SIA OpenIR  > 机器人学研究室
Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study
Wang HW(王洪伟); Zhou Y(周跃); Liu, Jun; Han JD(韩建达); Xiang LB(项良碧)
作者部门机器人学研究室
关键词Computer Assisted Orthopedic Surgery Pedicle Screw Robot Spine Lumbar Spine
发表期刊INDIAN JOURNAL OF ORTHOPAEDICS
ISSN0019-5413
2015
卷号49期号:4页码:452-457
收录类别SCI
WOS记录号WOS:000357592900014
产权排序2
资助机构Key Projects in Advanced Clinical Technology in Military Hospital [2010gxjs072] ; National Science and Technology Ministry [2012BAI14B02] ; Fundation of State Key Laboratory of Robotics [2014-012]
摘要Background: There is much more radiation exposure to the surgeons during minimally invasive pedicle screws placement. In order to ease the surgeon's hand-eye coordination and to reduce the iatrogenic radiation injury to the surgeons, a robot assisted percutaneous pedicle screw placement is useful. This study assesses the feasibility and clinical value of robot assisted navigated drilling for pedicle screw placement and the results thus achieved formed the basis for the development of a new robot for pedicle screw fixation surgery. Materials and Methods: Preoperative computed tomography (CT) of eight bovine lumbar spines (L1-L5) in axial plane were captured for each vertebra, the entry points and trajectories of the screws were preoperatively planned. On the basis of preoperative CT scans and intraoperative fluoroscopy, we aligned the robot drill to the desired entry point and trajectory, as dictated by the surgeon's preoperative plan. Eight bovine lumbar spines were inserted 80 K-wires using the spine robot system. The time for system registration and pedicle drilling, fluoroscopy times were measured and recorded. Postoperative CT scans were used to assess the position of the K-wires. Results: Assisted by spine robot system, the average time for system registration was (343.4 +/- 18.4) s, the average time for procedure of drilling one pedicle screw trajectory was (89.5 +/- 6.1) s, times of fluoroscopy for drilling one pedicle screw were (2.9 +/- 0.8) times. Overall, 12 (15.0%) of the 80 K-wires violated the pedicle wall. Four screws (5.0%) were medial to the pedicle and 8 (10.5%) were lateral. The number of K-wires wholly within the pedicle were 68 (85%). Conclusions: The preliminary study supports the view that computer assisted pedicle screw fixation using spinal robot is feasible and the robot can decrease the intraoperative fluoroscopy time during the minimally invasive pedicle screw fixation surgery. As spine robotic surgery is still in its infancy, further research in this field is worthwhile especially the accuracy of spine robot system should be improved.
语种英语
WOS标题词Science & Technology ; Life Sciences & Biomedicine
WOS类目Orthopedics
关键词[WOS]POSTERIOR TRANSPEDICULAR STABILIZATION ; LUMBAR SPINE ; SIMULATION SOFTWARE ; RADIATION-EXPOSURE ; FREE-HAND ; INSERTION ; ACCURACY ; SURGERY ; INSTRUMENTATION ; FLUOROSCOPY
WOS研究方向Orthopedics
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.sia.cn/handle/173321/16856
专题机器人学研究室
通讯作者Xiang LB(项良碧)
作者单位1.Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Shenyang, Liaoning
2.Department of Orthopedics, Xinqiao Hospital, Third Military Medical University, Chongqing
3.State Key Laboratory of Robotics, Shenyang Institute of Automation, Chinese Academy of Sciences, Shenyang, China.
推荐引用方式
GB/T 7714
Wang HW,Zhou Y,Liu, Jun,et al. Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study[J]. INDIAN JOURNAL OF ORTHOPAEDICS,2015,49(4):452-457.
APA Wang HW,Zhou Y,Liu, Jun,Han JD,&Xiang LB.(2015).Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study.INDIAN JOURNAL OF ORTHOPAEDICS,49(4),452-457.
MLA Wang HW,et al."Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study".INDIAN JOURNAL OF ORTHOPAEDICS 49.4(2015):452-457.
条目包含的文件 下载所有文件
文件名称/大小 文献类型 版本类型 开放类型 使用许可
Robot assisted navig(2091KB)期刊论文出版稿开放获取ODC PDDL浏览 下载
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Wang HW(王洪伟)]的文章
[Zhou Y(周跃)]的文章
[Liu, Jun]的文章
百度学术
百度学术中相似的文章
[Wang HW(王洪伟)]的文章
[Zhou Y(周跃)]的文章
[Liu, Jun]的文章
必应学术
必应学术中相似的文章
[Wang HW(王洪伟)]的文章
[Zhou Y(周跃)]的文章
[Liu, Jun]的文章
相关权益政策
暂无数据
收藏/分享
文件名: Robot assisted navigated drilling for percutaneous pedicle screw placement_ A preliminary animal study.pdf
格式: Adobe PDF
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。