ʻO kahi noiʻi hou mai ka Rush University Medical Center ua hōʻiliʻili i ka ʻikepili e pili ana i ka hopena o nā mea hana ʻoiaʻiʻo i hoʻonui ʻia i ka hoʻokomo ʻana o nā pedicle screws i ka wā o ke kaʻa.
ʻO ka haʻawina "Augmented Reality in Minimally Invasive Spine Surgery: Early Efficacy and Complications of Percutaneous Fixation with Pedicle Screws" i paʻi ʻia ma Kepakemapa 28, 2022 ma ka Journal of the Spine.
"Ma ka holoʻokoʻa, ua hoʻomaikaʻi ka pololei o nā pedicle screws me ka hoʻonui ʻana i ka hoʻohana ʻana i nā mea hoʻokele hoʻokele, i wehewehe ʻia he pololei ma 89-100% o nā hihia. ʻO ka puka ʻana mai o ke kaʻina spine Hoʻokumu ʻia ka ʻenehana ʻoiaʻiʻo ma luna o ka hoʻokele spine kiʻekiʻe e hāʻawi i kahi hiʻohiʻona 3D o ke kuamoʻo a hōʻemi nui i ka hopena o nā pilikia ergonomic a me ka hana," kākau nā mea noiʻi.
Hōʻike pinepine nā ʻōnaehana ʻoiaʻiʻo i nā poʻo poʻo uila me nā hōʻike maka e pili ana i nā maka e hoʻolālā pololei ana i nā kiʻi 3D intraoperative ma ka retina o ke kauka.
No ke aʻo ʻana i nā hopena o ka ʻoiaʻiʻo hoʻonui ʻia, ua hoʻohana ʻekolu mau kauka lapaʻau kiʻekiʻe ma nā hale ʻelua e hoʻokomo i nā mea kani i alakaʻi ʻia i ka spinal-guided percutaneous pedicle screw no ka huina o 164 kaʻina hana hoʻoweliweli iki.
ʻO kēia mau mea, 155 no nā maʻi degenerative, 6 no nā maʻi koko a me 3 no nā deformities o ke kuamoʻo. He 606 ka nui o ka pedicle screws i kau ʻia, me 590 ma ka lumbar spine a me 16 ma ka thoracic spine.
Ua kālailai nā mea noiʻi i ka heluna kanaka maʻi, nā ʻāpana ʻokiʻoki me ka nui o ka manawa komo hope, nā hoʻopiʻi lapaʻau, a me nā helu hoʻoponopono hou.
ʻO ka manawa mai ka hoʻopaʻa inoa ʻana a me ka loaʻa ʻana o ke kino a hiki i ka hoʻokomo ʻana i ka wili hope loa he 3 mau minuke 54 kekona no kēlā me kēia wili. I ka loaʻa ʻana o ka ʻike o nā kauka lapaʻau me ka ʻōnaehana, ua like ka manawa o ka hana i nā hihia mua a me ka hope. Ma hope o 6-24 mau mahina o ka hahai ʻana, ʻaʻohe mea hoʻololi i koi ʻia ma muli o nā pilikia lapaʻau a i ʻole radiographic.
Uaʻike nā mea noiʻi ua hoʻololiʻia ka nui o nā 3 screws i ka wā o ka hana, aʻaʻole i hoʻopaʻaʻia ka radiculopathy a iʻole ka neurological deficit i ka wā postoperative.
Ua ʻike ka poʻe noiʻi ʻo kēia ka hōʻike mua e pili ana i ka hoʻohana ʻana i ka ʻoiaʻiʻo i hoʻonui ʻia no ka hoʻokomo ʻana o ka spinal pedicle screw i nā kaʻina hana liʻiliʻi invasive a hōʻoia i ka pono a me ka palekana o kēia mau kaʻina hana me ka hoʻohana ʻana i ka ʻenehana.
ʻO nā mea kākau noiʻi ʻo Alexander J. Butler, MD, Matthew Colman, MD, a me Frank M. Philips, MD, nā mea āpau mai Rush University Medical Center ma Chicago, Illinois. Ua komo pū ʻo James Lynch, MD, Spine Nevada, Reno, Nevada i ke aʻo ʻana.
Ka manawa hoʻouna: ʻOkakopa-31-2022