导航和机器人技术治疗峡部裂伴对侧关节突骨折的新方法：病例报告。
New Technique for Treatment of Spondylolysis and Contralateral Facet Fracture Using Navigation and Robotics: A Case Report.
机构信息
Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California.
出版信息
JBJS Case Connect. 2024 Aug 29;14(3). doi: e23.00698. eCollection 2024 Jul 1.
CASE
A healthy 15-year-old male competitive hockey player presented with acute-on-chronic lower back pain was found to have a bilateral pars defect. After conservative treatment, subsequent computed tomography imaging demonstrated partial healing of the right-sided facet fracture but persistent left-sided pars fracture. A novel technique was performed, using robotic navigation to assist in laminar screw placement and to determine the optimal trajectory for subsequent microscopic surgery and bone grafting.
CONCLUSION
Robotic navigation can be safely used to not only guide precise laminar screw placement for fixation and direct repair but also to provide guidance for microscopic tubular bone grafting of the pars defect.
病例
一名健康的 15 岁男性竞技曲棍球运动员出现慢性下腰痛急性发作，被发现双侧椎板缺损。经过保守治疗，随后的计算机断层扫描成像显示右侧关节突骨折部分愈合，但左侧椎板骨折持续存在。采用一种新的技术，使用机器人导航辅助椎板螺钉放置，并确定后续微创手术和骨移植的最佳轨迹。
结论
机器人导航不仅可以安全地用于引导精确的椎板螺钉固定和直接修复，还可以为椎板缺损的微创管状骨移植提供指导。
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