快速成型导航模板辅助颈椎螺钉置入的研究进展
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作者Author单位AddressE-Mail
闻志靖 WEN Zhi-jing 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
卢腾 LU Teng 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
高正超 GAO Zheng-chao 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
刘俭涛 LIU Jian-tao 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
王一斌 WANG Yi-bin 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
梁辉 LIANG Hui 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
贺西京 HE Xi-jing 西安交通大学医学院第二附属医院骨二科, 陕西 西安 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China xijing_h@vip.tom.com 
期刊信息:《中国骨伤》2018年,第31卷,第8期,第783-786页
DOI:10.3969/j.issn.1003-0034.2018.08.019
基金项目:
中文摘要:颈椎螺钉内固定技术凭借其高融合率、手术节段即刻固定及良好的矫形能力在临床上得到广泛应用。但由于解剖结构变异、椎弓根较细等原因,采用传统方法置钉难度较大,螺钉穿孔率较高,可引起神经血管损伤等严重并发症。近年来快速成型导航模板被报道应用于辅助颈椎螺钉置入,以提高螺钉置入的准确性。本文通过回顾及总结近20年来已发表关于导航模板辅助颈椎螺钉置入相关文献,系统介绍了导航模板的制作与使用方法、设计理念发展历程以及在颈椎手术中的应用现状。目前相关临床及尸体研究证实在颈椎手术中,使用快速成型导航模板辅助颈椎螺钉置入可降低螺钉穿孔率、术中电离辐射伤害及手术时间,值得在临床工作中推广应用。但是不同设计类型的导航模板的具体临床疗效没有很高的总结。因此,更多比较不同设计类型导航模板准确性与安全性的尸体及临床试验急需进行,以帮助临床医生选择合适的导航模板进行手术。
【关键词】快速成型  导航模板  3D打印  颈椎螺钉  综述文献
 
Rapid prototyping navigation template assisted cervical screw implantation:a review
ABSTRACT  The cervical screw fixation has been used widely in the clinic setting due to the high fusion rate,immediate fixation of the surgical segment and good correction of the deformity. However,owing to the variation of anatomical structures and the narrow pedicle screws,it's rather difficult to implant the screws through traditional methods. The perforation rate of the screw is high,which can cause serious complications such as neurovascular injury. In recent years,rapid prototyping navigation templates have been reported in the appilication to assist cervical screw placement for improving the accuracy of screw placement. In this paper,we reviewed and summarized published literatures about navigation template assisted cervical screw implantation in the past 20 years,systematically introduced the methods of producing and using of navigation templates,the development of design concept and the status of application in cervical spine surgery. To date,relevant clinical and cadaveric studies confirm that the use of rapid prototyping navigation template assisted cervical screw placement in cervical surgery can reduce screw perforation rate,intraoperative ionizing radiation injury and operation time,which is worth applying in the clinical practice. However,specific clinical effects of different design types of navigation templates are not well summarized. As a result,more clinical and cadaveric studies comparing the accuracy and safety of navigation templates of different design types are needed to help clinicians select the appropriate navigation template for surgery.
KEY WORDS  Rapid prototyping  Navigation template  Three-dimensional printing  Cervical screw  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:闻志靖,卢腾,高正超,刘俭涛,王一斌,梁辉,贺西京.快速成型导航模板辅助颈椎螺钉置入的研究进展[J].中国骨伤,2018,31(8):783~786
英文格式:WEN Zhi-jing,LU Teng,GAO Zheng-chao,LIU Jian-tao,WANG Yi-bin,LIANG Hui,HE Xi-jing.Rapid prototyping navigation template assisted cervical screw implantation:a review[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(8):783~786
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