Image Storage Transmission System multi-dimensional measurement in the cervical spine pedicle screw fixation in the application of individual.docVIP

Image Storage Transmission System multi-dimensional measurement in the cervical spine pedicle screw fixation in the application of individual Of: Jia Wei Dou Gu Weiwei Yang Fei Yang Bogui Zhengtie Gang Xu Yingjie Wang Jianhua cloud was only [Abstract] Objective: To explore the use of image storage transmission system (PACS) 64-row multi-dimensional measurement of cervical pedicle slice CT guided pedicle screw surgery to improve the success rate of a set screw. Methods: The combination of 64-slice CT films PACS by 5 2 000 cases of normal physician coronal cervical spine, sagittal and axial accurate measurement, people come to the pedicle length, width, height and tilt to the inside to the head, caudal tilt angle of the data values #8203;#8203;to guide the operation selected nails and nail set. cervical pedicle screw fixation before reference to the above content to be fixed on 283 patients with cervical pedicle accurate measurement of multi-dimensional, drawn above the pedicle data values, in which 91 patients with upper cervical disorders, 192 cases of lower cervical spine disorders. intraoperative positioning of self-developed cervical pedicle guide, accurate positioning and angle into the pin point, set screw 1 198 pieces. Results: 257 patients were 8 to 73 months follow-up, mean follow-up 18.16 months. 3 cases of upper cervical atlas on the left pedicle screw perforation lateral wall, not the spinal cord, vertebral artery injury, secondary surgery is not the line was not found nails plate fracture, CT film showed screw position with the vertebral artery and spinal cord a good relationship. the lower cervical spine patients, 16 patients with 17 after shooting pedicle screw position is not satisfactory, adjust the position of secondary surgery satisfaction row, a success rate of 98.58 %. this group of patients with JOA score, 132 cases of excellent, good in 102 cases, 18 cases can be, poor in 5 cases, good rate of 91.05%. Conclusion: The combination of 64-sli