دورية أكاديمية
A multi-level drill guide template improves the accuracy of pedicle screw placement in lumbar spine.
| العنوان: | A multi-level drill guide template improves the accuracy of pedicle screw placement in lumbar spine. |
|---|---|
| المؤلفون: | Ge DW; Department of Orthopedics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China. xiaojiancao001@126.com., Yang L, Chen X, Tang J, Chen HT, Li HJ, Sui T, Zhuang Y, Zheng SN, Cao XJ |
| المصدر: | European review for medical and pharmacological sciences [Eur Rev Med Pharmacol Sci] 2018 Jun; Vol. 22 (12), pp. 3643-3648. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Verduci Country of Publication: Italy NLM ID: 9717360 Publication Model: Print Cited Medium: Internet ISSN: 2284-0729 (Electronic) Linking ISSN: 11283602 NLM ISO Abbreviation: Eur Rev Med Pharmacol Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rome : Verduci, [1997- |
| مواضيع طبية MeSH: | Pedicle Screws*, Lumbar Vertebrae/*surgery , Orthopedic Procedures/*instrumentation, Cadaver ; Equipment Design ; Humans ; Lumbar Vertebrae/diagnostic imaging ; Reproducibility of Results ; Surgery, Computer-Assisted ; Tomography, X-Ray Computed |
| مستخلص: | Objective: Free-hand technique is widely used in pedicle screw placement for lumbar spine and generally safe; however, screw malposition still occurs. To develop a novel multi-level drill guide template for pedicle screw placement in lumbar spine and evaluate its accuracy. Materials and Methods: Twelve lumbar cadaveric specimens were randomly allocated into guide template group (n=6) and free-hand group (n=6). Computed tomography (CT) scans were obtained for reconstruction of three-dimensional (3D) model of each lumbar vertebra, and further an individual guide template was designed. Then the templates and their corresponding vertebra were developed by rapid prototyping (RP) technology. With the guide of the templates, screws were inserted via mini-open Wiltse approach. The positions of the screws were assessed based on postoperative CT images. Results: In total, 120 pedicle screws inserted (guide template group: n=60 vs. free-hand group: n=60). For all 30 vertebras in the guide template group, all pre-designed personalized drill guide templates can be fitted into the facet joints of each vertebra well. Furthermore, our results revealed a significant improvement for the guide template group in the accuracy rate (p=0.026). Conclusions: Armed with advantages of minimal invasion, enhanced accuracy and safety, the novel technique of multi-level drill guide template can be properly applied in pedicle screw placement for lumbar spine and promises to be a potential option in clinical application. |
| تواريخ الأحداث: | Date Created: 20180628 Date Completed: 20191119 Latest Revision: 20191119 |
| رمز التحديث: | 20231215 |
| DOI: | 10.26355/eurrev_201806_15241 |
| PMID: | 29949135 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2284-0729 |
|---|---|
| DOI: | 10.26355/eurrev_201806_15241 |