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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 491 - 497 (7page)
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초록· 키워드
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Study DesignRetrospective review.PurposeTo determine the accuracy of thoracolumbar pedicle screw insertion with the routine use of three-dimensional (3D) intraoperative imaging and navigation over a large series of screws in an Asian population.Overview of LiteratureThe use of 3D intraoperative imaging and navigation in spinal surgery is aimed at improving the accuracy of pedicle screw insertion. This study analyzed 2,240 pedicle screws inserted with the routine use of intraoperative navigation. It is one of very few studies done on an Asian population with a large series of screws.MethodsPatients who had undergone thoracolumbar pedicle screws insertion using intraoperative imaging and navigation between 2009 and 2017 were retrospectively analyzed. Computed tomography (CT) images acquired after the insertion of pedicle screws were analyzed for breach of the pedicle wall. The pedicle screw breaches were graded according to the Gertzbein classification. The breach rate and revision rate were subsequently calculated.ResultsA total of 2,240 thoracolumbar pedicle screws inserted under the guidance of intraoperative navigation were analyzed, and the accuracy of the insertion was 97.41%. The overall breach rate was 2.59%, the major breach rate was 0.94%, and the intraoperative screw revision rate was 0.7%. There was no incidence of return to the operating theater for revision of screws.ConclusionsThe routine use of 3D navigation and intraoperative CT imaging resulted in consistently accurate pedicle screw placement. This improved the safety of spinal instrumentation and helped in avoiding revision surgery for malpositioned screws.
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참고문헌 (2)
참고문헌 신청
Tamara Lee Ting Soh / 2021 / Morphological Parameters of the Thoracic Pedicle in an Asian Population: A Magnetic Resonance Imaging–Based Study of 3324 Pedicles / Global Spine Journal 11(4):437~441
Arun-Kumar Kaliya-Perumal / 2019 / Spinal Navigation during Orthopedic Residency Training: A Double-Edged Sword? / Clinics in Orthopedic Surgery 11(2):170~175
Arun-Kumar Kaliya-Perumal / 2019 / Spinal Navigation during Orthopedic Residency Training: A Double-Edged Sword? / Clinics in Orthopedic Surgery 11(2):170~175
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