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。

IF 1 4区医学 Q4 CLINICAL NEUROLOGY

British Journal of Neurosurgery 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

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引用次数: 0

摘要

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。

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

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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来源期刊

British Journal of Neurosurgery 医学-临床神经学

CiteScore

2.30

自引率

9.10%

发文量

139

审稿时长

3-8 weeks

期刊介绍： The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide. Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.