改良二维影像导航引导椎体后凸成形术治疗多发性椎体压缩性骨折临床分析 |
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引用本文: | 刘恩志,郭东明,蔡维山,严瀚.改良二维影像导航引导椎体后凸成形术治疗多发性椎体压缩性骨折临床分析[J].中国综合临床,2003,25(1):762-764. |
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作者姓名: | 刘恩志 郭东明 蔡维山 严瀚 |
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作者单位: | 广东省广州市第一人民医院脊柱外科,510180; |
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摘 要: | Objective To explore clinlical outcomes of using improved computer-assisted fluoroscopic navi-gation to guide the percutaneous vertebroplasty to treat multiple osteoporotic spinal compression fractures. Methods Twenty-eight multiple osteoporotic spinal compression fractures patients with 73 painful vertebral body were got an-terio posterior,lateral and oblique radiographic imaging by using computer-assisted fluoroscopic navigation to imitate anterior- posterior. Lateral spinal and axial pedicle virtual image was obtained to guide the percutaneous kyphoplas-ty. Results All painful vertebral body were one-sided punctured,all percutaneous kyphoplasties were succeed by guiding with computer-assisted fluoroscopic navigation. Navigation virtual puncture needle image basically matched with reality view. PMMA dosage was 2.5 ~ 4 ml. Postioporational CT showed that the PMMA filled spinal focus very well. 11 cases completely relieved and 17 cases partially relieved. Conclusion Using improved computer-assisted fluoroscopic navigation to guide the PKP to treatment multiple osteoporotic spinal compression fractures decreases op-erative time and radiation injury. It is a safe,precise,minimally invasive method.
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关 键 词: | 影像导航 后凸成形术 压缩性骨折 骨质疏松 骨水泥 |
Improved computer-assisted fluoroscopic navigation to guide percutaneous kyphoplasty to treat multiple osteoporotic spinal compression fractures |
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Abstract: | |
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Keywords: | Computer-assisted navigationKypboplastyCompression fractureOsteoporosisBone cement |
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