Application of infrared fluoroscopic navigation in guiding pedicle screw fixation of thoraic-lumbar spine
- VernacularTitle:红外线透视导航在胸腰椎椎弓根螺钉固定术中的应用
- Author:
Zhong YU
;
Liming WANG
;
Jie XU
;
Jianchao GUI
;
Chunzhi JIANG
;
Gangrui WANG
;
Shengnai ZHEN
;
Jingdong YAO
;
Mingfu HOU
- Publication Type:Journal Article
- Keywords:
Infrared rays/diagnostic use;
Fracture fixation,internal;
Thoracic vertebrae/surgery;
Lumar vertebrae/surgery
- From:
Journal of Chinese Physician
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of infrared fluoroscopic navigation guiding pedicle screwfixation of thoracic-lumbarspine.Methods The pedicle screw fixation of thoraic-lumbar spine was adopted in 32 patients,including 19 cases with thoracic-lumbarspine fractures,5 cases with protrusion of lumbar intervertebral disc or vertebral canal stenosis,8 cases with lumbar spine slippage.The timefor pedicle screwfixation and amount of bleeding were recorded.The pedicle screwposition was assessed with post-operative CTby using An-drewgrade.Results Totally148 screws were fixed in 32 cases successfully,including10 screws in T11,20 in T12,18 in L1,36 in L2,16 inL3,26 in L4,28 in L5,and 14 in S1.According to andrewgrade,165 screws were inⅠgrade(98%),2 inⅡgrade,and 1 inⅢ grade.Nonerve and spinal cord damage was observed after operation.The average time of per pedicle screwfixation was(10?2.4) min.The averageamount of bleeding was(400?52.3) ml in thoracic-Lumbar Spine fractures,(200?36.8) ml in protrusion of lumbar intervertebral disc orvertebral canal stenosis,and(300?44.6) ml in Lumbar Spine slippage.Conclusion Infrared fluoroscopic navigation can improve the pre-cision of pedicle screw fixation of thoraic-lumbar spine,reduce the amount of bleeding,and shorten the operative time.
