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基于计算机断层扫描的导航系统在当前脊柱外科中的应用：一项叙述性综述。

Computed Tomography-Based Navigation System in Current Spine Surgery: A Narrative Review.

机构信息

Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Chiba 286-8520, Japan.

Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Tokyo 108-8329, Japan.

出版信息

Medicina (Kaunas). 2022 Feb 5;58(2):241. doi: 10.3390/medicina58020241.

DOI:10.3390/medicina58020241
PMID:35208565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8880580/
Abstract

The number of spine surgeries using instrumentation has been increasing with recent advances in surgical techniques and spinal implants. Navigation systems have been attracting attention since the 1990s in order to perform spine surgeries safely and effectively, and they enable us to perform complex spine surgeries that have been difficult to perform in the past. Navigation systems are also contributing to the improvement of minimally invasive spine stabilization (MISt) surgery, which is becoming popular due to aging populations. Conventional navigation systems were based on reconstructions obtained by preoperative computed tomography (CT) images and did not always accurately reproduce the intraoperative patient positioning, which could lead to problems involving inaccurate positional information and time loss associated with registration. Since 2006, an intraoperative CT-based navigation system has been introduced as a solution to these problems, and it is now becoming the mainstay of navigated spine surgery. Here, we highlighted the use of intraoperative CT-based navigation systems in current spine surgery, as well as future issues and prospects.

摘要

近年来，随着手术技术和脊柱植入物的进步，使用器械进行脊柱手术的数量不断增加。为了安全有效地进行脊柱手术，导航系统自 20 世纪 90 年代以来就备受关注，使我们能够进行过去难以完成的复杂脊柱手术。导航系统还有助于提高微创脊柱稳定（MISt）手术的水平，由于人口老龄化，这种手术越来越受欢迎。传统的导航系统基于术前计算机断层扫描（CT）图像重建，但并不总是能准确再现术中患者的定位，这可能导致涉及不准确位置信息和与注册相关的时间损失的问题。自 2006 年以来，一种基于术中 CT 的导航系统被引入，以解决这些问题，目前它已成为导航脊柱手术的主流。在这里，我们强调了在当前脊柱手术中使用基于术中 CT 的导航系统，以及未来的问题和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/be130b76af74/medicina-58-00241-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/d8a00c9f2658/medicina-58-00241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/007c9f2f3404/medicina-58-00241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/5df09f461b73/medicina-58-00241-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/b64a17a459d6/medicina-58-00241-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/be130b76af74/medicina-58-00241-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/d8a00c9f2658/medicina-58-00241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/007c9f2f3404/medicina-58-00241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/5df09f461b73/medicina-58-00241-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/b64a17a459d6/medicina-58-00241-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b56/8880580/be130b76af74/medicina-58-00241-g005.jpg

相似文献

[1]
Computed Tomography-Based Navigation System in Current Spine Surgery: A Narrative Review.

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[2]
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[3]
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[4]
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[5]
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Neurosurg Focus. 2014-3

[6]
Early experience of placing image-guided minimally invasive pedicle screws without K-wires or bone-anchored trackers.

J Neurosurg Spine. 2018-4

[7]
Percutaneous pedicle screw placement under single dimensional fluoroscopy with a designed pedicle finder-a technical note and case series.

Spine J. 2017-9

[8]
One-step Minimally Invasive Pedicle Screw Instrumentation Using O-Arm and Stealth Navigation.

Clin Spine Surg. 2018-6

[9]
Does Navigation Improve Pedicle Screw Placement Accuracy? Comparison Between Navigated and Non-navigated Percutaneous and Open Fixations.

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[10]
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Eur Spine J. 2020-4

引用本文的文献

[1]
Morbidity and Mortality of Adult Spinal Deformity Surgery Using the Japanese Orthopedic Association National Registry/Japanese Society for Spine Surgery and Related Research Database (JOANR/JSSR-DB).

Spine Surg Relat Res. 2025-2-7

[2]
[Advances in application of digital technologies in surgery for ankylosing spondylitis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025-7-15

[3]
Os odontoideum-induced sudden onset myelopathy following cervical extension injury in an adult-case report on challenges and management with 3D navigation technology.

Front Surg. 2025-6-18

[4]
Navigation is associated with lower risk of neurological injury and transfusion in pediatric idiopathic scoliosis surgery.

Spine Deform. 2025-6-29

[5]
Advancements and Challenges in Computer-Assisted Navigation for Cervical Spine Surgery: A Comprehensive Review of Perioperative Integration, Complications, and Emerging Technologies.

Global Spine J. 2025-4-4

[6]
Radiation Exposure Analysis on 274 Patients With Vertebral Augmentation Using the Surgivisio Intraoperative Navigation System.

Int J Spine Surg. 2025-3-6

[7]
The potential role of synthetic computed tomography in spinal surgery: generation, applications, and implications for future clinical practice.

Asian Spine J. 2024-12

[8]
Spinal navigation with AI-driven 3D-reconstruction of fluoroscopy images: an ex-vivo feasibility study.

BMC Musculoskelet Disord. 2024-11-19

[9]
Optimization of Fast Non-Local Means Noise Reduction Algorithm Parameter in Computed Tomographic Phantom Images Using 3D Printing Technology.

Diagnostics (Basel). 2024-7-23

[10]
A Network Meta-Analysis Comparing the Efficacy and Safety of Pedicle Screw Placement Techniques Using Intraoperative Conventional, Navigation, Robot-Assisted, and Augmented Reality Guiding Systems.

Int J Spine Surg. 2024-11-8

本文引用的文献

[1]
First in-human report of the clinical accuracy of thoracolumbar percutaneous pedicle screw placement using augmented reality guidance.

Neurosurg Focus. 2021-8

[2]
Real-time navigation guidance with intraoperative CT imaging for pedicle screw placement using an augmented reality head-mounted display: a proof-of-concept study.

Neurosurg Focus. 2021-8

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Robotic-Assisted Pedicle Screw Placement During Spine Surgery.

JBJS Essent Surg Tech. 2020-5-21

[4]
Comparison of radiological changes after single- position versus dual- position for lateral interbody fusion and pedicle screw fixation.

BMC Musculoskelet Disord. 2019-12-12

[5]
Increased Radiation but No Benefits in Pedicle Screw Accuracy With Navigation versus a Freehand Technique in Scoliosis Surgery.

Clin Orthop Relat Res. 2018-5

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Accuracy of S2 Alar-Iliac Screw Placement Under Robotic Guidance.

Spine Deform. 2018

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Knowledge and Attitude Regarding Radiation Exposure Among Spine Surgeons in Latin America.

World Neurosurg. 2018-4

[8]
Freehand S2 Alar-Iliac Screw Placement Using K-Wire and Cannulated Screw : Technical Case Series.

J Korean Neurosurg Soc. 2018-1

[9]
Comparative Cohort Study of Percutaneous Pedicle Screw Implantation without Versus with Navigation in Patients Undergoing Surgery for Degenerative Lumbar Disc Disease.

World Neurosurg. 2018-3

[10]
Revision Rate of Misplaced Pedicle Screws of the Thoracolumbar Spine-Comparison of Three-Dimensional Fluoroscopy Navigation with Freehand Placement: A Systematic Analysis and Review of the Literature.

World Neurosurg. 2017-9-22

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