胸腰椎椎弓根钉安全植入方法的研究现状

Advance in Thoracolumbar Pedicle Screw Fixation (review)

本文对胸腰椎椎弓根钉安全植入的手术技巧、专用器械、影像引导的导航技术、机器人导航、电生理监测以及多种方法的综合应用等进行综述。认为,传统的胸腰椎椎弓根钉安全植入方法还在广泛应用,计算机辅助导航技术正在被越来越多的术者所接受。MRI技术的特殊成像原理可以使术者在术中随时观察椎弓根探子或椎弓根钉尖部所作用的组织特征。然而,由于设备昂贵,MRI导航技术很难普及推广。

This paper reviewed the thoracolumbar pedicle screw internal fixation, including operation, instruments, image guided navigation, robot navigation, electrophysiological monitoring and integrated applications of various methods. It suggested that traditional implantation of thoracolumbar pedicle screw were widely used, computer-assisted navigation is being accepted by more and more surgeons, MR can make special image of the tissue being drilled by the probe tip during operation. However, being expensive, it is difficult for MRI navigation to be popularized.