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- Title
Application of Intraoperative CT-Guided Navigation in Simultaneous Minimally Invasive Anterior and Posterior Surgery for Infectious Spondylitis.
- Authors
Wu, Meng-Huang; Dubey, Navneet Kumar; Lee, Ching-Yu; Li, Yen-Yao; Cheng, Chin-Chang; Shi, Chung-Sheng; Huang, Tsung-Jen
- Abstract
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.
- Subjects
ANTIBIOTICS; BACKACHE; BLOOD sedimentation; BONE screws; C-reactive protein; COMPUTED tomography; MINIMALLY invasive procedures; LENGTH of stay in hospitals; INFECTION; INTRAOPERATIVE monitoring; KYPHOSIS; LUMBAR vertebrae; MAGNETIC resonance imaging; SPINE diseases; ORTHOPEDIC surgery; PATIENT positioning; SPINAL fusion; SURGICAL therapeutics; THORACIC vertebrae; TIME; VISUAL analog scale; TREATMENT effectiveness; PRE-tests &; post-tests; RETROSPECTIVE studies; COMPUTER-assisted surgery; DESCRIPTIVE statistics; SURGICAL blood loss; DISEASE complications
- Publication
BioMed Research International, 2017, Vol 2017, p1
- ISSN
2314-6133
- Publication type
Article
- DOI
10.1155/2017/2302395