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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(4)

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.82.4.799
ad396aa6-238b-4994-a6fa-b9b68e0c1885
名前 / ファイル ライセンス アクション
20_Nakashima.pdf 20_Nakashima.pdf (3.2 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
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

WEKO 102487

Nakashima, Hiroaki

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Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 102488

Ishikawa, Yoshimoto

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Ando, Kei

× Ando, Kei

WEKO 102489

Ando, Kei

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Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 102490

Kobayashi, Kazuyoshi

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Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 102491

Ishiguro, Naoki

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Imagama, Shiro

× Imagama, Shiro

WEKO 102492

Imagama, Shiro

Search repository
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
著者版フラグ
値 publisher
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