How I do it? Lumbar cortical bone trajectory fixation with image-guided neuronavigation

被引：5
作者：
Delgado-Fernandez, Juan [1 ]
Pulido Rivas, Paloma [2 ]
Gil-Simoes, Ricardo [2 ]
Garcia de Sola, Rafael [3 ]
机构：
[1] Univ Hosp 12 Octubre, Dept Surg, Div Neurosurg, Avda Cordoba S-N, Madrid 28041, Spain
[2] Univ Hosp La Princesa, Dept Surg, Div Neurosurg, Madrid, Spain
[3] Univ Autonoma Madrid, Dept Neurosurg, UAM Chair Innovat Neurosurg, Hosp Rosario, Madrid, Spain
来源：
ACTA NEUROCHIRURGICA | 2019年 / 161卷 / 12期
关键词：
Cortical bone trajectory; Neuronavigation; Pars articularis; Minimal invasive; Lumbar spine; PEDICLE SCREWS;
D O I：
10.1007/s00701-019-04067-0
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Background Cortical bone trajectory was described in 2009 to reduce screw loosening in osteoporotic patients. Since then, it has demonstrated improvements in biomechanical and perioperative results compared to pedicle screws, and it have been described as a minimally invasive technique. Method We describe our experience with the technique assisted by 3D neuronavigation and review some of the complications and tools to avoid them together with limitations and pitfalls. Conclusion Cortical bone trajectory guided by 3D neuronavigation helps to reduce the need for radiation and incidence of complications.
引用
收藏
页码：2423 / 2428
页数：6
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