...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Archives of orthopaedic and trauma surgery. >Usefulness of a navigation system in surgery for scoliosis: segmental pedicle screw fixation in the treatment.
【24h】

Usefulness of a navigation system in surgery for scoliosis: segmental pedicle screw fixation in the treatment.

机译：导航系统在脊柱侧弯手术中的实用性：节段性椎弓根螺钉固定在治疗中。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

STUDY DESIGN: Postoperative outcomes of segmental pedicle screw fixation were evaluated in posterior scoliosis surgery with the use of navigation system. OBJECTIVES: We report the usefulness of a navigation system and a segmental pedicle screw fixation in surgery for scoliosis. SUMMARY OF BACKGROUND DATA: Few reports on a segmental pedicle screw fixation method for scoliosis surgery using a navigation system have been published. This is the report on the usefulness of a navigation system in segmental pedicle screw fixation. METHODS: We targeted 16 cases in which segmental pedicle screw fixation had been performed using a navigation system at our hospital. We inserted 264 pedicle screws in total, and we did not perform registration for each corpus vertebrate in order to shorten the duration of the surgery. We reviewed screw deviation among the items for review using Neo classification with postoperative CT images (1.25 mm). For screw deviation in this case, grade 2 or higher in the Neo classification system was designated as total deviation. Furthermore, we evaluated the registration period per corpus vertebrae, the complications, duration of surgery, blood loss, Cobb angle, and the correction rate. RESULTS: In terms of screw deviation, 11 (4.2%) of the 264 inserted screws were classified as total deviation. However, there were no neurovascular complications during or after surgery in any cases, and all cases maintained strong internal fixation. In the relationship between the use or nonuse of registration and the deviation, four screws (3.2%) in the corpus vertebrae for which registration was performed and seven screws (5.0%) in the adjacent corpus vertebrae for which registration was not performed had deviated. The duration of registration per corpus vertebrate averaged 4 min and 24 s (58-791 s), but registration also requires a learning curve, so the duration of registration per corpus vertebrae averaged 1 min and 14 s in more recent cases, thus marking a significant shortening. CONCLUSION: Segmental pedicle screw fixation are excellent in regard to their fixing and correction force and have been clinically applied even in surgery for scoliosis, but the potential risk of neurovascular complications is unavoidable. The adoption of a navigation system in surgery for scoliosis is useful to increase the safety and certainty of the insertion of pedicle screws.
机译：研究设计：使用导航系统评估后路脊柱侧弯手术中节段性椎弓根螺钉固定的术后效果。目的：我们报告了导航系统和节段性椎弓根螺钉固定在脊柱侧弯手术中的有用性。背景技术概述：很少有关于使用导航系统进行脊柱侧弯手术的节段椎弓根螺钉固定方法的报道。这是关于导航系统在节段椎弓根螺钉固定中的有用性的报告。方法：我们针对16例在我院使用导航系统进行椎弓根螺钉固定的病例。我们总共插入了264个椎弓根螺钉，并且为了缩短手术时间，我们没有对每个each体脊椎动物进行注册。我们使用Neo分类和术后CT图像（1.25毫米）对项目之间的螺钉偏差进行了回顾。对于这种情况下的螺丝偏差，将Neo分类系统中2级或更高的等级指定为总偏差。此外，我们评估了每个体椎骨的注册时间，并发症，手术时间，失血量，Cobb角和矫正率。结果：就螺钉偏差而言，在264个插入螺钉中有11个（4.2％）被归类为总偏差。但是，在任何情况下，手术期间或术后均无神经血管并发症，所有病例均保持牢固的内固定。在使用或不使用配准与偏差之间的关系中，未进行配准的corp体中的四个螺钉（3.2％）和未进行配准的相邻体中的七个螺钉（5.0％）发生了偏离。每个文体脊椎动物的注册时间平均为4分钟和24秒（58-791 s），但是注册还需要学习曲线，因此在最近的情况下，每个文体椎骨的注册时间平均为1分钟和14s，因此标记为显着缩短。结论：节段椎弓根螺钉固定在固定和矫正力方面极佳，即使在脊柱侧弯手术中也已在临床上得到应用，但不可避免地存在神经血管并发症的潜在风险。在脊柱侧弯手术中采用导航系统有助于提高安全性和确定性插入椎弓根螺钉。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号