Computer-Guided Navigation System Efficiency Evaluation Using Surgical Instruments for Spinal Fusion.

Autor: Lopukhov EO; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Frolov IA; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Solovyev MA; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Prokhorenko LS; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia., Mishchenkov DS; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Klimov DD; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Vorotnikov AA; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Poduraev YV; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Moscow State University of Technology 'STANKIN', Moscow, Russia., Grin AA; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.; Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia.; Moscow Healthcare Department, Moscow, Russia., Levchenko OV; FSBEI HE 'RUSSIAN UNIVERSITY OF MEDICINE' OF MOH OF RUSSIA, Moscow, Russia.
Jazyk: angličtina
Zdroj: The international journal of medical robotics + computer assisted surgery : MRCAS [Int J Med Robot] 2024 Dec; Vol. 20 (6), pp. e70033.
DOI: 10.1002/rcs.70033
Abstrakt: Background: Navigation surgical systems have been widely used in spinal fusion to ensure accuracy and safety during pedicle screw insertion.
Methods: The research was performed under laboratory conditions, using stereotactic navigation, surgical instruments for spinal fusion, development of additional devices and software. During the experiments, all stages of the computed tomography-guided navigation system use were performed-preoperative preparation of patient data and planning to provide visual control of the navigation of surgical instruments during the insertion of screws.
Results: The 20 screws were inserted into the vertebrae of the lumbar spine phantom with an average pedicle width of 12.6 ± 1.29 mm with 100% clinical accuracy. The 30 screws were inserted into cadaveric sheep vertebrae with an average pedicle width of 6.56 ± 0.58 mm with 96.67% efficiency.
Conclusions: The proposed navigation technique of the CT-guided navigation system is highly effective in the navigation process of surgical instruments and pedicle screws during spinal fusion.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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