张正丰;

• 1:第三军医大学新桥医院骨科

摘要(Abstract)：

[目的]探讨术中O-Arm 3D成像和导航下引导颈椎前路椎弓根钉置入的技术方法。[方法]采用标准的Smith-Robinson颈椎前路入路。椎间盘切除和安置Cage后,将导航参考架安放在锁骨上。在术中O-Arm 3D成像和导航引导下置入颈椎前路椎弓根钉。术中和术后CT评价前路椎弓根钉置入的准确性。[结果]CT显示前路椎弓根钉准确地置入椎弓根皮质内,无椎动脉和神经损伤。[结论]术中O-Arm 3D成像和导航引导下颈椎前路椎弓根钉置入是一种安全有效的方法。

关键词(KeyWords)： 颈椎前路椎弓根螺钉;术中导航;安全

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张正丰;

Email:

DOI:

参考文献(References)：

• [1]Koller H,Hempfing A,Acosta F,et al.Cervical anterior transpedicular screw fixation.Part I:study on morphological feasibility,indications,and technical prerequisites[J].Eur Spine J,2008,17(4):523-538.
• [2]Koller H,Acosta F,Tauber M,et al.Cervical anterior transpedicular screw fixation(ATPS)-Part II.Accuracy of manual insertion and pull-out strength of ATPS[J].Eur Spine J,2008,17(4):539-555.
• [3]Koller H,Hitzl W,Acosta F,et al.In vitro study of accuracy of cervical pedicle screw insertion using an electronic conductivity device(ATPS part III)[J].Eur Spine J,2009,18(9):1300-1313.
• [4]Koller H,Schmidt R,Mayer M,et al.The stabilizing potential of anterior,posterior and combined techniques for the reconstruction of a 2-level cervical corpectomy model:biomechanical study and first results of ATPS prototyping[J].Eur Spine J,2010,19(12):2137-2148.
• [5]Fu M,Lin L,Kong X,et al.Construction and accuracy assessment of patient-specific biocompatible drill template for cervical anterior transpedicular screw(ATPS)insertion:an in vitro study[J].PLo S ONE,2013,8(1):e53580.
• [6]Chen C,Ruan D,Wu C,et al.CT morphometric analysis to determine the anatomical basis for the use of transpedicular screws during reconstruction and fixations of anterior cervical vertebrae[J].PLo S ONE,2013,8(12):e81159.
• [7]Yukawa Y,Kato F,Ito K,et al.Anterior cervical pedicle screw and plate fixation using fluoroscope-assisted pedicle axis view imaging:a preliminary report of a new cervical reconstruction technique[J].Eur Spine J,2009,18(6):911-916.
• [8]Aramomi M,Masaki Y,Koshizuka S,et al.Anterior pedicle screw fixation for multilevel cervical corpectomy and spinal fusion[J].Acta Neurochir(Wien),2008,150:575-582.
• [9]Zhao L,Li G,Liu J,et al.Radiological studies on the best entry point and trajectory of anteriocervical pedicle screw in the lower cervical spine[J].Eur Spine J,2014,23(10):2175-2181.
• [10]Zhang Z,Mu Z,Zheng W.Anterior pedicle screw and plate fixation for cervical facet dislocation:case series and technical note[J].Spine J,2016,16(1):123-129.
• [11]Theologis AA,Burch S.Safety and efficacy of reconstruction of complex cervical spine pathology using pedicle screws inserted with stealth navigation and 3D image-guided(O-Arm)technology[J].Spine,2015,40(18):1397-1406.
• [12]Kast E,Mohr K,Richter HP,et al.Complications of transpedicular screw fixation in the cervical spine[J].Eur Spine J,2006,15(3):327-334.
• [13]Yukawa Y,Kato F,Yoshihara H,et al.Cervical pedicle screw fixation in 100 cases of unstable cervical injuries:pedicle axis views obtained using fluoroscopy[J].J Neurosurg Spine,2006,5(6):488-493.
• [14]Yoshimoto H,Sato S,Hyakumachi T,et al.Spinal reconstruction using a cervical pedicle screw system[J].Clin Orthop,2005,431(431):111-119.
• [15]Ludwig SC,Kowalski JM,Edwards CC,et al.Cervical pedicle screws:comparative accuracy of two insertion techniques[J].Spine,2000,25(20):2675-2681.
• [16]Abumi K,Shono Y,Ito M,et al.Complications of pedicle screw fixation in reconstructive surgery of the cervical spine[J].Spine,2000,25(8):962-969.
• [17]Ludwig SC,Kramer DL,Balderston RA,et al.Placement of pedicle screws in the human cadaveric cervical spine:comparative accuracy of three techniques[J].Spine,2000,25(13):1655-1667.2016-12-01 2016-12-26