| 骨科手术导航系统引导腰椎椎弓根螺钉植入的效果 |
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| 引用本文： | 章凯,王智运,尹庆水,夏虹,吴增晖,潘刚明,权日,昌耘冰,麦小红,李修往.骨科手术导航系统引导腰椎椎弓根螺钉植入的效果[J].第三军医大学学报,2005,27(5):443-444. |
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| 作者姓名： | 章凯 王智运 尹庆水 夏虹 吴增晖 潘刚明 权日 昌耘冰 麦小红 李修往 |
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| 作者单位： | 1. 广州军区广州总医院骨科,广州,510010
2. 深圳安科高科技股份有限公司,深圳,518067 |
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| 摘 要： | 目的探讨C型臂X线透视电子计算机辅助导航系统在腰椎椎弓根螺钉植入手术过程中的应用.方法对腰椎滑脱4例,因腰椎间盘突出症、腰椎退型性改变等原因引起的腰椎失稳患者11例,共15例在骨科手术导航系统引导下完成椎弓根螺钉的植入,共植入椎弓根螺钉68枚,术后进行X线平片及CT薄层扫描掌握螺钉的方向和位置.结果68枚椎弓根螺钉均未穿破椎弓根,椎弓根螺钉的方向、深度、位置均相当理想,全部病例无硬膜、神经根损伤.结论骨科手术导航系统可以准确引导腰椎椎弓根螺钉的植入,避免椎弓根螺钉植入相关的并发症.
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| 关 键 词： | 腰椎滑脱 腰椎失稳 椎弓根螺钉 导航 |
| 文章编号： | 1000-5404(2005)05-0443-02 |
| 修稿时间： | 2004年11月4日 |
Lumbar pedicle screws placement under surgery guide system |
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| ZHANG Kai,WANG Zhi-yun,YIN Qing-shui,XIA Hong,WU Zeng-hui,PAN Gang-ming,QUAN Ri,CHANG Geng-bing,MAI Xiao-hong,LI Xiu-wang.Lumbar pedicle screws placement under surgery guide system[J].Acta Academiae Medicinae Militaris Tertiae,2005,27(5):443-444. |
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| Authors: | ZHANG Kai WANG Zhi-yun YIN Qing-shui XIA Hong WU Zeng-hui PAN Gang-ming QUAN Ri CHANG Geng-bing MAI Xiao-hong LI Xiu-wang |
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| Abstract: | Objective To evaluate the accuracy of lumbar pedicle screws placement under the surgery guide system. Methods Fifteen patients, including 4 lumbar spine slippage and 11 lumbar instability, underwent the lumbar pedicle screws placement and used 68 screws. After surgery, all patients accepted X ray and CT scan examination to observe the direction and location of the screws. Results The direction, depth and location of 68 screws were satisfying without cortical violation and dural or pedicle nerve root injury. Conclusion The application of surgery guide system can ensure the accurate placement of pedicle screw and avoid the relative complications. |
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| Keywords: | lumbar spine slippage lumbar instability lumbar pedicle screw guide system |
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