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机器人辅助脊柱椎弓根螺钉植入术中导丝移位

Guide wire displacement in robot-assisted spinal pedicle screw implantation.

作者信息

Du Wei, Zou Dexin, Zhang Jianfeng, Liu Jianqing, Qu Wenqing, Zhang Shudong

机构信息

Department of Spine, Yantaishan Hospital, Yantai, Shandong, China.

Department of Traumatology, Yantaishan Hospital, Yantai, Shandong, China.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2021 Sep;16(3):526-535. doi: 10.5114/wiitm.2021.103952. Epub 2021 Feb 26.

DOI:10.5114/wiitm.2021.103952
PMID:34691302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8512515/
Abstract

AIM

Guide wire displacement in spinal pedicle screw implantation was analyzed in order to reduce or avoid the occurrence of this phenomenon and to reduce the complications associated with robot-assisted pedicle screw implantation surgery.

MATERIAL AND METHODS

From April 2017 to December 2019, a retrospective study was conducted with 398 patients who underwent robot-assisted spinal pedicle screw implantation. The causes of guide wire displacement in 60 punctures were analyzed.

RESULTS

There were 2,408 robot-assisted wire punctures of the pedicle, of which 2,348 wire punctures were located well within the pedicle, and 60 wire displacements occurred during robot-assisted wire puncture, with a displacement rate of 2.49%. There was 1 case of thoracic segmental artery injury and 1 case of spinal cord incomplete injury.

CONCLUSIONS

As it is a rare phenomenon in robot-assisted spinal pedicle screw implantation, guide wire displacement should be avoided as much as possible to improve the accuracy of screw placement and reduce surgical complications during the operation.

摘要

目的

分析脊柱椎弓根螺钉植入术中导丝移位情况，以减少或避免该现象的发生，并降低机器人辅助椎弓根螺钉植入手术相关并发症。

材料与方法

对2017年4月至2019年12月期间398例行机器人辅助脊柱椎弓根螺钉植入术的患者进行回顾性研究。分析60次穿刺中导丝移位的原因。

结果

共进行2408次机器人辅助椎弓根导丝穿刺，其中2348次导丝穿刺位置良好地位于椎弓根内，机器人辅助导丝穿刺过程中发生60次导丝移位，移位率为2.49%。发生1例胸段节段动脉损伤和1例脊髓不完全损伤。

结论

由于导丝移位在机器人辅助脊柱椎弓根螺钉植入术中是一种罕见现象，应尽可能避免，以提高螺钉置入的准确性，减少手术过程中的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/bb9872322f51/WIITM-16-43375-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/fa817d11fec0/WIITM-16-43375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/cf66054dcbe2/WIITM-16-43375-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/bea0246d3038/WIITM-16-43375-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/88b9eaf04cb0/WIITM-16-43375-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/13ee1e621354/WIITM-16-43375-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/08bdc3f6e88a/WIITM-16-43375-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/a3db5085b227/WIITM-16-43375-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/bb9872322f51/WIITM-16-43375-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/fa817d11fec0/WIITM-16-43375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/cf66054dcbe2/WIITM-16-43375-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/bea0246d3038/WIITM-16-43375-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/88b9eaf04cb0/WIITM-16-43375-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/13ee1e621354/WIITM-16-43375-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/08bdc3f6e88a/WIITM-16-43375-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/a3db5085b227/WIITM-16-43375-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74c/8512515/bb9872322f51/WIITM-16-43375-g008.jpg

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Accuracy of Pedicle Screw Placement and Clinical Outcomes of Robot-assisted Technique Versus Conventional Freehand Technique in Spine Surgery From Nine Randomized Controlled Trials: A Meta-analysis.基于 9 项随机对照试验的荟萃分析：机器人辅助技术与传统徒手技术在脊柱手术中椎弓根螺钉置钉准确性和临床结果的比较。
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