Research progress on pedicle screw placement safety in orthopedic treatment of type 1 neurofibromatosis scoliosis

VernacularTitle:1型神经纤维瘤病性脊柱侧凸矫形术中椎弓根螺钉置钉安全性研究进展
Author: Wenbo WANG ¹ ; Sanquan TANG ; Guojun LI ; Huanxiong CHEN
Author Information

1. 海南医学院第一附属医院脊柱外科,海南海口 570100
Keywords: type 1 neurofibromatosis scoliosis; pedicle root anomalies; intraoperative computerized nav-igation; 3D ultrasound; 3D printed guides
From: Chongqing Medicine 2024;53(23):3633-3638,3644
CountryChina
Language:Chinese
Abstract: Neurofibromatosis(NF)as an autosomal dominant disease usually involves multiple sys-tems throughout the body and is classified as type 1 or type 2 NF.Neurofibromatosis scoliosis(NFS)is main-ly type 1,and severe neurofibromatosis scoliosis type 1(NF1-S)is manifested by abnormalities in spinal anat-omy and morphology,such as rotation of the parietal vertebrae and abnormal morphology of the pedicles,which leads to the difficulty and maximal risk of pedicle screw placement in scoliosis orthopedic surgery.In or-der to improve the safety of surgery,this paper discusses the morphology and anatomical structure of the pedi-cles in the patients with NF1-S,and analyzes the accuracy and safety of different pedicle-assisted screw place-ment techniques to provide reference for clinical surgery and promote the improvement of treatment level.