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An intraoperative 3D image-based navigation error during cervical pedicle screw insertion
https://doi.org/10.18999/nagjms.82.4.799
https://doi.org/10.18999/nagjms.82.4.799ad396aa6-238b-4994-a6fa-b9b68e0c1885
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-11-26 | |||||
タイトル | ||||||
タイトル | An intraoperative 3D image-based navigation error during cervical pedicle screw insertion | |||||
著者 |
Nakashima, Hiroaki
× Nakashima, Hiroaki× Ishikawa, Yoshimoto× Ando, Kei× Kobayashi, Kazuyoshi× Ishiguro, Naoki× Imagama, Shiro |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | cervical pedicle screw | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | navigation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | O-armTM | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 3D fluoroscopy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | navigation error | |||||
抄録 | ||||||
内容記述 | A 67-year-old man underwent posterior cervical decompression surgery for ossification of the posterior longitudinal ligament (OPLL) with fixation using cervical pedicle screws (CPSs) guided by intraoperative 3D image-based navigation. Intraoperatively, while creating the screw hole using the navigation probe, the virtual trajectory on the intraoperative navigation screen showed a 10-degree angle discrepancy in the axial plane depending on whether a probing force was or was not applied for making the hole. This was potentially caused by vertebra rotation and a bent probe. Consequently, the CPSs were placed more laterally than the ideal trajectory, which resulted in <2 mm lateral perforation to the foramen transversarium. There were no screw insertion-related perioperative complications. Based on this case, we conclude that navigation error during CPS insertion can occur even with intraoperative 3D image-based navigation. The risk of a bowed navigation probe caused by posterior cervical muscle and vertebra rotation should be considered, even with use of a navigation reference frame. | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.82.4.799 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/824.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
Nagoya Journal of Medical Science 巻 82, 号 4, p. 799-805, 発行日 2020-11 |
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著者版フラグ | ||||||
値 | publisher |