Wang Michael Y, Ludwig Steven C, Anderson D Greg, Mummaneni Praveen V
Department of Neurological Surgery, University of Miami Miller School of Medicine, Lois Pope LIFE Center, Miami, Florida 33136, USA.
Neurosurg Focus. 2008;25(2):E17. doi: 10.3171/FOC/2008/25/8/E17.
Minimally invasive spinal instrumentation techniques have evolved tremendously over the past decade. Although there have been numerous reports of lumbar instrumentation performed via a percutaneous or minimal incisional route, to date there have been no reports of minimally invasive iliac screw placement. A method was developed for accurate placement of minimally invasive iliac screw placement based on a modification of currently available percutaneous lumbar instrumentation techniques. The method involves fluoroscopically guided insertion of a cannula-based screw system, and this technique was successful applied to treat an L-5 burst fracture with L-4 to iliac spinal stabilization via a minimally invasive approach. This report demonstrates the feasibility of percutaneous iliac screw instrumentation. However, future studies will be needed to validate the safety and efficacy of this approach.
在过去十年中，微创脊柱内固定技术有了巨大的发展。尽管已经有大量关于经皮或小切口途径进行腰椎内固定的报道，但迄今为止，尚无微创髂骨螺钉置入的报道。基于对现有经皮腰椎内固定技术的改进，开发了一种用于准确放置微创髂骨螺钉的方法。该方法包括在荧光透视引导下插入基于套管的螺钉系统，并且该技术已成功应用于通过微创方法治疗伴有L4至髂骨脊柱稳定的L5爆裂骨折。本报告证明了经皮髂骨螺钉内固定的可行性。然而，未来还需要进行研究以验证该方法的安全性和有效性。
