Free-hand thoracic pedicle screw placement in applied research.docVIP

 PAGE \* MERGEFORMAT 19 Free-hand thoracic pedicle screw placement in applied research Keywords: free-hand Pedicle screw technology as early as 50 years in the 20th century by Boucher and so on, in the 60’s and so on to promote them by RoyCamille so far applied to lumbar fixation has been for decades history. A large number of literature suggests that this technology for the treatment of lumbar spinal diseases has obvious clinical advantages. At present, the technology began to be trying to apply the surgical treatment of various thoracic diseases, among. However, due to thoracic anatomical structures adjacent to an important organizational complexity and make screw insertion difficult, high risks, making the technology is still in dispute. Therefore, the need for a sound into technology to make thoracic pedicle screw placement more secure. In recent years, our hospital used hand (free hand technique) [1] thoracic pedicle screw placement in treatment of adolescent idiopathic scoliosis, has accumulated a wealth of experience. The insertion technique will now be summarized as follows. A variety of thoracic pedicle screw placement in Thoracic pedicle screw placement techniques usually have X-assisted anterior and posterior lateral film sheets and rendering techniques (fluoroscopy or Xray assistant AP and lateral) [2], free-hand techniques (free hand technique) [1], image navigation technology ( image guided surgery system, IGSS) [3,4], rib pedicle screw technology (pedical rib screws technique) [5], the medial wall of pedicle laminectomy methods such as direct vision [6] and so on. X-assisted anterior and posterior lateral film sheets and rendering techniques with each of the steps one by one screw perspective recognizes that spending so much time to those patients and surgical X-ray exposure to large quantities. Image-guided surgery systems require special equipment, preoperative registration process takes a long time, the lack