Computer-Guided Navigation System Efficiency Evaluation Using Surgical Instruments for Spinal Fusion

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-12-23 DOI:10.1002/rcs.70033

Evgenii O. Lopukhov, Ilya A. Frolov, Mikhail A. Solovyev, Leonid S. Prokhorenko, Denis. S. Mishchenkov, Daniil D. Klimov, Andrei A. Vorotnikov, Yuri V. Poduraev, Andrei A. Grin, Oleg V. Levchenko

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引用次数: 0

Abstract

Background

Navigation surgical systems have been widely used in spinal fusion to ensure accuracy and safety during pedicle screw insertion.

Methods

The research was performed under laboratory conditions, using stereotactic navigation, surgical instruments for spinal fusion, development of additional devices and software. During the experiments, all stages of the computed tomography-guided navigation system use were performed—preoperative preparation of patient data and planning to provide visual control of the navigation of surgical instruments during the insertion of screws.

Results

The 20 screws were inserted into the vertebrae of the lumbar spine phantom with an average pedicle width of 12.6 ± 1.29 mm with 100% clinical accuracy. The 30 screws were inserted into cadaveric sheep vertebrae with an average pedicle width of 6.56 ± 0.58 mm with 96.67% efficiency.

Conclusions

The proposed navigation technique of the CT-guided navigation system is highly effective in the navigation process of surgical instruments and pedicle screws during spinal fusion.

查看原文本刊更多论文

计算机导航系统在脊柱融合术中应用手术器械的效率评价。

背景：导航手术系统已广泛应用于脊柱融合，以确保椎弓根螺钉置入的准确性和安全性。方法：研究在实验室条件下进行，使用立体定向导航，脊柱融合手术器械，开发附加装置和软件。在实验过程中，进行了计算机断层扫描引导导航系统使用的所有阶段-术前准备患者数据并计划在置入螺钉期间提供手术器械导航的视觉控制。结果：20枚钉入腰椎椎体，平均椎弓根宽度12.6±1.29 mm，临床准确率100%。30枚钉入羊椎体，平均椎弓根宽度为6.56±0.58 mm，钉入效率为96.67%。结论：本文提出的ct引导导航系统导航技术在脊柱融合术中手术器械和椎弓根螺钉的导航过程中是非常有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.