Application of 3D visualization virtual surgery system in percutaneous transforaminal endoscopic discectomy.

IF 1.4 4区医学 Q4 ENGINEERING, BIOMEDICAL

Technology and Health Care Pub Date : 2025-03-01 Epub Date: 2024-11-10 DOI:10.1177/09287329241290908

Chen Gong, Min Zhang, Jianming Wu, Zhiwei Shi, Xiangyang Liu, Yahui Niu

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引用次数: 0

Abstract

BackgroundPercutaneous transforaminal endoscopic discectomy (PTED) is an effective minimally invasive technique for treating lumbar disc herniation (LDH). However, precise channel establishment remains challenging. A three-dimensional visualization virtual surgery system (3DVVSS) is increasingly used in specific surgeries, yet its value in PTED remains uncertain.ObjectiveTo investigate the application of a 3DVVSS combined with a self-made intervertebral foramen positioning puncture device (IFPPD) in PTED for the treatment of LDH.MethodsThis study enrolled 120 LDH patients who underwent PTED between January 2021 and February 2022. Patients were randomly assigned to 3DVVSS combined with the IFPPD group (V group), and the traditional freehand methods group (T group). Hospitalization days, number of puncture attempts, fluoroscopy time, operation time, visual analog scale (VAS), Oswestry disability index (ODI), and complications were analyzed.ResultsAll patients completed follow-up without serious complications. Hospitalization days between the two groups were comparable (p > 0.05). However, the V group showed statistically significant advantages over the T group in puncture time, number of puncture attempts, fluoroscopy times, and operation time (p < 0.05). All patients exhibited significant improvements in VAS and ODI compared to those of preoperation (p < 0.05). Still, there was no significant difference in VAS and ODI between T and V groups (p > 0.05).Conclusion3DVVSS combined with IFPPD can significantly improve the successful puncture rate, and reduce the operation time and the fluoroscopy times, indicating its great potential in future clinical applications.

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来源期刊

Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

6.20%

发文量

282

审稿时长

>12 weeks

期刊介绍： Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).