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方法介绍。导航界面连接带头戴式显示器的机器人手术显微镜，行后路腰椎固定融合及减压术。

How I do it. Posterolateral lumbar spine fixation and decompression with navigation interfaced with a robotic exoscope with head mounted display.

机构信息

Neurosurgery Department, IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano - Milan, Italy.

出版信息

Acta Neurochir (Wien). 2024 Aug 20;166(1):342. doi: 10.1007/s00701-024-06233-5.

DOI:10.1007/s00701-024-06233-5
PMID:39164443
Abstract

INTRODUCTION: Lumbar spine fixation and fusion is currently performed with intraoperative tools such as intraoperative CT scan integrated to navigation system to provide accurate and safe positioning of the screws. The use of microscopic visualization systems enhances visualization and accuracy during decompression of the spinal canal as well. METHODS: We introduce a novel setting in microsurgical decompression and fusion of lumbar spine using an exoscope with robotized arm (RoboticScope) interfaced with navigation and head mounted displays. CONCLUSION: Spinal canal decompression and fusion can effectively be performed with RoboticScope, with significant advantages especially regarding ergonomics.

摘要

简介：目前，腰椎固定和融合术是通过术中 CT 扫描与导航系统集成的术中工具来完成的，以提供螺钉的准确和安全定位。使用显微镜可视化系统也可以增强椎管减压过程中的可视化和准确性。

方法：我们介绍了一种使用带有机器人臂的手术显微镜（RoboticScope）与导航和头戴式显示器接口的新型腰椎显微减压和融合术的设置。

结论：使用 RoboticScope 可以有效地进行椎管减压和融合，尤其是在符合人体工程学方面具有显著优势。

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[1]
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本文引用的文献

[1]
Microvascular anastomosis in head and neck free flap reconstruction using the RoboticScope.

Am J Otolaryngol. 2024

[2]
Cadaveric study of ergonomics and performance using a robotic exoscope with a head-mounted display in spine surgery.

J Robot Surg. 2024-1-10

[3]
Minimally invasive microsurgical decompression of the lumbar spine using a novel robotised digital microscope: A preliminary experience.

Int J Med Robot. 2023-4

[4]
Resection of Intracranial Tumors with a Robotic-Assisted Digital Microscope: A Preliminary Experience with Robotic Scope.

World Neurosurg. 2021-8

[5]
O-arm navigation versus C-arm guidance for pedicle screw placement in spine surgery: a systematic review and meta-analysis.

Int Orthop. 2020-5

[6]
Use of the Airo mobile intraoperative CT system versus the O-arm for transpedicular screw fixation in the thoracic and lumbar spine: a retrospective cohort study of 263 patients.

J Neurosurg Spine. 2018-10

[7]
Meta-analysis of instrumented posterior interbody fusion versus instrumented posterolateral fusion in the lumbar spine.

J Neurosurg Spine. 2011-5-27

[8]
Spinal navigation: standard preoperative versus intraoperative computed tomography data set acquisition for computer-guidance system: radiological and clinical study in 100 consecutive patients.

Spine (Phila Pa 1976). 2011-11-15

[9]
Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques.

Eur Spine J. 2011-1-21

[10]
Circumferential fusion improves outcome in comparison with instrumented posterolateral fusion: long-term results of a randomized clinical trial.

Spine (Phila Pa 1976). 2006-12-1

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