標題: 3D Real-Time Image-Guided Navigation Spine Corpectomy with Ultrasonic Bone Cutter: Technical Note
作者: Lin, Chung-Wei
Chang, Chien-Chun
Chen, Hsien-Te
Chen, Yen-Jen
Lin, Chih-Sheng
Hsu, Horng-Chaung
Tsou, Hsi-Kai
交大名義發表
生物科技學系
National Chiao Tung University
Department of Biological Science and Technology
關鍵字: Corpectomy;Hemivertebra;Hemivertebrectomy;Navigation;Ultrasonic bone cutter
公開日期: 1-Mar-2020
摘要: BACKGROUND: Surgical interventions for congenital scoliosis are challenging for spine surgeons. The coordination of 3-dimensional (3D), real-time, image-guided navigation with an ultrasonic bone cutter allows surgeons to localize the affected area of the spine accurately and remove the lesion without damaging soft tissue structures. The goal of this technical paper is to report a previously undescribed method of hemivertebrectomy that combines 3D, real-time, image-guided navigation and an ultrasonic bone cutter. We highlight the feasibility and safety of this method in spinal surgery. METHODS: Three patients with congenital scoliosis were treated with this technique. We present three illustrative cases comprising hemivertebrectomies for congenital scoliosis. Intraoperative photos demonstrating the technique are also provided. RESULTS: All surgeries were completed without complications. The hemivertebrae were completely removed, and marked correction of congenital scoliosis was noted. CONCLUSIONS: We believe that the combination of 3D, real-time image navigation and an ultrasonic bone cutter improves hemivertebrectomy by increasing accuracy and avoiding dura laceration, major organ damage, or potential vessel damage.
URI: http://dx.doi.org/10.1016/j.wneu.2019.10.186
http://hdl.handle.net/11536/153971
ISSN: 1878-8750
DOI: 10.1016/j.wneu.2019.10.186
期刊: WORLD NEUROSURGERY
Volume: 135
起始頁: 0
結束頁: 0
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