دورية أكاديمية
أعرض في EDS

Robotic-Assisted Minimally Invasive Spinopelvic Fixation for Traumatic Sacral Fractures: Case Series Investigating Early Safety and Efficacy.

التفاصيل البيبلوغرافية
العنوان: Robotic-Assisted Minimally Invasive Spinopelvic Fixation for Traumatic Sacral Fractures: Case Series Investigating Early Safety and Efficacy.
المؤلفون: Hardigan AA; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA., Tabarestani TQ; Duke University School of Medicine, Durham, North Carolina, USA. Electronic address: tqt5@duke.edu., Dibble CF; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA., Johnson E; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA., Wang TY; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA., Albanese J; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA., Karikari IO; Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA., DeBaun MR; Department of Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA., Abd-El-Barr MM; Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
المصدر: World neurosurgery [World Neurosurg] 2023 Jun 12. Date of Electronic Publication: 2023 Jun 12.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مستخلص: Background: High-energy traumatic sacral fractures, particularly U-type or AOSpine classification type C fractures, may lead to significant functional deficits. Traditionally, spinopelvic fixation for unstable sacral fractures was performed with open reduction and fixation, but robotic-assisted minimally invasive surgical methods now present new, less invasive approaches. The objective here was to present a series of patients with traumatic sacral fractures treated with robotic-assisted minimally invasive spinopelvic fixation and discuss early experience, considerations, and technical challenges.
Methods: Between June 2022 and January 2023, 7 consecutive patients met the inclusion criteria. Intraoperative fluoroscopic images were merged with intraoperative computed tomography images using a robotic system to plan the trajectories for placement of bilateral lumbar pedicle and iliac screws. Intraoperative computed tomography was performed after pedicle and pelvic screw insertion to confirm appropriate placement before insertion of rods percutaneously without the need for a side connector.
Results: The cohort consisted of 7 patients (4 female, 3 male) with ages ranging from 20 to 74. Intraoperatively, the mean blood loss was 85.7 ± 84.0 mL, and mean operative time was 178.4 ± 63.9 minutes. There were no complications in 6 patients; 1 patient experienced both a medially breached pelvic screw and a complicated rod pullout. All patients were safely discharged to their homes or an acute rehabilitation facility.
Conclusions: Our early experience reveals that robotic-assisted minimally invasive spinopelvic fixation for traumatic sacral fractures is a safe and feasible treatment option with the potential to improve outcomes and reduce complications.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Case series; Minimally invasive spine surgery; Robotic-assisted navigation; Sacral fractures; Spine surgery; Spinopelvic fixation
تواريخ الأحداث: Date Created: 20230614 Latest Revision: 20230702
رمز التحديث: 20240628
DOI: 10.1016/j.wneu.2023.06.018
PMID: 37315895
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2023.06.018