电邮这篇文章 导航模板在学龄前儿童先天性胸腰椎侧凸定位手术治疗中的应用
- 作者: Kokushin D.N.1, Vissarionov S.V.1, Baindurashvili A.G.1, Ovechkina A.V.1, Khusainov N.O.1, Poznovich M.S.1, Zaletina A.V.1
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隶属关系:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- 期: 卷 8, 编号 3 (2020)
- 页面: 305-316
- 栏目: Original Study Article
- ##submission.dateSubmitted##: 04.08.2020
- ##submission.dateAccepted##: 03.09.2020
- ##submission.datePublished##: 06.10.2020
- URL: https://journals.eco-vector.com/turner/article/view/42000
- DOI: https://doi.org/10.17816/PTORS42000
- ID: 42000
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详细
论证：在生物力学位置使用经椎弓根螺钉作为支撑元件比经椎板固定更可取，但由于畸形导致的椎骨结构改变，以及儿童椎弓根的小尺寸，还会带来各种并发症（螺钉畸形，硬脑膜、脊髓和大血管受损）。因此，在先天性脊柱侧凸患儿的手术治疗中，确保安全、正确安装经椎弓根螺钉是至关重
要的。
目的是评价应用导航模板定位学龄前儿童先天性胸腰椎侧凸经椎弓根螺钉位置的正确性。
材料与方法。这项研究是基于对30例先天性脊柱侧凸患者在胸椎和腰椎形成受损背景下的手术治疗结果的前瞻性分析。患者年龄为1岁8个月—6岁5个月（平均年龄为3岁4个月）。根据性别分布为12男孩，
18女孩。基于术后进行的脊柱多螺旋计算机断层，评估校正多支撑金属结构的经椎弓根螺钉安装位置的正确性。通过S.D. Gertzbein等人（1990）的量表来评估经椎弓根支撑元件的正确位置。
结果。植入经椎弓根螺钉总数为96枚（100%计划的经椎弓根螺钉）。采用了48个导航模板用于安装经椎弓根螺钉。根据脊柱侧凸的程度正确安装螺钉的位置：0级—93.7%（90枚螺钉），I级—4.2%
（4枚螺钉），II级—2.1%（2枚螺钉），III级—0%。0级+I级的脊柱侧凸的程度螺钉数为94枚（97.9%）。
结论。在学龄前儿童先天性胸腰椎侧凸定位中使用导航模板安装经椎弓根螺钉，可达到较高的准确率和正确性（93.7%）。在青年先天性脊柱畸形的手术治疗中，使用导航模板可以保证椎弓根支撑元件的最佳型别尺寸和正确位置的选择。
全文:
作者简介
Dmitry Kokushin
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
编辑信件的主要联系方式.
Email: partgerm@yandex.ru
ORCID iD: 0000-0002-6112-3309
MD, PhD, Senior Research Associate of the Department of Pathology of the Spine and Neurosurgery
俄罗斯联邦, Saint PetersburgSergei Vissarionov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: vissarionovs@gmail.ru
ORCID iD: 0000-0003-4235-5048
MD, PhD, D.Sc., Professor, Corresponding Member of RAS, Deputy Director for Research and Academic Affairs, Head of the Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, Saint PetersburgAlexey Baindurashvili
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: turner01@mail.ru
ORCID iD: 0000-0001-8123-6944
MD, PhD, D.Sc., Professor, Member Of RAS, Honored Doctor of the Russian Federation, Director
俄罗斯联邦, Saint PetersburgAlla Ovechkina
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: turner01@mail.ru
ORCID iD: 0000-0002-3172-0065
MD, PhD, Associate Professor, Academic Secretary
俄罗斯联邦, Saint PetersburgNikita Khusainov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: nikita_husainov@mail.ru
ORCID iD: 0000-0003-3036-3796
MD, PhD, Research Associate of the Department of Pathology of the Spine and Neurosurgery
俄罗斯联邦, Saint PetersburgMahmud Poznovich
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: poznovich@bk.ru
ORCID iD: 0000-0003-2534-9252
MD, Research Associate of the Genetic Laboratory of the Center for Rare and Hereditary Diseases in Children
俄罗斯联邦, Saint PetersburgAnna Zaletina
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: turner01@mail.ru
ORCID iD: 0000-0002-9838-2777
канд. мед. наук, руководитель научно-организационного отдела, врач — травматолог-ортопед отделения № 11
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