【摘要】：[目的]探討術(shù)中O-Arm 3D成像和導(dǎo)航下引導(dǎo)頸椎前路椎弓根釘置入的技術(shù)方法。[方法]采用標(biāo)準(zhǔn)的Smith-Robinson頸椎前路入路。椎間盤切除和安置Cage后,將導(dǎo)航參考架安放在鎖骨上。在術(shù)中O-Arm 3D成像和導(dǎo)航引導(dǎo)下置入頸椎前路椎弓根釘。術(shù)中和術(shù)后CT評(píng)價(jià)前路椎弓根釘置入的準(zhǔn)確性。[結(jié)果]CT顯示前路椎弓根釘準(zhǔn)確地置入椎弓根皮質(zhì)內(nèi),無(wú)椎動(dòng)脈和神經(jīng)損傷。[結(jié)論]術(shù)中O-Arm 3D成像和導(dǎo)航引導(dǎo)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(xué)新橋醫(yī)院骨科;
【分類號(hào)】：R687.3
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本文編號(hào)：2352791