Intraoperative three-dimensional image guided spinal navigation vertebroplasty in treatment of vertebral compression fractures.docVIP

 PAGE \* MERGEFORMAT 17 Intraoperative three-dimensional image guided spinal navigation vertebroplasty in treatment of vertebral compression fractures On: Sun flag, Xu, Yu Xing, complete with Chung, Li Yang [Abstract] [Objective] To investigate the three-dimensional images using intraoperative spinal navigation technology to guide the vertebroplasty in the treatment of osteoporotic vertebral compression fractures of the methods and results. [Method] 41 patients with osteoporotic vertebral compression fracture patients were three-dimensional images using intraoperative spinal navigation (A group) and the traditional C-arm X-ray machine perspective (B) to guide the completion vertebroplasty. two groups were compared before and after Operation pair RDQ score and VAS score changes were compared between groups patients with an average operation time, the number of perspective, the accuracy of pedicle screw puncture, after review of X-ray film to understand the distribution of bone cement. [Results] A total of 46 successful injection of the vertebral bone cement, RDQ scores before and after surgery in all patients and VAS scores were significantly differences, no significant differences between the groups. A group, the average number of operative time and perspective were significantly lower than B group. A group found no cases of pedicle perforation, B group, 1 case of vertebral bone cement leakage occurred in the paraspinal soft tissue, but the structural integrity of the spinal canal and pedicle. After a mean follow-up of 21 months (6 to 38 months), no significant complications and no vertebral collapse. [Conclusion] The three-dimensional images using intraoperative navigation to guide the line vertebroplasty spine surgery, can significantly improve surgical accuracy and safety, and shorten the operation time, reduce the number of perspective, reduce surgical complications, more effective. [Keywords:] navigation, vertebroplasty, vertebral compression frac