局部麻醉下机器人辅助椎体后凸成形术治疗骨质疏松性椎体压缩骨折的优势：一项回顾性、非随机、对照临床研究。
Advantages of robot-assisted PKP under local anesthesia in the treatment of OVCF: a retrospective, non-randomized, controlled, clinical study.
作者信息
Xue Han, Liu Wei, Li Ruochen, Xiao Fengxu, Zhu Zheyue, Wu Guangwei, Zhang Chen
机构信息
Department of Orthopaedic Center, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Department of Sports and Joint Surgery, Xian Yang Central Hospital, Xian Yang, China.
出版信息
Front Surg. 2024 Aug 8;11:1445461. doi: 10.3389/fsurg.2024.1445461. eCollection 2024.
BACKGROUND
Robot-assisted technology has been widely used in orthopedic surgery, which can provide surgeons with higher accuracy and reduce radiation exposure. In spinal surgery, robots are often used to assist pedicle screw implantation, while there are relatively few studies on robot-assisted percutaneous kyphoplasty (PKP) under local anesthesia.
METHODS
A total of 96 patients with single-segment OVCF who met the inclusion criteria were included in this study. Fifty-six patients underwent robot-assisted PKP and forty patients underwent conventional PKP by the same group of surgeons. Collect the relevant parameters.
RESULTS
The puncture time and fluoroscopy times during puncture in the robot group were significantly less than those in the manual group ( < 0.001). The success rate of first puncture in the robot group was 92.5%.
CONCLUSIONS
PKP under local anesthesia assisted by the new spinal surgical robot effectively reduces the patient's intraoperative discomfort and has a low learning curve.
背景
机器人辅助技术已广泛应用于骨科手术，可为外科医生提供更高的准确性并减少辐射暴露。在脊柱手术中，机器人常被用于辅助椎弓根螺钉植入，而关于局部麻醉下机器人辅助经皮椎体后凸成形术（PKP）的研究相对较少。
方法
本研究共纳入96例符合纳入标准的单节段骨质疏松性椎体压缩骨折（OVCF）患者。56例患者接受机器人辅助PKP，40例患者由同一组外科医生进行传统PKP。收集相关参数。
结果
机器人组穿刺时的穿刺时间和透视次数明显少于手动组（<0.001）。机器人组首次穿刺成功率为92.5%。
结论
新型脊柱手术机器人辅助下的局部麻醉PKP有效减轻了患者术中不适，且学习曲线低。
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