[机器人辅助椎弓根螺钉置入]。

IF 1 4区 医学 Q3 ORTHOPEDICS
Maximilian Schwendner, Bernhard Meyer, Sandro M Krieg
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引用次数: 3

摘要

目的:椎弓根螺钉为基础的脊柱后路内固定。适应症:因创伤、感染、脊柱退行性疾病或肿瘤引起的脊柱不稳定。禁忌症:没有。手术技术:机器人辅助导航椎弓根螺钉置入。术后处理:术后第一天开始早期功能活动。结果:Lee等人的一项研究分析了Mazor X Stealth Edition系统的临床应用(Medtronic Navigation, Louisville, CO, USA;Medtronic Spine, Memphis, TN, USA),共使用1445枚椎弓根螺钉[1]。1432枚椎弓根螺钉定位正确(99.1%);术中修改了6枚椎弓根螺钉(0.4%)。置入椎弓根螺钉的平均时间为6.1 ±2.3 min。pojskiki等人发表了Cirq系统(Brainlab, Munich, Germany)应用于13例共植入70枚椎弓根螺钉的病例系列[2]。术中影像学显示螺钉定位符合Gertzbein Robbins分类(GR) A类65枚(92.9%),GR B类1枚(1.4%)。螺钉定位GR D合并术中翻修2颗螺钉(2.9%)。平均置钉时间为08:27 ±06:54 min。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Robot-assisted pedicle screw placement].

Objective: Pedicle screw-based posterior instrumentation of the spine.

Indications: Instability of the spine due to trauma, infection, degenerative spinal disease or tumor.

Contraindications: None.

Surgical technique: Robot-assisted navigated pedicle screw placement.

Postoperative management: Early functional mobilization starting on the first postoperative day.

Results: A study by Lee et al. analyzed the clinical application of the system Mazor X Stealth Edition (Medtronic Navigation, Louisville, CO, USA; Medtronic Spine, Memphis, TN, USA) in 186 cases with a total of 1445 pedicle screws [1]. Correct screw positioning was achieved in 1432 pedicle screws (99.1%); six pedicle screws (0.4%) were revised intraoperatively. The mean duration of pedicle screw placement was 6.1 ± 2.3 min. Pojskić et al. published a case series regarding the application of the system Cirq (Brainlab, Munich, Germany) in 13 cases with a total number of 70 pedicle screws implanted [2]. Intraoperative imaging showed screw positioning according to the Gertzbein Robbins classification (GR) category A in 65 screws (92.9%) and GR B in one screw (1.4%). Screw positioning GR D with intraoperative revision was reported in two screws (2.9%). Mean duration of pedicle screw placement was 08:27 ± 06:54 min.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.
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