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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Accuracy of Multilevel Registration in Image-Guided Pedicle Screw Insertion for Adolescent Idiopathic Scoliosis

http://hdl.handle.net/10091/11110
http://hdl.handle.net/10091/11110
35dcc363-c556-4015-b82c-a77b61e00aa0
名前 / ファイル ライセンス アクション
Accuracy_Multilevel_Registration.pdf Accuracy_Multilevel_Registration.pdf (571.5 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2011-01-20
タイトル
タイトル Accuracy of Multilevel Registration in Image-Guided Pedicle Screw Insertion for Adolescent Idiopathic Scoliosis
言語
言語 eng
DOI
関連識別子 https://doi.org/10.1097/BRS.0b013e3181b77f0a
関連名称 10.1097/BRS.0b013e3181b77f0a
キーワード
主題 computer-assisted surgery, pedicle screw, registration, multilevel, adolescent idiopathic scoliosis, spinal navigation
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Takahashi, Jun

× Takahashi, Jun

en Takahashi, Jun

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Hirabayashi, Hiroki

× Hirabayashi, Hiroki

en Hirabayashi, Hiroki

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Hashidate, Hiroyuki

× Hashidate, Hiroyuki

en Hashidate, Hiroyuki

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Ogihara, Nobuhide

× Ogihara, Nobuhide

en Ogihara, Nobuhide

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Kato, Hiroyuki

× Kato, Hiroyuki

en Kato, Hiroyuki

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信州大学研究者総覧へのリンク
氏名 Takahashi, Jun
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.jeAhuakh.html
信州大学研究者総覧へのリンク
氏名 Kato, Hiroyuki
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.WVkCbaSp.html
出版者
出版者 LIPPINCOTT WILLIAMS & WILKINS
引用
内容記述 SPINE. 35(3):347-352 (2010)
書誌情報 SPINE

巻 35, 号 3, p. 347-352, 発行日 2010-02-01
内容記述
内容記述タイプ Other
内容記述 This is a non-final version of an article published in final form in SPINE 35(3): 347-352, 2010.
抄録
内容記述 Study Design. Retrospective clinical study. Objective. To assess the accuracy of multilevel registration for skip pedicle screw placement during image-guided, computer-assisted spine surgery, in the setting of adolescent idiopathic scoliosis (AIS). Summary of Background Data. Computerized frameless stereotactic image-guidance has been used recently to improve pedicle screw placement accurately and safety during spine surgery. Because of possible intervertebral motion and usual difference in patients' position between preoperative imaging and surgery, the imaging model and the surgically exposed spine may be significantly discordant. Consequently, current protocols suggested separate registration of each spinal level (single-level registration) before respective pedicle screw placement, a time-consuming process. Moreover, although multilevel registration for lumbar spine has been reported, and that for thoracic spine has not. Methods. A total of 19 patients ( 1 male and 18 females; mean age, 13.9 years) with AIS who underwent multilevel registration for skip pedicle screw placement were included. Variables including surgical time, blood loss, preoperative and 2-year postoperative Cobb angle, correction rate, and postoperative screw position by computed tomography image were evaluated. Mean registration error after point merge and again after surface merge were recorded for each consecutive vertebra of each case. Results. Mean surgical time was 310 minutes ( range, 168-420 min). Mean blood loss 1138 g (range, 300-2300 g). Cobb angle before operation and at 2 years postoperation was 62.4 degrees (43 degrees-100 degrees) and 21.6 degrees (9 degrees-42 degrees), respectively. Mean correction rate 66.2% (39.7%-84.5%). Total 265 screws were inserted with computed tomography-based navigation system. Pedicle violation was observed in only 4 screws (1.5%). No neurovascular complication occurred. After point merge, average Mean registration error of all cases was 1.69 +/- 0.52 mm, and after surface merge was 0.51 +/- 0.16 mm. Conclusion. Multilevel registration may decrease operative time without compromising accuracy of pedicle screw placement afforded by this technique in the setting of AIS.
アドレス
内容記述タイプ Other
内容記述 http://journals.lww.com/spinejournal/pages/default.aspx | http://journals.lww.com/spinejournal/pages/default.aspx
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ PISSN
収録物識別子 0362-2436
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA0084801X
PubMed
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/20075780
関連名称 20075780
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000274245400015
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