[1]谢雁春,于海龙.导引通道辅助经皮置钉治疗无神经损伤胸腰椎骨折[J].介入放射学杂志,2017,(02):133-136.
 XIE Yanchun,YU Hailong.Guiding chunnel-assisted percutaneous pedicle screw placement for thoracolumbar vertebral fractures not accompanied by nerve injury[J].journal interventional radiology,2017,(02):133-136.
点击复制

导引通道辅助经皮置钉治疗无神经损伤胸腰椎骨折 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年02期
页码:
133-136
栏目:
非血管介入
出版日期:
2017-02-25

文章信息/Info

Title:
Guiding chunnel-assisted percutaneous pedicle screw placement for thoracolumbar vertebral fractures not accompanied by nerve injury
作者:
谢雁春 于海龙
Author(s):
XIE Yanchun YU Hailong
Department of Orthopaedics, General Hospital of Shenyang Military Area Command, Shenyang, Liaoning Province 110016, China
关键词:
【关键词】 定位 X线透视检查 辐射 脊柱微创 经皮椎弓根螺钉
文献标志码:
A
摘要:
【摘要】 目的 分析新型导引通道辅助经皮椎弓根置钉治疗无神经损伤胸腰椎骨折的手术时间、射线暴露时间及置钉准确性。方法 收集2010年7月至2012年10月采用新型导引通道辅助经皮椎弓根置钉技术治疗的35例无神经损伤胸腰椎骨折患者临床资料,同一术者共完成178枚椎弓根螺钉置钉。记录分析每枚椎弓根螺钉置入时间及术者射线暴露时间,根据术后连续2次手术节段CT扫描结果,对置钉准确性进行分级和评估。结果 本组置钉技术成功率为100%。单枚椎弓根螺钉平均置钉时间为(11.35±2.82) min,平均射线暴露时间为(8.06±2.15) s;156枚(87.64%)螺钉评定为A级,20枚螺钉(11.24%)为B级,1枚螺钉(0.56%)为C级,1枚螺钉(0.56%)为D级。结论 新型导引通道有助于辅助经皮椎弓根置钉过程中定位穿刺点,提高置钉准确性,明显减少置钉时间及射线暴露时间。

参考文献/References:

[1] Moussazadeh N, Rubin DG, McLaughlin L, et al. Short-segment percutaneous pedicle screw fixation with cement augmentation for tumor-induced spinal instability[J]. Spine J, 2015, 15: 1609-1617.
[2] Ishii K, Kaneko Y, Funao H. A novel percutaneous guide wire(S-Wire)for percutaneous pedicle screw insertion: its development,efficacy, and safety[J]. Surg Innov, 2015, 22: 469-473.
[3] Miyashita T, Ataka H, Kato K, et al. Good clinical outcomes and fusion rate of facet fusion with a percutaneous pedicle screw system for degenerative lumbar spondylolisthesis minimally invasive evolution of posterolateral fusion[J]. Spine(Phila Pa 1976), 2015, 40: E552-E557.
[4] Isaacs RE, Podichetty VK, Santiago P, et al. Minimally invasive microendoscopy-assisted transforaminal lumbar interbody fusion with instrumentation[J]. J Neurosurg Spine, 2005, 3: 98-105.
[5] Jang JS, Lee SH. Minimally invasive transforaminal lumbar interbody fusion with ipsilateral pedicle screw and contralateral facet screw fixation[J]. J Neurosurg Spine, 2005, 3: 218-223.
[6] Kim DY, Lee SH, Chung SK, et al. Comparison of multifidus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation[J]. Spine (Phila Pa 1976), 2005, 30: 123-129.
[7] Ringel F, Stoffel M, Stueer C, et al. Minimally invasive transmuscular pedicle screw fixation of the thoracic and lumbar spine[J]. Neurosurgery, 2006, 59: 361-366.
[8] Rampersaud YR, Annand N, Dekutoski MB. Use of minimally invasive surgical techniques in the management of thoracolumbar trauma: current concepts[J]. Spine(Phila Pa 1976), 2006, 31(11 Suppl): S96-S102.
[9] Rampersaud YR, Pik JH, Salonen D, et al. Clinical accuracy of fluoroscopic computer?蛳assisted pedicle screw fixation: a CT analysis[J]. Spine (Phila Pa 1976), 2005, 30: E183-E190.
[10] Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation[J]. Clin Orthop Relat Res, 1984: 125-141.
[11] Barbagallo GM, Certo F, Visocchi M, et al. Multilevel mini-open TLIFs and percutaneous pedicle screw fixation: description of a simple technical nuance used to increase intraoperative safety and improve workflow. Tips and tricks and review of the literature[J]. Neurosurg Rev, 2015, 38: 343-354.
[12] Kim TT, Drazin D, Shweikeh F, et al. Clinical and radiographic outcomes of minimally invasive percutaneous pedicle screw placement with intraoperative CT(O-arm)image guidance navi?蛳gation[J]. Neurosurg Focus, 2014, 36: E1.
[13] Takami M, Yamada H, Nohda K, et al. A minimally invasive surgery combining temporary percutaneous pedicle screw fixation without fusion and vertebroplasty with transpedicular intracorporeal hydroxyapatite blocks grafting for fresh thoracolumbar burst fractures: prospective study[J]. Eur J Orthop Surg Traumatol, 2014, 24(Suppl 1): S159-S165.
[14] 崔健超, 江晓兵, 杨志东, 等. 胸腰椎椎体骨折动物模型的研究进展[J]. 中国脊柱脊髓杂志, 2015, 25: 666-669.

备注/Memo

备注/Memo:
(收稿日期:2016-03-17)
(本文编辑:边 佶)
更新日期/Last Update: 2017-02-13