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The international journal of medical robotics + computer assisted surgery : MRCAS · 2016

Redirecting pedicle screws: a revision spinal fusion strategy using three-dimensional image guidance.

СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yoon Jang W, Nottmeier Eric W, Rahmathulla Gazanfar, Fenton Douglas S, Pirris Stephen M

Аннотация

BACKGROUND: Pedicle screws are a preferred method for spinal fixation because of their three-column support and rigid posterior stabilization. The purpose of this study was to evaluate the outcome of patients requiring pedicle screw redirection, and to describe a technique using cone-beam computed tomography (cbCT).

METHODS: A retrospective review of 30 patients undergoing revision spinal fusion with redirection of pedicle screws was performed. Fifty pedicle screws were redirected in these patients using cbCT-based 3D image guidance. They were graded pre- and post-operatively using an established grading system.

RESULTS: No complications occurred in this study as a result of redirection. No pedicle breach was noted in all of the redirected pedicle screws.

CONCLUSION: Redirection of misplaced pedicle screws using cbCT-based 3D image guidance seems to be safe and accurate in our experience. Further studies are needed to establish its safety, accuracy, fusion rate, and clinical outcome compared with other methods. Copyright © 2016 John Wiley & Sons, Ltd.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты