Towner James E, Piper Keaton F, Schoeniger Luke O, Qureshi Shahnawaz H, Li Yan Michael
Department of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Department of Surgical Oncology, University of Rochester Medical Center, Rochester, NY, USA.
AME Case Rep. 2018 Nov 29;2:48. doi: 10.21037/acr.2018.11.02. eCollection 2018.
In the literature, the use of navigation for spine tumor surgery has largely centered on implant placement. We describe the cases of two patients with spinal tumors on whom we utilized our resection technique of registering an ultrasonic bone scalpel (UBS) to a navigation system. In both cases, we achieved a satisfactory tumor resection with negative margins and excellent neurologic outcomes. We feel that using the navigation-registered UBS is a valuable tool to increase the operator's ability to achieve desired resections while minimizing the neurologic deficits and operative morbidity associated with these challenging surgical cases.
在文献中，脊柱肿瘤手术中导航的应用主要集中在植入物放置方面。我们描述了两名脊柱肿瘤患者的病例，在这两名患者身上我们运用了将超声骨刀（UBS）注册到导航系统的切除技术。在这两个病例中，我们都实现了切缘阴性的满意肿瘤切除，并且神经功能预后良好。我们认为，使用导航注册的超声骨刀是一种有价值的工具，可提高术者实现预期切除的能力，同时将与这些具有挑战性的手术病例相关的神经功能缺损和手术并发症降至最低。
