Abstract:
STUDY DESIGN:Case report. OBJECTIVES:The aim of this study was to assess the feasibility, safety, and accuracy of a new robotic system for performing posterior C1-2 transarticular screw fixation for atlantoaxial instability. SUMMARY OF BACKGROUND DATA:C1-2 transarticular fixation is a reliable procedure. However, the procedure is high-risk because of the important structures and frequent anatomical variation around the atlantoaxial region. Navigation improves the accuracy, but it might require repeated adjustments of the trajectories, which is inconvenient. Robot-assisted surgery can make this process easier and has the potential to improve the safety and accuracy. METHODS:A 43-year-old man with atlantoaxial deformity and instability underwent posterior C1-2 transarticular screw fixation under the guidance of the new robotic system (TiRobot, co-designed by Beijing Jishuitan hospital and TINAVI Medical Technologies Co., Ltd.). We performed a surgery of posterior decompression and C0-2 fusion. Based on the intraoperative 3D images, we planned the trajectory on the robot system. Then, the robotic arm spontaneously moved to guide the screw insertion. RESULTS:A unilateral C1-2 transarticular screw was safely placed with good accuracy. The calculated deviation of the planned position and actual position was 0.8798 mm. There were no intraoperative complications. Postoperative computed tomography showed there were no perforations and loosening of the screw. CONCLUSION:We report the first case of atlantoaxial transarticular screw fixation using the TiRobot system. Robotic guidance for complex upper cervical deformity based on intraoperative 3D images could be feasible, safe, and accurate, and has a significant clinical potential in spine surgery. LEVEL OF EVIDENCE:4.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Tian Wdoi
10.1097/BRS.0000000000001674subject
Has Abstractpub_date
2016-10-01 00:00:00pages
B2-B5eissn
0362-2436issn
1528-1159journal_volume
41 Suppl 19pub_type
杂志文章相关文献
SPINE文献大全abstract:OBJECTIVES:To focus attention of the clinician on the anatomy and (patho)physiology of the vertebral venous system, so as to offer a tool to better understand and anticipate (potential) complications that are related to the application of percutaneous vertebroplasty and kyphoplasty. BACKGROUND:Percutaneous vertebropla...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000128758.64381.75
更新日期:2004-07-01 00:00:00
abstract::Automated percutaneous discectomy is a new, safe procedure for treating herniated lumbar discs still contained by the annulus or posterior longitudinal ligament. In 1985, one of the authors reported a percutaneous nucleus aspiration technique using a 2-mm aspiration probe. This small probe produced minimal tissue dama...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199103000-00018
更新日期:1991-03-01 00:00:00
abstract:STUDY DESIGN:A prospective questionnaire translation and validation. OBJECTIVE:The aim of this study was to translate and cross-culturally adapt the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) into Traditional Chinese (Hong Kong) and to assess its validity, reliability, and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002287
更新日期:2018-02-15 00:00:00
abstract::Six chemical agents were evaluated for their efficacy in preventing epidural scar formation following laminectomy in rabbits. One agent was carboxymethylcellulose and the other five agents represented various compositions of modified carboxymethylcellulose. Four weeks after laminectomy, spines were harvested and decal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199107000-00023
更新日期:1991-07-01 00:00:00
abstract::A 27-year-old woman presented with nontraumatic atlantoaxial dislocation that required a C1-C2 fusion. A comprehensive investigation initially failed to reveal any evidence of infectious or rheumatologic disease and she remained well for 3 1/2 years, at which time a diagnosis of ankylosing spondylitis was established....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00037
更新日期:1993-11-01 00:00:00
abstract:STUDY DESIGN:Systematic review of cross-cultural adaptation. OBJECTIVE:To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA:The NDI is used to assess functional capacity and physical act...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000000788
更新日期:2015-04-01 00:00:00
abstract:STUDY DESIGN:This study is a retrospective review of fusion rates for cervical plates, analyzed by means of computerized analysis. OBJECTIVES:This study compares the fusion rates for two-level anterior cervical discectomy and fusion between patients with static versus dynamic plates. SUMMARY OF BACKGROUND DATA:Anteri...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318060cca9
更新日期:2007-06-01 00:00:00
abstract:STUDY DESIGN:A case report of ureteral injury as a complication incurred during a laparoscopy-assisted lumbar fusion. OBJECTIVE:To alert orthopedic surgeons to this injury, which may occur during such surgery. SUMMARY OF BACKGROUND DATA:Laparoscopy-assisted lumbar fusion is a minimally invasive surgical technique to ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200006150-00020
更新日期:2000-06-15 00:00:00
abstract:STUDY DESIGN:An interesting case of spontaneous bleeding from an ependymoma of the filum terminale is presented. OBJECTIVES:To document a rare case of rapid neurologic deterioration as a consequence of spinal tumoral hemorrhage and to highlight important issues regarding tumor histologic subtype and the impact of anti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000143663.27275.7f
更新日期:2004-11-01 00:00:00
abstract:STUDY DESIGN:This study analyzed immunohistological features of the extruded or sequestrated intervertebral disc of the lumbar spine. To clarify the pathogenesis of neovascularization, cells isolated from herniated disc were cultured and examined biologically. OBJECTIVES:The objectives of this study were to characteri...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199601150-00015
更新日期:1996-01-15 00:00:00
abstract:STUDY DESIGN:A case series is reported. OBJECTIVE:To improve understanding of the potential mechanisms associated with cerebral microemboli during scoliosis surgery in adolescents. SUMMARY OF BACKGROUND DATA:Paradoxical cerebral fat microembolization during scoliosis surgery has been associated with right-to-left shu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200108010-00017
更新日期:2001-08-01 00:00:00
abstract:STUDY DESIGN:Clinical study. OBJECTIVE:To investigate the feasibility of the transoral endoscopic odontoidectomy without occipitocervical fusion. SUMMARY OF BACKGROUND DATA:Endoscopic transnasal resection of the odontoid process is less invasive than the conventional transoral odontoidectomy. However, the endonasal a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182941735
更新日期:2013-06-15 00:00:00
abstract:STUDY DESIGN:Validation of a performance scale. OBJECTIVE:The purpose of this study is to investigate adaptation, validity, and reliability of the Turkish version of the Back Performance Scale (BPS). SUMMARY OF BACKGROUND DATA:Low back pain affects people of all ages and causes pain, disability, and psychosocial prob...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002771
更新日期:2019-01-01 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study was conducted. OBJECTIVE:To investigate the relative safety of anterior microsurgical decompression with iliac strut graft fusion versus laminoplasty for a massive ossified posterior longitudinal ligament in the cervical spine. SUMMARY OF BACKGROUND DATA:The question of how...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200211150-00013
更新日期:2002-11-15 00:00:00
abstract:STUDY DESIGN:Case report and surgical technique. OBJECTIVE:To describe a new technique to treat atlas burst fractures by selectively reconstructing the atlas from a posterior approach. SUMMARY OF BACKGROUND DATA:The two surgical techniques reported until now for stabilizing atlas burst fractures are associated with s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318206cf63
更新日期:2011-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of lumbosacral radiculography using 3-dimensional (3D) magnetic resonance (MR) rendering in patients with extraforaminal disc herniation. OBJECTIVE:To investigate the significance of lumbosacral radiculography as depicted by 3D MR rendering in the diagnosis of symptomatic extraforam...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182374465
更新日期:2012-05-01 00:00:00
abstract:STUDY DESIGN:T2 mapping was used to quantify the water content of lumbar spine intervertebral discs (IVDs) and facet joints before and after physiological loading. OBJECTIVE:The aim of this study was to clarify the interaction between lumbar spine IVD and facet joints as load-bearing structures by measuring the water ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002204
更新日期:2017-12-15 00:00:00
abstract:STUDY DESIGN:An in vitro biomechanical investigation to quantify the endplates resistance to compressive loads, in the thoracic and lumbar spine. Comparisons were made to determine the regional strength of the endplate, the optimal size and geometry of interbody support, and the effects of endplate removal on structura...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000143623.18098.e5
更新日期:2004-11-01 00:00:00
abstract::The study is an investigation into the form of the abdominal pressure reflex in normal individuals under isometric loading of the torso. Various directions of load are imposed, and both flexed and upright postures are adopted. The sensitivity of the pressurization to the applied moment is calculated, the form of the r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198003000-00009
更新日期:1980-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of national insurance billing database. OBJECTIVE:To examine trends in reoperation after single-level lumbar discectomy. SUMMARY OF BACKGROUND DATA:Lumbar discectomy is the most commonly performed procedure for treatment of radiculopathy caused by disc herniation. Randomized clinic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001855
更新日期:2017-04-15 00:00:00
abstract::Biomechanical models of the spine have traditionally assumed that workplace lifting conditions (weight, posture, motion, etc.) precisely dictate the magnitude of individual muscle forces necessary to maintain a biomechanical balance within the trunk. However, because there are a large number of muscle groups within th...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective multi-center study. OBJECTIVE:To identify the morphological features of costovertebral joints and ribs in surgically managed cervical injury patients with diffuse idiopathic skeletal hyperostosis (DISH) and to examine its impact on their vital prognosis. SUMMARY OF BACKGROUND DATA:Several r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003252
更新日期:2020-03-01 00:00:00
abstract:STUDY DESIGN:A case report of a patient who presented with pain in both lower limbs related with walking and standing as a result of an unusual vascular etiology. OBJECTIVES:To describe the pathology and treatment of an unusual case of vascular claudication. SUMMARY OF BACKGROUND DATA:Symptoms of neurogenic claudicat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000109763.77854.9b
更新日期:2004-02-15 00:00:00
abstract:STUDY DESIGN:The relation between the rib head and the thoracic disc was investigated anatomically. OBJECTIVES:To clarify the necessity of rib head resection in thoracoscopic discectomy using the anterior approach. SUMMARY OF BACKGROUND DATA:When using the transthoracic anterior approach, the rib head must often be r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000132516.03023.c4
更新日期:2004-08-01 00:00:00
abstract::The cervical spine is a common site of spinal injuries. The stability of an injured cervical spine is not only dependent on injury severity, but also on the degree of healing time. Using a canine model, three injuries of varying degrees of severity were surgically produced at the C4-C5 level and allowed to heal for 6 ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199015100-00012
更新日期:1990-10-01 00:00:00
abstract:STUDY DESIGN:This study evaluated safety, fusion success rate, and clinical outcome of a new lumbar interbody hollow, threaded titanium fusion cage in a multicenter, prospective 236-case program adhering to a United States Food and Drug Administration Investigational Device Exemption controlled protocol. OBJECTIVES:Th...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1097/00007632-199703150-00019
更新日期:1997-03-15 00:00:00
abstract::Techniques for assessing daily function in Patients with back pain are generally crude and limited in scope. We therefore examined a "health status" questionnaire, the Sickness Impact Profile (SIP) to assess its measurement characteristics in such patients. Eighty patients with mechanical low-back pain completed the S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198309000-00009
更新日期:1983-09-01 00:00:00
abstract:STUDY DESIGN:A retrospective assessment of 12 patients with pyogenic spondylitis accompanied by iliopsoas abscess treated by continuous irrigation with our new method between March 2003 and July 2005. OBJECTIVES:To present our method of treatment and to evaluate outcomes of 12 patients undergoing it. SUMMARY OF BACKG...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318067e35e
更新日期:2007-06-15 00:00:00
abstract:STUDY DESIGN:Three experimental groups and one control group of chickens underwent different surgical procedures to determine the effects of pineal gland transplantation on the development of scoliosis. OBJECTIVE:To determine whether transplantation of the pineal gland to the body wall musculature maintains serum mela...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200105010-00007
更新日期:2001-05-01 00:00:00
abstract:STUDY DESIGN:A radiographic study was conducted to investigate sacral morphology in a children and adolescent population with developmental L5-S1 spondylolisthesis. OBJECTIVE:To determine the relationship between sacral morphology and developmental L5-S1 spondylolisthesis. SUMMARY AND BACKGROUND DATA:The morphology o...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181857f70
更新日期:2008-09-15 00:00:00