[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.
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导引通道辅助经皮置钉治疗无神经损伤胸腰椎骨折 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2017年02期
- 页码:
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133-136
- 栏目:
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非血管介入
- 出版日期:
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2017-02-25
文章信息/Info
- Title:
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Guiding chunnel-assisted percutaneous pedicle screw placement for thoracolumbar vertebral fractures not accompanied by nerve injury
- 作者:
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谢雁春; 于海龙
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- Author(s):
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XIE Yanchun; YU Hailong
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Department of Orthopaedics, General Hospital of Shenyang Military Area Command, Shenyang, Liaoning Province 110016, China
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- 关键词:
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【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:
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A
- 摘要:
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【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:
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[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.
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[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.
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[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.
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[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.
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备注/Memo
- 备注/Memo:
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(收稿日期:2016-03-17)
(本文编辑:边 佶)
更新日期/Last Update:
2017-02-13