Vartiainen Nuutti, Niemelä Mika, Pälvimäki Esa-Pekka
Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Department of Neurosurgery, Helsinki University Hospital, Haartmaninkatu 4, Helsinki, 00029, Finland.
Sci Rep. 2025 May 15;15(1):16864. doi: 10.1038/s41598-025-01769-7.
The exposure of neural structures by removing the overlying bone using a high-speed drill can cause iatrogenic injury to the dura, neural tissue, and vessels. We investigated the safety and efficacy of a novel Surgify Safety Burr (SSB), attachable to existing high-speed drills. Three anesthetized living sheep underwent cranial burr hole drilling (n = 19) and hemilaminectomies (n = 14) with the SSB and standard burrs. Drilling time, dural injury, and subjective evaluation of heating and haptic feedback of each burr were assessed. Cranial burr hole drilling was done using diamond (n = 3), fluted (n = 6), and SSB (n = 10) burrs. Penetrating dura damage was observed in 33% of the diamond burr drilled holes, and in 33% of the fluted burr drilled holes, but not in the holes drilled with the SSB. Hemilaminectomies were performed with the SSB (n = 7) and diamond (n = 7) burrs without drilling-induced dura damage. Mean drilling time was not significantly different in cranial drilling (SSB, 121 ± 18s; fluted burr, 63 ± 22s; diamond burr, 165 ± 29s) nor in hemilaminectomy (SSB, 108 ± 13s; diamond burr, 95 ± 18s). Subjective evaluation of the SSB suggested efficient bone removal without heating or chattering. The SSB is a safe and effective surgical tool in cranial drilling and hemilaminectomy procedures. Safety, efficacy, and clinical benefits should be established in human studies.
使用高速钻头去除覆盖的骨头从而暴露神经结构可能会对硬脑膜、神经组织和血管造成医源性损伤。我们研究了一种可连接到现有高速钻头上的新型Surgify安全钻(SSB)的安全性和有效性。三只麻醉的活羊分别使用SSB和标准钻头进行颅骨钻孔(n = 19)和半椎板切除术(n = 14)。评估了每个钻头的钻孔时间、硬脑膜损伤以及对加热和触觉反馈的主观评价。颅骨钻孔使用了金刚石钻头(n = 3)、槽形钻头(n = 6)和SSB钻头(n = 10)。在33%的金刚石钻头钻孔和33%的槽形钻头钻孔中观察到穿透性硬脑膜损伤,但在使用SSB钻头钻孔的孔中未观察到。使用SSB钻头(n = 7)和金刚石钻头(n = 7)进行半椎板切除术时未出现钻孔引起的硬脑膜损伤。颅骨钻孔的平均钻孔时间(SSB,121±18秒;槽形钻头,63±22秒;金刚石钻头,165±29秒)和半椎板切除术的平均钻孔时间(SSB,108±13秒;金刚石钻头,95±18秒)无显著差异。对SSB的主观评价表明其能有效去除骨头且无加热或颤动现象。SSB在颅骨钻孔和半椎板切除术中是一种安全有效的手术工具。其安全性、有效性和临床益处应在人体研究中得到证实。
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