Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (44): 8348-8355.doi: 10.3969/j.issn.2095-4344.2012.44.030

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The application of digital medical technology in spinal surgery

Yang Bo1, He Jie-min2, Fang Shi-bing1, Song Lei1, Yin Biao1, Wang Le1, Xie Jing-kai1, Wan Sheng-yu1   

  1. 1Department of Orthopedics, The 3rd Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong Province, China
    2Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong Province, China
  • Received:2012-04-07 Revised:2012-09-22 Online:2012-10-28 Published:2012-10-28
  • Contact: Xie Jing-kai, Resident physician, Department of Orthopedics, The 3rd Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong Province, China
  • About author:Yang Bo☆, Doctor, Professor, Chief physician, Master’s supervisor, Department of Orthopedics, The 3rd Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong Province, China yangbom333@vip.163.com

Abstract:

BACKGROUND: With the rapid development of modern science and technology, especially computer technology and medical technology, modern spinal surgery has entered a new era, showing trends of digitization, personalization, microsurgery, precision and artificial intelligence.
OBJECTIVE: To explore the application of digitization in spinal surgery.
METHODS: A computer online retrieval was performed by the first author in CNKI and Wanfang database to search papers regarding the application of digitization technology in spinal surgery, using key words of “spine, lumbar, cervical, digitization, spinal surgery, digital orthopedics, the finite element model, computer assisted design, minimally invasive technology, three dimensions reconstruction or 3D, CT, MRI, computer emulation, endoscope, intervertebral disc, percutaneous endoscopic laser-assisted discectomy or PELD”. According to inclusion criteria, papers about the finite element model, computer navigation technology, minimally invasive technology, and medical imaging in spinal surgery were included for further analysis to explore the characteristics of digitized spine surgery, clinical efficacy and safety.
RESULTS AND CONCLUSION: The digitization establishes the method of unique digitized spine surgery and widely uses in clinical orthopedics on the basis of the finite element model, computer navigation, minimally invasive technology, medical imaging and other areas of research progress. The biggest advantage of the finite element model is that it can reflect the collective internal stress changes. The analysis of finite element used in medical biomechanics, made a lot of progress and development. Computer navigation technology works using digital image information through the medium of the body to enter a computer workstation. The reconstruction of three-dimensional model of the image after operation processing and related software through high-resolution display observed from all directions to the surgical approach as well as a variety of parameters completed the minimally invasive surgery. Minimally invasive spinal surgery uses a tiny incision or puncture channel, with special equipment or device in imaging instrument under the surveillance. The analysis of medical image as information science and technology-based cross-disciplinary research, clinical diagnosis and observation of spinal surgery has a reference value. Digital medicine with high-efficiency, high-precision, three-dimensional understanding of the distribution of the disease, the morphology, structure, minimizing surgical trauma, spinal has broad prospects.

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