个体化导航模板辅助儿童腰椎椎弓根螺钉置钉准确性实验研究.PDF

·10784 · 中华临床医师杂志( 电子版)2013 年12 月第7 卷第23 期 Chin J Clinicians(Electronic Edition),December 1,2013,Vol.7,No.23 ·基础论著· 个体化导航模板辅助儿童腰椎椎弓根螺钉 置钉准确性实验研究 王星 张少杰 史君 刘红纬 李志军 张元智 马世峰 张志峰 【摘要】 目的 利用计算机辅助设计与快速成形技术为儿童腰椎椎弓根螺钉置入提供一种个性化、精 确定位的方法。方法 对4 具儿童尸体标本行CT 扫描，将原始数据利用软件行三维重建，利用逆向工程原 理及快速成型技术设计制造出个体化导航模板，利用个体化导航模板在标本上辅助置入腰椎椎弓根螺钉， 之后根据CT 扫描评价椎弓根螺钉置钉位置。结果 共设计制作 10 个导航模板，辅助置入20 枚腰椎椎弓 根螺钉，CT 扫描发现所有螺钉均准确置入相应椎弓根内。结论 个体化导航模板辅助儿童腰椎椎弓根螺钉 置入术具有良好的成功率，该方法操作简单、易于掌握，充分体现了置钉个体化原则，为儿童腰椎椎弓根 螺钉的准确置入提供了一种新的可行方法。 【关键词】 儿童； 腰椎； 数字化； 个体化导航模板 The experimental research about the accuracy of children lumbar pedicle screw placement by Individual navigation template WANG Xing, ZHANG Shao-jie, SHI Jun, LIU Hong-wei, LI Zhi-jun, ZHANG Yuan-zhi, MA Shi-feng, ZHANG Zhi-feng. Department of Anatomy, Inner Mongolia Medical University, Hohhot 010059, China Corresponding author: LI Zhi-jun,Email: lizhijunmail@ 【Abstract 】 Objective Using the computer aided design and rapid prototyping technology, to provide a personalized, precise positioning method for child lumbar pedicle screw placement positioning. Methods 4 dead children specimens were scanning by CT. The raw data was 3D reconstructed by using the software. The principle of reverse engineering and rapid prototyping technology was used to design and manufacture of individual navigation templates. Individual navigation template was utilized to assist placement of pedicle screws in the samples. Then, the evaluation of pedicle screw position was reached on the basis of the CT scan. Results 10 navigation template were designed and produced. 20 lumbar pedicle screws were secondary placement into the template. It was founded by CT scanning, all screw accurately placement within the pedicle accordingly. Conclusion The method