Spinal surgery is a technically demanding and challenging procedure because of the complicated anatomical structures of the spine and its proximity to several important tissues.Surgical landmarks and fluoroscopy have ...Spinal surgery is a technically demanding and challenging procedure because of the complicated anatomical structures of the spine and its proximity to several important tissues.Surgical landmarks and fluoroscopy have been used for pedicle screw insertion but are found to produce inaccuracies in placement.Improving the safety and accuracy of spinal surgery has increasingly become a clinical concern.Computerassisted navigation is an extension and application of precision medicine in orthopaedic surgery and has significantly improved the accuracy of spinal surgery.However,no clinical guidelines have been published for this relatively new and fast-growing technique,thus potentially limiting its adoption.In accordance with the consensus of consultant specialists,literature reviews,and our local experience,these guidelines include the basic concepts of the navigation system,workflow of navigation-assisted spinal surgery,some common pitfalls,and recommended solutions.This work helps to standardize navigation-assisted spinal surgery,improve its clinical efficiency and precision,and shorten the clinical learning curve.展开更多
In orthopedic surgery,the accuracy of internal fixation is related to the success of the procedure.In the past,orthopedic surgeons usually placed screws freehand according to anatomical landmarks or fluoroscopy images...In orthopedic surgery,the accuracy of internal fixation is related to the success of the procedure.In the past,orthopedic surgeons usually placed screws freehand according to anatomical landmarks or fluoroscopy images.Although there are many surgical techniques for inserting screws freehand,the accuracy of freehand screw placement is not high enough,and the results can be unstable.The accuracy of freehand screw placement reported in the literature varies greatly.Particularly in the spine,with its unique anatomy and important adjacent tissues,inaccurate screw placement may lead to serious complications,such as nerve or vessel injury,cerebrospinal fluid leakage,thoracic or abdominal organ injury,and segment instability.Surgeons must undergo extensive professional training and accumulate in-depth surgical experience to reduce the incidence of inaccurate screw placement.展开更多
文摘Spinal surgery is a technically demanding and challenging procedure because of the complicated anatomical structures of the spine and its proximity to several important tissues.Surgical landmarks and fluoroscopy have been used for pedicle screw insertion but are found to produce inaccuracies in placement.Improving the safety and accuracy of spinal surgery has increasingly become a clinical concern.Computerassisted navigation is an extension and application of precision medicine in orthopaedic surgery and has significantly improved the accuracy of spinal surgery.However,no clinical guidelines have been published for this relatively new and fast-growing technique,thus potentially limiting its adoption.In accordance with the consensus of consultant specialists,literature reviews,and our local experience,these guidelines include the basic concepts of the navigation system,workflow of navigation-assisted spinal surgery,some common pitfalls,and recommended solutions.This work helps to standardize navigation-assisted spinal surgery,improve its clinical efficiency and precision,and shorten the clinical learning curve.
基金Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences(CIFMS)(No.2021-I2M-5-007)Beijing Natural Science Foundation(No.L212062)+1 种基金Beijing Hospitals Authority Innovation Studio of Young Staff Funding Support(No.202109)Beijing Jishuitan Hospital Youth Talent Training Project(No.XKXX202104)
文摘In orthopedic surgery,the accuracy of internal fixation is related to the success of the procedure.In the past,orthopedic surgeons usually placed screws freehand according to anatomical landmarks or fluoroscopy images.Although there are many surgical techniques for inserting screws freehand,the accuracy of freehand screw placement is not high enough,and the results can be unstable.The accuracy of freehand screw placement reported in the literature varies greatly.Particularly in the spine,with its unique anatomy and important adjacent tissues,inaccurate screw placement may lead to serious complications,such as nerve or vessel injury,cerebrospinal fluid leakage,thoracic or abdominal organ injury,and segment instability.Surgeons must undergo extensive professional training and accumulate in-depth surgical experience to reduce the incidence of inaccurate screw placement.
