术中三维C型臂实时透视导航辅助颈椎椎弓根螺钉的植入 |
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引用本文: | 喻忠,王黎明,曾逸文,蒋纯志,侯明夫,王大林. 术中三维C型臂实时透视导航辅助颈椎椎弓根螺钉的植入[J]. 中华显微外科杂志, 2006, 32(1): 193-195,插4. DOI: 10.3760/cma.j.issn.1001-2036.2009.03.009 |
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作者姓名: | 喻忠 王黎明 曾逸文 蒋纯志 侯明夫 王大林 |
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作者单位: | 南京医科大学附属南京第一医院骨科,南京,215004; |
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摘 要: | 目的 探讨术中三维C型臂实时透视导航在颈椎椎弓根螺钉植入手术中的应用.方法 在导航下行颈椎椎弓根螺钉固定术22例,其中颈椎骨折9例,颈椎肿瘤4例,颈椎滑脱失稳6例,颈椎病3例.术后进行CT扫描,评估螺钉位置.结果 导航下22例共植入112枚颈椎椎弓根螺钉.术后CT椎弓根位置扫描:A级,107枚(95.5%);B级,3枚;C级,1枚;D级,1枚.术后临床无脊髓、神经和椎动脉损伤.结论 术中三维C型臂实时透视导航系统可以准确引导颈椎椎弓根螺钉的植入.
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关 键 词: | 颈椎 影像导航 椎弓根 螺钉 |
Iso-C3D navigation to implant cervical pedicle screw with intraoperative aiding |
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Abstract: | Objective To evaluate the accuracy of Intraoperative Iso-C3D navigation guiding cervical pedicle screw fixation. Methods Twenty-two cases adopted cervical pedicle screw fixation of cervical spine, including 9 cervical spine fractures, 4 cervical tumors, 6 cervical destabilizing, 3 cervical syndrome. The cervical pedicle screw position were assessed with post-operative CT by grade. Results One hundred and twelve screws were fixed in 22 cases successfully. Grade: 107 in A grade (95.5%); 3 in B grade: 1 in C grade; 1 in D grade. There were not any complication. Conclusion Intraoperative Iso-C3D navigation can improve precision of cervical petiole screw fixation distinctively. |
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Keywords: | Cervical spineImage-guidedPedicleScrew |
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