Improved accuracy of computer-assisted cervical pedicle screw insertion

作者: Yoshihisa Kotani , Kuniyoshi Abumi , Manabu Ito , Akio Minami

DOI: 10.3171/SPI.2003.99.3.0257

关键词:

摘要: Object. The authors introduce a unique computer-assisted cervical pedicle screw (CPS) insertion technique used in conjunction with specially modified original instruments. accuracy of placement as well surgery-related outcome and complication rates were compared between two groups patients: those whom conventional manual was used. Methods. guiding system consisted awl, probe, tap screwdriver designed for CPS insertion. Using this system, real-time instrument/screw tip information three dimensionally identified each step Seventeen patients underwent fixation which surgical navigation disorders spondylotic myelopathy segmental instability or kyphosis, metastatic spinal tumor, rheumatoid spine, postlaminectomy kyphosis. rate pe...

参考文章(22)
Kevin T. Foley, Maurice M. Smith, Image-guided spine surgery. Neurosurgery Clinics of North America. ,vol. 7, pp. 171- 186 ,(1996) , 10.1016/S1042-3680(18)30385-1
Langston T. Holly, Orin Bloch, Chinyere Obasi, J. Patrick Johnson, Frameless stereotaxy for anterior spinal procedures. Journal of Neurosurgery. ,vol. 95, pp. 196- 201 ,(2001) , 10.3171/SPI.2001.95.2.0196
Kazuo Ohmori, Yoshiharu Kawaguchi, Masahiko Kanamori, Hirokazu Ishihara, Hiroshi Takagi, Tomoatsu Kimura, Image-guided anterior thoracolumbar corpectomy: a report of three cases. Spine. ,vol. 26, pp. 1197- 1201 ,(2001) , 10.1097/00007632-200105150-00024
Kuniyoshi Abumi, Yasuhiro Shono, Manabu Ito, Hiroshi Taneichi, Yoshihisa Kotani, Kiyoshi Kaneda, Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine. ,vol. 25, pp. 962- 969 ,(2000) , 10.1097/00007632-200004150-00011
Mikio Kamimura, Sohei Ebara, Hidehiro Itoh, Yutaka Tateiwa, Tetsuya Kinoshita, Kunio Takaoka, Accurate pedicle screw insertion under the control of a computer-assisted image guiding system: laboratory test and clinical study. Journal of Orthopaedic Science. ,vol. 4, pp. 197- 206 ,(1999) , 10.1007/S007760050094
Neil D. Glossop, Richard W. Hu, John A. Randle, Computer-aided pedicle screw placement using frameless stereotaxis. Spine. ,vol. 21, pp. 2026- 2034 ,(1996) , 10.1097/00007632-199609010-00021
Steven C. Ludwig, Joseph M. Kowalski, Charles C. Edwards, John G. Heller, Cervical pedicle screws: comparative accuracy of two insertion techniques. Spine. ,vol. 25, pp. 2675- 2681 ,(2000) , 10.1097/00007632-200010150-00022
Andreas Weidner, Mario Wähler, Siang Tsien Chiu, Christopher G, Modification of C1-C2 transarticular screw fixation by image-guided surgery. Spine. ,vol. 25, pp. 2668- 2674 ,(2000) , 10.1097/00007632-200010150-00020
Timo Laine, Dietrich Schlenzka, Kirsti Mäkitalo, Kaj Tallroth, Lutz-P Nolte, Heiko Visarius, Improved accuracy of pedicle screw insertion with computer-assisted surgery. A prospective clinical trial of 30 patients. Spine. ,vol. 22, pp. 1254- 1258 ,(1997) , 10.1097/00007632-199706010-00018
P. Merloz, J. Tonetti, L. Pittet, M. Coulomb, S. Lavalle??, P. Sautot, Pedicle screw placement using image guided techniques. Clinical Orthopaedics and Related Research. ,vol. 354, pp. 39- 48 ,(1998) , 10.1097/00003086-199809000-00006