在胸腰脊椎手术中导航辅助的并发症
Takeshi Fujii1,2, Patricia Lipson1,3, Kenneth T Nguyen1,4
1Center for Neuroscience and Spine, Department of Neurosurgery, Virginia Mason Franciscan Health, Seattle, WA, USA.
Global spine journal
|February 27, 2026
概括
胸脊椎手术中的计算机辅助导航 (CAN) 可能导致技术故障和错过的螺丝. 现有策略可最大限度地减少并发症,但需要进一步创新,以提高安全性和成本效益.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 计算机辅助导航 (CAN) 越来越多地用于胸脊椎手术.
- 关于在这些手术中与CAN相关的手术前和手术后并发症的研究有限.
研究的目的:
- 审查与胸脊椎手术中的导航使用相关的并发症.
- 为避免和管理这些并发症提出手术技术.
主要方法:
- 关于导航辅助胸脊椎手术并发症的现有文献的叙事综述.
- 识别和建议手术珍珠,以减轻风险.
主要成果:
- 常见的并发症包括技术故障 (系统故障,软件故障,注册丢失),可能导致高达10%的错过螺丝率.
- 像管理参考阵列转移,骨/软组织压力和初始跳转等策略可以最大限度地降低手术期间的风险.
- 与非导航方法相比,虽然CAN可能会减少脚螺丝的并发症,但学习曲线和成本效益仍然是挑战.
结论:
- 导航系统变得越来越适应,提高了胸脊椎手术的安全性和有效性.
- 需要进一步的研究和技术进步,以进一步减少并发症,并证明成本效益.
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