临床与病理杂志2017，Vol.37Issue(4)：696-701,6.DOI:10.3978/j.issn.2095-6959.2017.04.008
电子导航置钉与传统徒手置钉在脊柱侧弯顶椎区域应用的临床对比研究
Clinical comparison of the pedicle screws implantation in apical area between electronic conductivity device and free-hand technology in spinal surgery of scoliosis
摘要
Abstract
Objective:To compare the clinical outcome and safety ofpedicle screws implantation in apical area ofscoliosis between electronic conductivity device (ECD) and free-hand (FH) technology.Methods:From April 2016 to September 2016,48 patients of spine deformity,including 7 male and 41 female,aged (15.2±2.6) years,with average major Cobb angle of 58.3°±9.0°,were treated with posterior surgery.They were randomly divided into 2 groups:group ECD and group FH.The 2 groups were compared for accuracy of screw placement in apical area,time for screw insertion and the number of times the C-arm had to be brought into the field.Results:None of these patients had any clinical evidence of neurovascular involvement.There were 4 (2.5％) pedicle perforation in the ECD group compared with 11 (7.0％) in FH group,the difference was statistically significant (P=0.010).The average time of screws placement in apical area:ECD group was (2.7±0.4) min,and (3.2±0.6) min in FH group,there was no significant difference (P=0.073).The average radiation quantity:ECD group were (3.3±0.7)times and FH group were (5.5±0.8) times,the difference was statistically significant (P=0.034).Conclusion:Comparing with FH technology,ECD can increase the accuracy ofpedicle screws in apical area and reduce the radiation for doctors and patients.关键词
脊柱侧弯/椎弓根螺钉/电子导航/顶椎Key words
scoliosis/pedicle screw/electronic conductivity device/apical area引用本文复制引用
邵杰,陈自强,倪海键,翟骁,卢春闻,李明,白玉树..电子导航置钉与传统徒手置钉在脊柱侧弯顶椎区域应用的临床对比研究[J].临床与病理杂志,2017,37(4):696-701,6.基金项目
第二军医大学校级课题(CHJG2012003).This work was supported by the Project of Second Military Medical University,China (CHJG2012003). （CHJG2012003）
