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《Journal of Spinal Surgery》 2003-01
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Experience of pedicle screw fixation in the cervical spine using navigation system

TIAN Wei, LIU Bo, LI Qin, et al. Department of Spinal Surgery, Beijing Jishuitan Hospital, Fourth Clinical Medical College of Beijing University, Beijing 100083,China.  
Objective To introduce the usage of C-arm imaging and infrared ray active inducement calculator navigation system to perform the cervical pedicle fixation. Methods From October 2001to December 2002, 29 cases were performed pedicle screw fixation in the cervical spine. Among these patients, there were 18males and 11females. The ages ranged from 26 to 76, and the average age was 49.4years old. 25 cases were performed by using the C-arm imaging, the other four cases by using the navigation system. Totally 174 screws were implanted. Results 155 of 174 screws were in correct position and 19 screws were incorrect. One of the incorrect patients appeared the cervical root symptoms. The24 screws implanted by using the navigation system got 100% correction rate. The cervical kyphosis was improved from average-12.1 degree preoperatively to-0.6 degree postoperatively. In the follow-up at 3 months and 6 months the anterior curve and height of involved levels in all of these cases were remained favorable. There was no loosening or failure of cervical pedicle screws occurred. Conclusion Cervical pedicle screw was a strong fixation in cervical spine with no necessary to add to anterior fixation. It can be easily performed after laminectomy. Meanwhile it can be used incorrectingcervical kyphosis. Owing to complex structure and nerves and vessels nearby made it very difficult to control the correct screw path.C-arm fluoroscopy is a good control method now, but the calculator navigation system seems to have good prospect.
【CateGory Index】: R687.3
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