机器人导航伤椎置钉固定胸腰椎骨折
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贵阳市第四人民医院

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贵阳市科技计划项目[编号:(2019) 9-11-14];贵阳市人才创新资助项目[编号:(2019)-34]


The injury vertebra screw placement used for thoracolumbar fracture fixation with under robot navigation
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The Fuorth People’s Hospital of Guiyang City

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    摘要:

    [目的] 探讨Tinavi骨科机器人导航下加大伤椎螺钉矢状位植入头倾角治疗胸腰椎骨折疗效。 [方法] 回顾性分析2018年8月—2021年6月,我院行经皮椎弓根螺钉治疗单节段胸腰椎骨折上终板塌陷的患者60例,按术前医患沟通将患者分为两组,其中25例为Tinavi骨科机器人导航下加大伤椎椎弓根螺钉矢状位植入头倾角治疗(机器人组),另外35例采用术中C臂透视引导下手术治疗(常规组)。收集并对比两组围手术期及随访资料。[结果] 螺钉植入精准率机器人组为98.57%,常规组为88.78%;机器人组术后3天、3月随访伤椎高度及Cobb角改善大于常规组(P<0.05);机器人组手术时间、术中出血量低于常规组(P<0.05);两组术后及随访VAS评分、平均住院天数组间差别无意义(P > 0.05)。[结论] Tinavi骨科机器人导航下加大伤椎椎弓根螺钉矢状位植入头倾角治疗上终板塌陷的胸腰椎骨折,能取得更好疗效。

    Abstract:

    [Objective] To explore the curative effects of enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot, for the treatment of thoracolumbar fracture.[Methods] A retrospective study was from August 2018 to June 2021, there were 60 patients with thoracolumbar fractures without neurological symptoms and mainly collapse of the upper endplate were treated in spine surgery, of which 25 patients accepted the treatment of enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot (Robot group). The other 35 patients accepted the treatment with posterior percutaneous pedicle screws under the C-arm fluoroscopic guidance during operation ( General group ). Collect and compare the perioperative and follow-up data of the two groups . [Results] The precision rate of screw placement in the Robot group was 98.6%, General group was 88.8% . The degree of recovery of injured vertebra height and Cobb Angle within 3 days and 3 months after operation in Robot group were larger than the General group(P<0.05). The times of operation and bleeding volumes during operation in Robot group were lower than the General group (P<0.05). There is no significance in the differences between the VAS grades within 3 days and 3 months after operation and the average inpatient days (P>0.05). [Conclusion] There is better curative effects can achieve for enhancing implanted head inclination treatment in sagittal view with pedicle screws used for the injured vertebrae under the navigation of Tinavi orthopedic robot is available for the thoracolumbar fracture mainly due to collapse of the upper endplate.

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  • 收稿日期:2022-10-31
  • 最后修改日期:2023-01-18
  • 录用日期:2023-04-11
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