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如何实现?在三维机器人 C 臂导航辅助下,通过完全内镜下脊神经根切断术治疗骶髂关节疼痛。

How I do it? Fully endoscopic rhizotomy assisted with three-dimensional robotic C-arm navigation for sacroiliac joint pain.

机构信息

Department of Surgery, Division of Neurosurgery, Changhua Christian Hospital, Changhua, No 135 Nanhsiao Street, Chuanghua City, 50006, Taiwan.

Department of Neurosurgery, Chang Gung Memorial Hospital, Chiayi Branch, No. 6, West Sec., Jiapu Rd., Puz City, Chiayi County, Taiwan.

出版信息

Acta Neurochir (Wien). 2021 Dec;163(12):3297-3301. doi: 10.1007/s00701-020-04682-2. Epub 2021 Feb 14.

DOI:10.1007/s00701-020-04682-2
PMID:33586019
Abstract

BACKGROUND

In some cases, the conventional C-arm fluoroscopy can barely identify anatomical landmarks such as the dorsal sacral foramen. A fully endoscopic rhizotomy under three-dimensional (3D) provides satisfactory results in the treatment of sacroiliac (SI) joint pain.

METHODS

The workflow of a fully endoscopic rhizotomy under 3D robotic C-arm navigation system is introduced.

CONCLUSION

The presented technique is novel, effective, and safe for the treatment of SI joint pain. The 3D navigation system guides the operator to easily locate the target points for finding the medial branches of L5 and sacral lateral branches from S1, S2, and S3 dorsal foramina under endoscopic visualization.

摘要

背景

在某些情况下,传统的 C 形臂透视术几乎无法识别解剖标志,如背侧骶孔。在三维(3D)下进行全内窥镜下脊神经根切断术在治疗骶髂(SI)关节疼痛方面取得了满意的效果。

方法

介绍了一种在 3D 机器人 C 形臂导航系统下进行全内窥镜下脊神经根切断术的工作流程。

结论

该技术新颖、有效且安全,可用于治疗 SI 关节疼痛。3D 导航系统引导操作者在镜下可视化的情况下,轻松找到从 S1、S2 和 S3 背侧孔进入 L5 和骶外侧支的目标点。

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引用本文的文献

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Navigation-Assisted Full-Endoscopic Radiofrequency Rhizotomy Versus Fluoroscopy-Guided Cooled Radiofrequency Ablation for Sacroiliac Joint Pain Treatment: Comparative Study.导航辅助全内镜下射频神经根切断术与透视引导下冷射频消融术治疗骶髂关节疼痛的比较研究
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Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion.脊柱内镜手术的当前适应证及未来扩展潜力
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本文引用的文献

1
The ability of multi-site, multi-depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex.多部位、多深度骶外侧支阻滞麻醉骶髂关节复合体的能力。
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Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment.骶髂关节疼痛:解剖学、生物力学、诊断与治疗
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Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment.
骶髂关节疼痛:解剖、诊断与治疗的全面综述
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The value of medical history and physical examination in diagnosing sacroiliac joint pain.病史和体格检查在诊断骶髂关节疼痛中的价值。
Spine (Phila Pa 1976). 1996 Nov 15;21(22):2594-602. doi: 10.1097/00007632-199611150-00009.