微创脊柱手术中的计算机导航
Computer Navigation in Minimally Invasive Spine Surgery.
作者信息
Sembrano Jonathan N, Yson Sharon C, Theismann Jeffrey J
机构信息
Department of Orthopaedic Surgery, University of Minnesota Medical School, 2450 Riverside Ave S R200, Minneapolis, MN, 55454, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Dec;12(4):415-424. doi: 10.1007/s12178-019-09577-z.
Abstract
PURPOSE OF REVIEW
The goal of the review is to discuss the common general applications of navigation in the context of minimally invasive spine surgery and assess its value in the published literature comparing against non-navigated or navigated techniques.
RECENT FINDINGS
There is increasing utilization of computer navigation in minimally invasive spine surgery. There is synergy between navigation and minimally invasive technologies, such that one enhances or facilitates the other, thus leading to wider applications for both. Specifically, navigation has been shown to improve performance of percutaneous pedicle screw placement, vertebral augmentation, and minimally invasive fusion procedures. Overall, clinical studies have shown better accuracy and less radiation exposure with the use of navigation in spine surgery. The use of navigation in minimally invasive spine surgery enhances the accuracy of instrumentation and decreases radiation exposure. It is yet to be determined whether patient-reported outcomes will differ. Further research on its effect on clinical outcomes may further define the future impact of navigation in minimally invasive spine surgery.
摘要
综述目的
本综述旨在探讨导航技术在微创脊柱手术中的常见一般应用，并在已发表的文献中评估其与非导航或导航技术相比的价值。
最新研究结果
计算机导航技术在微创脊柱手术中的应用日益广泛。导航技术与微创技术之间存在协同作用，二者相互促进，从而使两者的应用范围更广。具体而言，导航技术已被证明可提高经皮椎弓根螺钉置入、椎体强化和微创融合手术的操作效果。总体而言，临床研究表明，在脊柱手术中使用导航技术可提高准确性并减少辐射暴露。在微创脊柱手术中使用导航技术可提高器械置入的准确性并减少辐射暴露。患者报告的结果是否会有所不同尚待确定。对其对临床结果影响的进一步研究可能会进一步明确导航技术在微创脊柱手术中的未来影响。
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本文引用的文献
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