术中CT导航在脊柱侧凸后路胸椎椎弓根螺钉植入术中的应用.PDFVIP

2012 12 26 12 1415 CCTT CT 2009 10 2011 12 46 CT A 21 C X B 25 Cobb P 0.05 AB 273 308 Modi CT T1 4 T5 8T9 12T1 12 A 93.4%98.9%B 83.8%92.5%1.1%B 7.5% P 0.05 P 0.05CT 3 d C X CT CT APPLICATION OF INTRAOPERATIVE CT NAVIGATION IN POSTERIOR THORACIC PEDICLE SCREW PLACEMENT FOR SCOLIOSIS PATIENTS/ SHI Xinge, ZHANG Yonggang, ZHANG Xuesong, CUI Geng, MAO Keya, WANG Zheng, DONG Tianxiang, WANG Yan. Department of Orthopedics, General Hospital of Chinese PLA, Beijing, 100853, P.R.China. Corresponding author: ZHANG Yonggang, E-mail: zhangyg@ Abstract Objective To investigate the application value of intraoperative CT navigation in posterior thoracic pedicle screw placement for scoliosis patients. Methods Between October 2009 and December 2011, 46 patients with scoliosis were treated with thoracic pedicle screw placement under intraoperative CT navigation in 21 cases (group A) or under C-arm l uoroscopy in 25 cases (group B). There was no signii cant dif erence in age, gender, type of scoliosis, involved segment, and Cobb angle of main thoracic curve between 2 groups (P 0.05). A total of 273 thoracic pedicle screws were placed in group A and 308 screws in group B. The pedicle screw position evaluated and classii ed by intraoperative CT images according to the Modi et al. method; and the accurate rate, the safe rate, and the potential risk rate of pedicle screws were calculated on the upper thoracic spine (T1-4), the middle thoracic spine (T5-8), the lower thoracic spine (T9-12), and the entire thoracic spine (T1-12). The accur