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机器人辅助经皮螺钉置入下腰椎椎间融合术：一例报告

Anterior Lumbar Interbody Fusion With Robotic-Assisted Percutaneous Screw Placement: A Case Report.

作者信息

McVeigh Luke, Anokwute Miracle C, Huh Andrew, Blucker Nathaniel, Lane Brandon C

机构信息

Neurological Surgery, Indiana University School of Medicine, Indianapolis, USA.

出版信息

Cureus. 2022 Feb 24;14(2):e22573. doi: 10.7759/cureus.22573. eCollection 2022 Feb.

DOI:10.7759/cureus.22573
PMID:35355535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8957393/
Abstract

Recently, there has been an increase in robotic-assisted spine fusion for degenerative spondylosis of the lumbar spine. We present the case of a 60-year-old female with grade 1 spondylolisthesis at L4/5 and L5/S1 who underwent L4-S1 anterior lumbar interbody fusion (ALIF) with percutaneous robotic-assisted pedicle screw fixation. We provide a detailed analysis of the procedure including the speed of robotic screw placement and pitfalls of this surgical approach.

摘要

最近，腰椎退行性脊椎滑脱症的机器人辅助脊柱融合手术有所增加。我们报告了一例60岁女性患者，其L4/5和L5/S1处有1级椎体滑脱，接受了L4-S1前路腰椎椎间融合术（ALIF）及经皮机器人辅助椎弓根螺钉固定术。我们对该手术过程进行了详细分析，包括机器人螺钉置入的速度以及这种手术方法的陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b4/8957393/75f5e6e4a088/cureus-0014-00000022573-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b4/8957393/8226f1528f4f/cureus-0014-00000022573-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b4/8957393/75f5e6e4a088/cureus-0014-00000022573-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b4/8957393/8226f1528f4f/cureus-0014-00000022573-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b4/8957393/75f5e6e4a088/cureus-0014-00000022573-i02.jpg

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本文引用的文献

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Assessment of Surgical Procedural Time, Pedicle Screw Accuracy, and Clinician Radiation Exposure of a Novel Robotic Navigation System Compared With Conventional Open and Percutaneous Freehand Techniques: A Cadaveric Investigation.新型机器人导航系统与传统开放和经皮徒手技术相比的手术操作时间、椎弓根螺钉准确性及术者辐射暴露评估：一项尸体研究
Global Spine J. 2020 Oct;10(7):814-825. doi: 10.1177/2192568219879083. Epub 2019 Sep 24.
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Robot Surg. 2019 Nov 7;6:9-23. doi: 10.2147/RSRR.S190720. eCollection 2019.
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A comprehensive comparison of posterior lumbar interbody fusion versus posterolateral fusion for the treatment of isthmic and degenerative spondylolisthesis: A meta-analysis of prospective studies.
后路腰椎体间融合与后外侧融合治疗峡部裂性和退变性腰椎滑脱症的全面比较：前瞻性研究的荟萃分析。
Clin Neurol Neurosurg. 2020 Jan;188:105594. doi: 10.1016/j.clineuro.2019.105594. Epub 2019 Nov 11.
4
Indirect decompression in spinal surgery.脊柱手术中的间接减压
J Clin Neurosci. 2017 Oct;44:63-68. doi: 10.1016/j.jocn.2017.06.061. Epub 2017 Jul 5.
5
Robotic versus fluoroscopy-guided pedicle screw insertion for metastatic spinal disease: a matched-cohort comparison.机器人辅助与透视引导下椎弓根螺钉置入治疗脊柱转移性疾病：配对队列比较
Neurosurg Focus. 2017 May;42(5):E13. doi: 10.3171/2017.3.FOCUS1710.
6
Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF.腰椎椎间融合术：技术、适应证以及椎间融合选择的比较，包括后路腰椎椎间融合术（PLIF）、经椎间孔腰椎椎间融合术（TLIF）、改良经椎间孔腰椎椎间融合术（MI-TLIF）、斜外侧腰椎椎间融合术/前斜外侧腰椎椎间融合术（OLIF/ATP）、侧方腰椎椎间融合术（LLIF）和前路腰椎椎间融合术（ALIF）
J Spine Surg. 2015 Dec;1(1):2-18. doi: 10.3978/j.issn.2414-469X.2015.10.05.
7
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Spine J. 2015 May 1;15(5):817-24. doi: 10.1016/j.spinee.2014.12.019. Epub 2014 Dec 25.
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Neurosurgery. 2015 Jan;76(1):7-23; discussion 23-4. doi: 10.1227/NEU.0000000000000561.
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J Neurosurg Spine. 2014 Jun;20(6):636-43. doi: 10.3171/2014.3.SPINE13714. Epub 2014 Apr 11.