胸椎椎弓根螺钉置入CT评价:基于SCI数据库的文献分析

CT evaluation on thoracic pedicle screw placement:Based on the analysis of the literatures from SCI database

背景:胸椎椎弓根螺钉置入前后CT扫描评价可以提高螺钉置入的准确性,并且避免螺钉置入时对周围神经血管损伤引起的严重并发症。目的:对胸椎椎弓根螺钉置入的CT评价应用进行深入分析,为提高改进椎弓根螺钉置入技术以及CT扫描在该领域的研究应用提供相关参考信息。方法:对SCI数据库2002至2011年收录的胸椎椎弓根螺钉置入的CT评价研究文献进行文献计量学分析和实验研究分析,分析文献的作者、机构以及国家地区明确世界范围对该领域的不同研究情况,分析胸椎椎弓根螺钉置入的CT评价的可行性、准确性、解剖结构风险以及疾病的临床应用,明确CT扫描对于胸椎椎弓根螺钉置入的应用范围。结果与结论:胸椎椎弓根螺钉置入的CT扫描评价具有较高的准确性,螺钉置入前CT扫描胸椎椎弓根及周围相邻结构评价椎弓根的形态以及与周围组织的结构关系,提高螺钉置入的准确性,避免神经血管损伤的并发症发生,螺钉置入后CT扫描胸椎椎弓根以及螺钉系统,评价螺钉置入的效果以及满意度,为制订后续的治疗方案提供帮助。

BACKGROUND： CT evaluation and scanning before and after thoracic pedicle screw implantation can improve the accuracy of screw placement, and can avoid the serious complications caused by nerve and blood vessel injury during screw implantation. OBJECTIVE： To in-depth analyze CT evaluation and application for thoracic pedicle screw implantation, and to provide relevant reference information for improving pedicle screw implantation technology as well as the research and application of CT scans in the field. METHODS： The SCI database from 2002 to 2011 was searched for the articles on the CT evaluation for thoracic pedicle screw implantation, and the bibliometric analysis and experimental research and analysis were performed on these articles. We analyzed the author, institute and the countries of the articles in order to clear the research on this field worldwide. The feasibility, accuracy, risk of structure anatomy and the clinical application of CT evaluation for thoracic pedicle screw implantation were analyzed, and the application range of CT scanning for thoracic pedicle screw implantation was indentified. RESULTS AND CONCLUSION： The CT scan evaluation for thoracic pedicle screw implantation has a high accuracy. The CT scanning for the thoracic pedicle and adjacent structures around the screw placement before implantation can evaluate the morphology of the thoracic pedicle and the structural relationship with the surrounding tissue, improve the accuracy of screw implantation and avoid the complications caused by neurovascular injury. The CT scanning for the thoracic pedicle and screw system after implantation can evaluate the effect and satisfaction of screw implantation, in order to provide the assistance for developing follow-up treatment programs.