Anderson D Greg, Samartzis Dino, Shen Francis H, Tannoury Chadi
Thomas Jefferson University, Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, PA 19107, USA.
Orthop Clin North Am. 2007 Jul;38(3):401-8; abstract vii. doi: 10.1016/j.ocl.2007.05.001.
The development of percutaneous instrumentation systems has been a significant milestone in the ability of surgeons to perform complex spinal procedures through minimally invasive approaches. These systems rely on cannulated screws or portal systems and using intraoperative imaging to allow accurate placement of the spinal implants without a full traditional exposure of the spine. This article reviews the operative concepts and techniques used to place percutaneous instrumentation in the thoracolumbar spine.
经皮器械系统的发展是外科医生通过微创方法进行复杂脊柱手术能力方面的一个重要里程碑。这些系统依靠空心螺钉或通道系统,并利用术中成像技术,以便在不进行传统的脊柱全暴露的情况下准确植入脊柱植入物。本文回顾了用于在胸腰椎置入经皮器械的手术理念和技术。