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術中O-Arm 3D成像和導航下引導頸椎前路椎弓根釘置入

發(fā)布時間:2018-11-24 07:29
【摘要】:[目的]探討術中O-Arm 3D成像和導航下引導頸椎前路椎弓根釘置入的技術方法。[方法]采用標準的Smith-Robinson頸椎前路入路。椎間盤切除和安置Cage后,將導航參考架安放在鎖骨上。在術中O-Arm 3D成像和導航引導下置入頸椎前路椎弓根釘。術中和術后CT評價前路椎弓根釘置入的準確性。[結果]CT顯示前路椎弓根釘準確地置入椎弓根皮質(zhì)內(nèi),無椎動脈和神經(jīng)損傷。[結論]術中O-Arm 3D成像和導航引導下頸椎前路椎弓根釘置入是一種安全有效的方法。
[Abstract]:Objective: to explore the technique of guiding anterior cervical pedicle screw placement by O-Arm 3D imaging and navigation. [methods] the standard Smith-Robinson anterior cervical approach was adopted. After discectomy and Cage placement, the navigation reference frame is placed on the clavicle. The anterior cervical pedicle nail was implanted with O-Arm 3 D imaging and navigation. The accuracy of anterior pedicle screw placement was evaluated by CT during and after operation. [results] CT showed that the anterior pedicle screw was accurately inserted into the pedicle cortex without vertebral artery and nerve injury. [conclusion] Intraoperative O-Arm 3D imaging and navigation guided anterior pedicle screw placement is a safe and effective method.
【作者單位】: 第三軍醫(yī)大學新橋醫(yī)院骨科;
【分類號】:R687.3
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本文編號:2352791

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