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微创脊柱手术中的导航

Navigation in minimally invasive spine surgery.

作者信息

Virk Sohrab, Qureshi Sheeraz

机构信息

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.

出版信息

J Spine Surg. 2019 Jun;5(Suppl 1):S25-S30. doi: 10.21037/jss.2019.04.23.

DOI:10.21037/jss.2019.04.23
PMID:31380490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6626747/
Abstract

Minimally invasive spine (MIS) surgery is associated with limited dissection as compared to open surgical procedures and this can result in decreased visualization. The use of computer-assisted navigation technology, however, allows surgeons greater visualization of bony and soft tissue anatomy through limited MIS incisions. This article outlines the potential benefits of intraoperative navigation during minimally invasive spinal surgery procedures to reduce intra-operative radiation exposure and enhance surgical accuracy. We also offer the senior author's surgical setup and technique related to a skin-based navigation system. Future research is required into the use of augmented reality for surgeons during a navigated MIS surgery.

摘要

与开放手术相比,微创脊柱(MIS)手术的解剖范围有限,这可能导致视野受限。然而,使用计算机辅助导航技术可使外科医生通过有限的MIS切口更清晰地观察骨骼和软组织解剖结构。本文概述了在微创脊柱手术过程中使用术中导航的潜在益处,以减少术中辐射暴露并提高手术准确性。我们还介绍了资深作者与基于皮肤的导航系统相关的手术设置和技术。未来需要研究在导航MIS手术中为外科医生使用增强现实技术。

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本文引用的文献

1
Radiation Exposure and Health Risks for Orthopaedic Surgeons.骨科医生的辐射暴露与健康风险。
J Am Acad Orthop Surg. 2018 Apr 15;26(8):268-277. doi: 10.5435/JAAOS-D-16-00342.
2
Comparative Study of C-Arms for Intraoperative 3-dimensional Imaging and Navigation in Minimally Invasive Spine Surgery Part II: Radiation Exposure.用于微创脊柱手术术中三维成像和导航的C型臂比较研究 第二部分:辐射暴露
Clin Spine Surg. 2017 Jul;30(6):E669-E676. doi: 10.1097/BSD.0000000000000187.
3
Augmented-reality integrated robotics in neurosurgery: are we there yet?神经外科中的增强现实集成机器人技术:我们做到了吗?
Neurosurg Focus. 2017 May;42(5):E3. doi: 10.3171/2017.2.FOCUS177.
4
Navigation and Robotics in Spinal Surgery: Where Are We Now?脊柱外科中的导航与机器人技术:我们目前的进展如何?
Neurosurgery. 2017 Mar 1;80(3S):S86-S99. doi: 10.1093/neuros/nyw077.
5
Breast Radiation Exposure in Female Orthopaedic Surgeons.女性骨科外科医生的乳腺辐射暴露情况。
J Bone Joint Surg Am. 2016 Nov 2;98(21):1808-1813. doi: 10.2106/JBJS.15.01167.
6
Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation.术中影像引导导航下的微创脊柱手术
Biomed Res Int. 2016;2016:5716235. doi: 10.1155/2016/5716235. Epub 2016 Apr 24.
7
Patient and surgeon radiation exposure during spinal instrumentation using intraoperative computed tomography-based navigation.使用术中计算机断层扫描导航进行脊柱内固定时患者和外科医生的辐射暴露
Spine J. 2016 Mar;16(3):343-54. doi: 10.1016/j.spinee.2015.11.020. Epub 2015 Dec 10.
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Economics of image guidance and navigation in spine surgery.脊柱手术中图像引导与导航的经济学
Surg Neurol Int. 2015 Jun 25;6(Suppl 10):S323-6. doi: 10.4103/2152-7806.159381. eCollection 2015.
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Improved Accuracy of Minimally Invasive Transpedicular Screw Placement in the Lumbar Spine With 3-Dimensional Stereotactic Image Guidance: A Comparative Meta-Analysis.三维立体定向图像引导下提高腰椎微创经椎弓根螺钉置入的准确性:一项比较性Meta分析
J Spinal Disord Tech. 2015 Nov;28(9):324-9. doi: 10.1097/BSD.0000000000000152.
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Clinical and radiographic outcomes of minimally invasive percutaneous pedicle screw placement with intraoperative CT (O-arm) image guidance navigation.术中CT(O型臂)图像引导导航下微创经皮椎弓根螺钉置入的临床和影像学结果
Neurosurg Focus. 2014 Mar;36(3):E1. doi: 10.3171/2014.1.FOCUS13531.