中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (30): 5644-5647.doi: 10.3969/j.issn.2095-4344.2012.30.028

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

椎弓根螺钉内固定及计算机导航技术的发展与应用

靳 冬，张果忠   

  1. 武装警察部队医学院中医康复理疗科，天津市 300162
  • 收稿日期:2012-03-13 修回日期:2012-05-28 出版日期:2012-07-22 发布日期:2012-07-22
  • 通讯作者: 张果忠，武装警察部队医学院中医康复理疗科，天津市 300162 zhgzhzhaq@163.com
  • 作者简介:靳冬☆，男，1981年生，河北省定州市人，汉族，2010年天津中医药大学毕业，博士，医师，主要从事中医理论与临床方面的研究。 zhgzhzhaq@163.com

Development and application of pedicle screw fixation and computer navigation technology

Jin Dong, Zhang Guo-zhong   

  1. Department of Traditional Chinese Medicine Rehabilitation, Medical College of Chinese People’s Armed Police Forces, Tianjin 300162, China
  • Received:2012-03-13 Revised:2012-05-28 Online:2012-07-22 Published:2012-07-22
  • Contact: Zhang Guo-zhong, Department of Traditional Chinese Medicine Rehabilitation, Medical College of Chinese People’s Armed Police Forces, Tianjin 300162, China zhgzhzhaq@163.com
  • About author:Jin Dong☆, Doctor, Physician, Department of Traditional Chinese Medicine Rehabilitation, Medical College of Chinese People’s Armed Police Forces, Tianjin 300162, China zhgzhzhaq@163.com

PDF

472

被引次数

16

摘要：

背景：胸腰椎椎弓根螺钉内固定技术的开展，有力地推动了脊柱外科的发展，而脊柱计算机导航系统可以明显改进椎弓根螺钉植入的精确性和安全性。
目的：研究近年来椎弓根螺钉固定术临床应用进展。
方法：以“椎弓根螺钉固定术，计算机导航技术，临床应用进展”为关键词，采用计算机检索1999-01/2011-12相关文章。纳入与有关椎弓根螺钉固定及计算机导航技术在内固定过程中应用的文章；排除重复研究或Meta分析类文章。以25篇文献为主重点进行了讨论椎弓根螺钉固定术的研究进展及相关评价。
结果与结论：计算机辅助外科技术是基于计算机对大量数据信息的高速处理及控制能力，通过虚拟手术环境为外科医生从技术上提供帮助，使手术更安全、更准确的一门新技术。近年来，胸腰椎椎弓根螺钉植入技术的研究取得了很大发展，尤其是术中监测手段，已从传统的X线透视或摄片监测定位发展到计算机辅助技术进行可视化监测。计算机导航技术提供了可以从存储于计算机上的三维影像资料上模拟测量钉道长度、角度及椎弓根直径的功能，便于选择最佳长度与直径的椎弓根钉，使椎弓根螺钉手术更精确、简便、快速、安全，减少了术后并发症的发生。

关键词: 椎弓根螺钉, 脊柱内固定, 计算机导航技术, 临床应用, 并发症

Abstract:

BACKGROUND: Thoracolumbar pedicle screw fixation techniques play an important role in the development of spinal surgery, and spine computer navigation system can significantly improve the accuracy and safety of pedicle screws.
OBJECTIVE: To study the clinical application of pedicle screw fixation.
MESHODS: A computer-based retrieve was performed for the articles on the application of pedicle screw fixation and computer navigation technology in the fixation from January 1999 to December 2011 with the key words of “pedicle screw fixation, computer navigation technology, clinical application” in Chinese. Repetitive articles and Meta analysis articles were eliminated. Finally, 25 articles were included to discuss the research progress of pedicle screw fixation and relevant evaluation.
RESULTS AND CONCLUSION: Computer-aided surgical technique is a new technology that can help surgeons to make the surgery safer and accurately through virtual the surgical environment based on the high-speed processing of large amounts of data information and control capabilities of computer. Recently, we have achieved great development on the study of thoracolumbar pedicle screws technology, especially the intraoperative monitoring tool, it has developed from traditional X-ray fluoroscopy or radiography monitoring and positioning to visualize monitoring by computer-aided technology. Computer navigation technology can simulate and measure the length and angle of the pin tract and the diameter of pedicle from the three-dimensional image data stored in the computer, which is benefit to select the pedicle screw with the best length and diameter, so that to make the pedicle screw surgery more precise, simple, fast and safe and then reduce the occurrence of postoperative complications.

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