助的外科导航
Maximillian Y Lee1, Hania Shahzad, Varun K Singh
1From The Ohio State University College of Medicine, Columbus, OH (Mr. Lee); Department of Orthopaedic Surgery, UC Davis Health, Sacramento, CA (Dr. Shahzad and Dr. Khan); Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH (Dr. Singh); Department of Neurological Surgery, UC Davis Health, Sacramento, CA (Dr. Price); Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL (Dr. Phillips).
概括
增强现实 (AR) 导航对于脊柱外科手术中的S2 alar-iliac (S2AI) 螺丝放置是安全而准确的. 这项技术比机器人导航具有优势,在S2AI走廊中没有观察到任何并发症.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 手术导航技术 手术导航技术
- 增强现实应用 增强现实应用
背景情况:
- 增强现实 (AR) 在脊柱手术中未得到充分利用,尽管它具有良好的安全性和工作流的好处.
- 之前的研究强调了AR在脚踏板螺丝放置方面的优势,而不是机器人导航.
- S2 alar-iliac (S2AI) 走廊为螺丝放置带来了独特的解剖学挑战,对AR导航的发表研究有限.
研究的目的:
- 为了评估S2AI螺杆放置的AR导航的安全性和准确性.
- 将AR导航与高风险手术区域的现有导航技术进行比较.
主要方法:
- 对接受S2AI螺杆安置脊柱手术的患者的回顾性图表审查.
- 分析了从2022年11月到2024年9月两个学术医疗中心的数据.
- 放射和CT扫描分析,以评估螺丝安全性和准确性.
主要成果:
- 分析了70个螺丝,所有螺丝都完全穿透了关节.
- 一个螺丝显示中部骨盆突破;没有螺丝突破了大坐骨.
- 在研究期间,S2AI走廊中没有报告任何并发症.
结论:
- 在S2AI螺杆放置方面,AR导航与机器人导航无差.
- 与机器人系统相比,AR在辐射暴露,工作流效率和培训方面提供了潜在的优势.
- 未来的研究应该专注于患者报告的结果,成本效益,以及脊椎手术中AR的学习曲线.
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