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Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis
Joint Authors
Dubey, Navneet Kumar
Huang, Tsung-Jen
Lee, Ching-Yu
Wu, Meng-Huang
Cheng, Chin-Chang
Li, Yen-Yao
Shi, Chung-Sheng
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
This study was aimed at evaluating the safety and efficacy of using intraoperative computed tomography- (iCT-) guided navigation in simultaneous minimally invasive anterior and posterior surgery for infectious spondylitis.
Nine patients with infectious spondylitis were enrolled in this study.
The average operative time was 327.6 min (range, 210–490) and intraoperative blood loss was 407 cc (range, 50–1,200).
The average duration of hospital stay was 48.9 days (range, 11–76).
Out of a total of 54 pedicle screws employed, 53 screws (98.1%) were placed accurately.
A reduced visual analog scale on back pain (from 8.2 to 2.2) and Oswestry disability index (from 67.1% to 25.6%) were found at the 2-year follow-up.
All patients had achieved resolution of spinal infection with reduced average erythrocyte sedimentation rate (from 83.9 to 14.1 mm/hr) and average C-reactive protein (from 54.4 to 4.8 mg/dL).
Average kyphotic angle correction was 10.5° (range, 8.4°–12.6°) postoperatively and 8.5° (range, 6.9°–10.1°) after 2 years.
In conclusion, the current iCT-guided navigation approach has been demonstrated to be an alternative method during simultaneous minimally invasive anterior and posterior surgery for infectious spondylitis.
It can provide a good intraoperative orientation and visualization of anatomic structures and also a high pedicle screw placement accuracy in patient’s lateral decubitus position.
American Psychological Association (APA)
Wu, Meng-Huang& Dubey, Navneet Kumar& Lee, Ching-Yu& Li, Yen-Yao& Cheng, Chin-Chang& Shi, Chung-Sheng…[et al.]. 2017. Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134634
Modern Language Association (MLA)
Wu, Meng-Huang…[et al.]. Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1134634
American Medical Association (AMA)
Wu, Meng-Huang& Dubey, Navneet Kumar& Lee, Ching-Yu& Li, Yen-Yao& Cheng, Chin-Chang& Shi, Chung-Sheng…[et al.]. Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134634
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134634