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脊柱手术中计算机断层扫描辅助三维导航:关于安全性、准确性、有效性及并发症减少的叙述性综述

Computer tomography-assisted 3-dimensional navigation in spine surgery: a narrative review on safety, accuracy, efficacy and reduction of complications.

作者信息

Kehayov Ivo I, Kitov Borislav D, Angelova Polina M, Davarski Atanas N

机构信息

Medical University of Plovdiv, Plovdiv, Bulgaria.

St George University Hospital, Plovdiv, Bulgaria.

出版信息

Folia Med (Plovdiv). 2025 Apr 11;67(2). doi: 10.3897/folmed.67.e149171.

DOI:10.3897/folmed.67.e149171
PMID:40270153
Abstract

The computed tomography-assisted 3D navigation system is a useful tool for spinal surgeons, enabling them to enhance the effectiveness and safety of surgical procedures by providing real-time three-dimensional information during decompression, resection, and instrumentation. Specific advantages of this navigation system include precise pedicle screw placement, the capability for immediate intraoperative correction, and execution of minimally invasive surgeries with reduced radiation exposure for the surgical team. Noteworthy disadvantages of this system are the relatively high implementation costs, the need for specific training, and limited accessibility to outpatient surgery centers. Currently, spinal navigation systems are constantly being upgraded with additional innovations, such as integration with robotics and improvement of the existing tools, which will ultimately lead to a better quality of life for patients and an improved experience for surgeons.

摘要

计算机断层扫描辅助三维导航系统是脊柱外科医生的一项有用工具,通过在减压、切除和器械植入过程中提供实时三维信息,使他们能够提高手术的有效性和安全性。该导航系统的具体优势包括椎弓根螺钉精确置入、术中即时矫正能力以及实施微创手术时减少手术团队的辐射暴露。该系统值得注意的缺点是实施成本相对较高、需要特定培训以及门诊手术中心的可及性有限。目前,脊柱导航系统不断通过额外创新进行升级,例如与机器人技术集成以及改进现有工具,这最终将为患者带来更高的生活质量,并为外科医生带来更好的体验。

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