Three-dimensional navigation (O-arm) versus fluoroscopy in the treatment of thoracic spinal stenosis with ultrasonic bone curette A retrospective comparative study

被引:3
|
作者
Wen, Bing-Tao [1 ]
Chen, Zhong-Qiang [1 ]
Sun, Chui-Guo [2 ]
Jin, Kai-Ji [1 ]
Zhong, Jun [1 ]
Liu, Xin [1 ]
Tan, Lei [1 ]
Yang, Peng [1 ]
Le, Geri [1 ]
Luo, Man [3 ]
机构
[1] Peking Univ, Int Hosp, Dept Orthoped, 1 Zhongguancun Life Sci Pk Life Rd, Beijing 102206, Peoples R China
[2] Peking Univ, Hosp 3, Dept Orthoped, Beijing, Peoples R China
[3] Guangxi Int Zhuang Med Hosp, Dept Orthoped, Nanning, Guangxi, Peoples R China
关键词
O-arm navigation; thoracic spinal stenosis; ultrasonic bone curette; HIGH-SPEED DRILL; SCREW PLACEMENT; SURGERY; DECOMPRESSION; DUROTOMY; OUTCOMES; REMOVAL; FUSION;
D O I
10.1097/MD.0000000000015647
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three-dimensional intraoperative navigation (O-arm) has been used for many years in spinal surgeries and has significantly improved its precision and safety. This retrospective study compared the efficacy and safety of spinal cord decompression surgeries performed with O-arm navigation and fluoroscopy. The clinical data of 56 patients with thoracic spinal stenosis treated from March 2015 to April 2017 were retrospectively analyzed. Spinal decompression was performed with O-arm navigation and ultrasonic bone curette in 29 patients, and with ultrasonic bone curette and fluoroscopy in 27 patients. Patients were followed-up at postoperative 1 month, 3 months, and the last clinic visit. The neurologic functions were assessed using the Japanese Orthopaedic Association (JOA) Back Pain Evaluation Questionnaire. The accuracy of screw placement was examined using three-dimensional computed tomography (CT) on postoperative day 5. There was no significant difference in the incidences of intraoperative dural tear, nerve root injury, and spinal cord injury between the two groups. The two groups showed no significant difference in postoperative JOA scores (P>.05). The O-arm navigation group had significantly higher screw placement accuracy than the fluoroscopy group (P<.05). O-arm navigation is superior to fluoroscopy in the treatment of thoracic spinal stenosis with ultrasonic bone curette in terms of screw placement accuracy. However, the two surgical modes have similar rates of intraoperative complications and postoperative neurologic functions.
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页数:5
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