İntraoperatif görüntüleme teknolojisi olmayan kliniklerde üst servikal enstrümantasyon gereken olgularda navigasyon kullanımı

Year 2023, Volume: 7 Issue: 3, 285 - 290, 31.12.2023

Ahmet Karaoglu Turgut Kuytu

https://doi.org/10.30565/medalanya.1390145

Abstract

Enstrümantasyon gerektiren üst servikal omurga cerrahisi, hem bölgedeki kritik yapıların varlığı hem de değişken pedikül anatomisi nedeniyle oldukça karmaşık bir işlemdir. Vida malpozisyonunu ve kritik sinir ve damar yapılarının yaralanmasını önlemeyi amaçlayan intraoperatif görüntüleme ve navigasyon teknolojileri gibi teknolojik gelişmeler yaygın olarak kullanılmasına rağmen, bu teknolojileri kullanabilen sadece birkaç klinik bulunmaktadır. Üst servikal omurganın enstrümantasyonuna yardımcı olan intraoperatif görüntüleme olanaklarının bulunmadığı kliniklerde, bu yazıda açıklanan tekniğin yardımıyla navigasyon teknolojisi hem posterior hem de anterior yaklaşımlarda kullanılabilir. Bu yaklaşım, serbest el yöntemine kıyasla komplikasyon oranlarını azaltmakla kalmayacak, aynı zamanda hem hasta hem de cerrahi ekip için radyasyon maruziyetini önemli ölçüde azaltacaktır.

Keywords

Üst Servikal, Navigasyon, Radyasyona Maruz Kalma, Yanlış Vida Konumu

Project Number

yok

Using navigation in cases requiring upper cervical instrumentation in clinics without intraoperative imaging technology

Abstract

Upper cervical spine surgery which requires instrumentation is a highly complicated procedure, both due to the presence of critical structures in the region and variable pedicle anatomy. Despite the widespread use of technological advances as intraoperative imaging and navigation technologies aimed at preventing screw malposition and injuries to the critical neural and vascular structures, there are only a few clinics capable of employing those technologies. In clinics lacking intraoperative imaging facilities that assist in the instrumentation of the upper cervical spine, navigation technology can be employed in both posterior and anterior approaches with the assistance of the technique described in this manuscript. This approach will not only decrease complication rates compared with the freehand method, but also considerably lower radiation exposure for both the patient and surgical team.

Keywords

Upper Cervical, Navigation, Radiation Exposure, Screw Malposition

Ethical Statement

Etik kurul raporu gerekmemektedir. makale teknik not kategorisindedir.

Supporting Institution

yok

Project Number

yok

Thanks

yok

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