CAJ | 학술논문

目的探讨术中三维C型臂实时透视导航在颈椎椎弓根螺钉植入手术中的应用.方法在导航下行颈椎椎弓根螺钉固定术22例,其中颈椎骨折9例,颈椎肿瘤4例,颈椎滑脱失稳6例,颈椎病3例.术后进行CT扫描,评估螺钉位置.结果导航下22例共植入112枚颈椎椎弓根螺钉.术后CT椎弓根位置扫描:A级,107枚(95.5%);B级,3枚;C级,1枚;D级,1枚.术后临床无脊髓、神经和椎动脉损伤.结论术中三维C型臂实时透视导航系统可以准确引导颈椎椎弓根螺钉的植入.
목적 탐토술중삼유C형비실시투시도항재경추추궁근라정식입수술중적응용.방법 재도항하행경추추궁근라정고정술22례,기중경추골절9례,경추종류4례,경추활탈실은6례,경추병3례.술후진행CT소묘,평고라정위치.결과 도항하22례공식입112매경추추궁근라정.술후CT추궁근위치소묘:A급,107매(95.5%);B급,3매;C급,1매;D급,1매.술후림상무척수、신경화추동맥손상.결론 술중삼유C형비실시투시도항계통가이준학인도경추추궁근라정적식입.
Objective To evaluate the accuracy of Intraoperative Iso-C3D navigation guiding cervical pedicle screw fixation. Methods Twenty-two cases adopted cervical pedicle screw fixation of cervical spine, including 9 cervical spine fractures, 4 cervical tumors, 6 cervical destabilizing, 3 cervical syndrome. The cervical pedicle screw position were assessed with post-operative CT by grade. Results One hundred and twelve screws were fixed in 22 cases successfully. Grade: 107 in A grade (95.5%); 3 in B grade: 1 in C grade; 1 in D grade. There were not any complication. Conclusion Intraoperative Iso-C3D navigation can improve precision of cervical petiole screw fixation distinctively.