机器人辅助Bohlman技术使用SI-LOK植入物治疗高度L5-S1椎体滑脱：3例患者

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2024-12-09 DOI:10.1016/j.jor.2024.12.001

Nalin Zadoo , Eric Rebich

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引用次数: 0

摘要

背景：高度峡部峡部滑脱通常需要手术干预脊柱复位和减压。本研究描述了一种改进的Bohlman手术，利用机器人辅助导航和Globus SI-LOK体间装置。方法：回顾性分析2022年至2023年间在一家医院接受改良Bohlman手术治疗重度脊柱滑脱的3例患者。收集临床参数（年龄、性别、表现症状、术后症状）、影像学参数（腰椎前凸、骨盆发生率、Wiltse分类）和围手术期数据（融合水平、后路内固定、椎间装置、DBM的使用、估计失血量、并发症）。结果：研究对象为男性2人，女性1人，平均年龄67岁。2例患者为高度L5-S1型峡部滑脱，1例为二级L5-S1型峡部滑脱伴L4-L5退行性狭窄。所有患者均表现为腰痛和双侧下肢神经根病。改良后的手术包括机器人辅助放置椎弓根螺钉和SI-LOK植入物。所有患者均实现了坚实的L5-S1融合，无并发症或滑脱进展。结论：采用机器人辅助导航和SI-LOK植入物的改良Bohlman手术有望治疗高度峡部峡部滑脱，结果成功且无并发症。

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Robotic-assisted Bohlman's technique using SI-LOK implants for high-grade L5-S1 Spondylolisthesis: A case series of three patients

Background

High-grade Isthmic Spondylolisthesis often requires surgical intervention for spinal realignment and decompression. This study describes a modified Bohlman procedure utilizing robotic-assisted navigation and a Globus SI-LOK interbody device.

Methods

A retrospective review was conducted on three patients who underwent the modified Bohlman procedure for high-grade spondylolisthesis at a single hospital between 2022 and 2023. Clinical parameters (age, sex, presenting symptoms, post-operative symptoms), radiographic parameters (lumbar lordosis, pelvic incidence, Wiltse classification), and perioperative data (fusion levels, posterior instrumentation, interbody device, use of DBM, estimated blood loss, complications) were collected.

Results

The study included two males and one female, with a mean age of 67 years. Two patients had high-grade L5-S1 Isthmic Spondylolisthesis, and one had grade II L5-S1 Isthmic Spondylolisthesis with L4-L5 degenerative stenosis. All patients presented with low back pain and bilateral lower extremity radiculopathy. The modified procedure involved robotic-assisted placement of pedicle screws and SI-LOK implants. All patients achieved solid L5-S1 fusion without complications or slip progression.

Conclusion

The modified Bohlman procedure using robotic-assisted navigation and SI-LOK implants shows promise for managing high-grade isthmic spondylolisthesis, with successful outcomes and no complications in this small cohort.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.