机器人辅助MIS手术治疗1例腰椎外伤性骨折孕妇：技术说明

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY

Neurochirurgie Pub Date : 2025-07-16 DOI:10.1016/j.neuchi.2025.101702

J. Bride , R. Assaker , B. Ghannam , P. Haettel , B. Bouyer , H.A. Leroy

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引用次数: 0

摘要

孕妇椎体骨折的发生在诊断和治疗方面提出了独特的挑战。处理此类病例需要多学科合作，以尽量减少x射线，保护胎儿发育，同时确保对母亲骨折的有效治疗。我们报告的情况下，18岁的初产妇在妊娠20周谁遭受了多创伤没有神经功能缺损。全身ct扫描报告L3为A2 M1 （AO脊柱分类）骨折，L2为A1骨折。在这种情况下，患者的体位和照射都具有挑战性。外科医生，麻醉师和物理学家讨论了保守治疗和各种手术（开放技术，经皮）的利弊。左侧卧机器人辅助下经皮L2-L4骨融合术。我们描述的过程，以及病人的结果和随访。

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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Robot-assisted MIS surgery in a pregnant woman with lumbar traumatic fracture: A technical note

The occurrence of a vertebral fracture in a pregnant woman presents unique challenges in terms of diagnosis and therapeutic. Managing such cases requires multidisciplinary collaboration to minimize x-rays and preserve fetus development while ensuring efficient treatment of the fracture in the mother.

We report the case of an 18 y/o primiparous woman at 20 weeks of gestation who suffered a polytrauma without neurological deficit. Full body CT-scan reported an A2 M1 (AO Spine Classification) fracture of L3 and an A1 fracture of L2.

In this situation, both patient positioning and irradiation were challenging. The surgeons, anesthesiologists and physicists discussed the pros and cons between conservative treatment and various types of surgery (open technique, percutaneous). A left lateral decubitus robot-assisted percutaneous L2-L4 osteosynthesis was performed. We depict the procedure as well as the patient outcome and follow-up.

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来源期刊

Neurochirurgie 医学-临床神经学

CiteScore

2.70

自引率

6.20%

发文量

100

审稿时长

29 days

期刊介绍： Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal. With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published. Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.