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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.

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

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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.
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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.
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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
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