在 CT 引导下导航下采用坐位经椎弓根螺钉技术治疗颈胸交界区疾病：应用及技术要点。
Pedicle Screw Instrumentation of the Cervicothoracic Junction in the Sitting Position using CT-guided Navigation: Application and Technical Aspects.
机构信息
Department of Neurosurgery, University of Erlangen, Erlangen, Germany.
Department of Neuroradiology, University of Erlangen, Erlangen, Germany.
出版信息
J Neurol Surg A Cent Eur Neurosurg. 2021 Mar;82(2):176-181. doi: 10.1055/s-0040-1718409. Epub 2021 Feb 4.
BACKGROUND
We evaluate the feasibility and potential advantages of spinal CT navigation in the placement of pedicle screws at the cervicothoracic junction in the sitting position to counteract the anatomy-related limitations of 2D fluoroscopy.
METHODS
We retrospectively analyze the data from 15 patients who underwent CT-based navigation-guided placement of a total of 36 pedicle screws at the cervicothoracic junction in the sitting position.
RESULTS
CT-based spinal navigation is a useful method in increasing accuracy of pedicle screw instrumentation in the sitting position, successfully counteracting the anatomy-related limitations of 2D fluoroscopy at the cervicothoracic junction.
CONCLUSION
CT-based navigation-guided placement of pedicle screws at the cervicothoracic junction in the sitting position proved to be an accurate, safe, and user-friendly method.
背景
我们评估了在坐位下经颈椎胸椎连接部脊柱 CT 导航辅助置钉的可行性和潜在优势，以克服二维透视在该部位因解剖结构限制所致的不足。
方法
我们回顾性分析了 15 例患者共 36 枚颈椎胸椎连接部椎弓根螺钉置钉的 CT 导航引导下置钉数据。
结果
基于 CT 的脊柱导航是一种提高坐位下椎弓根螺钉置钉准确性的有效方法，成功克服了颈椎胸椎连接部二维透视的解剖结构限制。
结论
基于 CT 的导航引导下坐位颈椎胸椎连接部椎弓根螺钉置钉是一种准确、安全且易于使用的方法。
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