Schlenzka D, Laine T, Lund T
ORTON Orthopedic Hospital, Invalid Foundation, Helsinki, Finland.
Eur Spine J. 2000 Feb;9 Suppl 1(Suppl 1):S57-64. doi: 10.1007/pl00010023.
Computer assistance has been shown to improve significantly the accuracy and safety of pedicle screw insertion under clinical conditions. The technique of image-guided navigation is described in this article, based on the authors' clinical experience of over 4 years. The value of navigation systems for preoperative planning is discussed. Clinical results of the application of this new method in the cervical, thoracic, and lumbosacral spine as well as the iliosacral joints are presented by means of the authors' own studies and reports from the literature. Pros and cons of computer guidance are discussed. The authors predict computer navigation will be used in percutaneous and minimally invasive procedures in the near future.
计算机辅助已被证明在临床条件下能显著提高椎弓根螺钉植入的准确性和安全性。本文基于作者4年多的临床经验,描述了图像引导导航技术。讨论了导航系统在术前规划中的价值。通过作者自己的研究以及文献报道,展示了这种新方法在颈椎、胸椎、腰骶椎以及髂骶关节应用的临床结果。讨论了计算机引导的优缺点。作者预测,在不久的将来,计算机导航将用于经皮和微创手术。