Virginia Spine Institute, 11800 Sunrise Valley Drive, Suite 800, Reston, VA 20191, USA.
National Spine Health Foundation, 11800 Sunrise Valley Drive, Suite 330, Reston, VA 20191, USA.
Orthop Clin North Am. 2023 Apr;54(2):237-246. doi: 10.1016/j.ocl.2022.11.008.
Accurate screw placement is critical to avoid vascular or neurologic complications during spine surgery and to maximize fixation for fusion and deformity correction. Computer-assisted navigation, robotic-guided spine surgery, and augmented reality surgical navigation are currently available technologies that have been developed to improve screw placement accuracy. The advent of multiple generations of new technologies within the past 3 decades has presented surgeons with a diverse array of choices when it comes to pedicle screw placement. Considerations for patient safety and optimal outcomes must be paramount when selecting a technology.
准确的螺钉放置对于避免脊柱手术中的血管或神经并发症以及最大限度地固定融合和矫正畸形非常重要。计算机辅助导航、机器人引导脊柱手术和增强现实手术导航是目前已开发的技术，旨在提高螺钉放置的准确性。在过去的 30 年中，多种新技术的出现为脊柱外科医生提供了多种选择。在选择技术时，必须优先考虑患者安全和最佳结果。
