脊柱微创导航手术的发展现状  

Development of navigation assisted minimally invasive spine surgery

作　　者：田纪伟[1] TIAN Jiwei(Department of Orthopedics,The Affiliated BenQ Hospital of Nanjing Medical University,Nanjing,Jiangsu 210000,China)

机构地区：[1]南京医科大学附属明基医院骨科中心,江苏南京210000

出　　处：《中国临床研究》2024年第5期657-660,共4页Chinese Journal of Clinical Research

基　　金：江苏省自然科学基金面上项目(BK20201130)。

摘　　要：近年来,微创脊柱手术(minimally invasive spine surgery,MISS)逐渐成为治疗各种脊柱疾患的一种可行、高效和受欢迎的方法。与传统的开放手术相比,MISS具有许多优势,如创伤小、康复快和并发症少。计算机导航技术在MISS中的应用使得脊柱微创导航手术(navigation assisted minimally invasive spine surgery,NAMISS)快速发展,NAMISS能显著提高椎弓根螺钉等脊柱植入物的准确性,增加患者的安全性。此外,该技术具备改善生物力学性能的潜力,同时还可以减少辐射暴露和剂量,并有助于缓解电离辐射的长期有害影响。本文综述了NAMISS的发展现状,主要从技术进展、临床应用、面临的挑战和未来发展方向四个方面展开论述。In recent years,minimally invasive spine surgery(MISS)has gradually become a feasible,highly effective and popular method for the treatment of various spinal diseases.Compared to traditional open surgery,MISS has many advantages,such as less trauma,faster recovery,and fewer complications.The application of computer navigation technology in MISS enables the rapid development of navigation assisted minimally invasive spine surgery(NAMISS),which significantly improves the accuracy of spinal implants such as pedicle screws,and increases patient safety.In addition,the technology has the potential to improve biomechanical properties while also reducing radiation exposure and dose and helping to mitigate the long-term harmful effects of ionizing radiation.This paper reviews the development status of NAMISS mainly from four aspects:technical progress,clinical application,challenges and future development direction.

关 键 词：微创脊柱手术 经皮椎弓根螺钉固定 椎体增强术 椎体间融合术 增强现实技术 

分 类 号：R681.5[医药卫生—骨科学]