Anterolateral thoracic approach for thoracic discectomy using pedicle marking and 3D intraoperative imaging system.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-08-01 Epub Date: 2021-11-24 DOI:10.1080/02688697.2021.2006142

Aljeirou Alcachupas, Nisaharan Srikandarajah, Nicholas Carleton-Bland, Simon Clark

引用次数: 0

Abstract

Thoracic disc herniation (TDH) is a rare occurrence comprising of only 0.25-0.75% of all herniated discs in any region. Limitations in direct visualization remains a surgical challenge for complete and safe resection of TDH. In this case report, we describe the use of a 3D intraoperative imaging system (O-arm system ^TM) coupled with percutaneous pedicle markers placed under fluoroscopic guidance to circumvent the current limitations in visualisation for a patient with a giant calcified TDH using an anterolateral approach. There was an improvement in overall visualisation and ease of procedure, leading to a successful surgery. Post-op, there was a significant improvement in the motor power of the patient.

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使用椎弓根标记和三维术中成像系统进行胸椎椎间盘切除术的前外侧入路。

胸椎间盘突出症（TDH）是一种罕见的疾病，只占任何部位所有椎间盘突出症的 0.25-0.75%。直接可视化的局限性仍然是彻底、安全切除 TDH 的手术难题。在本病例报告中，我们介绍了使用三维术中成像系统（O-arm 系统 TM），结合在透视引导下放置的经皮椎弓根标记，通过前外侧入路规避了目前巨大钙化 TDH 患者在可视化方面的限制。手术的整体可视性和简便性都得到了改善，手术取得了成功。术后，患者的运动能力明显改善。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.