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Wyświetlanie 1-2 z 2
Tytuł:
Comparison of the O-arm and C-arm guided pedicle screws placement
Autorzy:
Krakowiak, Mateusz
Sokal, Paweł
Rusinek, Marcin
Rudaś, Marcin
Powiązania:
https://bibliotekanauki.pl/articles/25715742.pdf
Data publikacji:
2022-11-25
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
spine surgery
transpedicular screws
minimally invasice surgery
O-arm
C-arm
Opis:
Background Transpedicular screw placement remains the gold standard technique for destabilization of the lumbar spine. Material and methods This is a retrospective study that analyzes patients that underwent the spinal stabilization surgical procedure. We compared results from two independent neurosurgical centers. At the turn of years 2012-2015, O-arm and StealthStation neuronavigation system was used for implantation of transpedicular screws. In 2018 to 2020 transcutaneous pedicle screw placement procedure was performed using standard C-arm device. Results In 208 procedures performed with the O-arm device, the accuracy of the positioning of the screws was 98.08 %. Screw repositioning was necessary in 1.92 % of all cases. In 30 procedures that were performed using the C-arm, the accuracy of the screws was 86.7% and the screw reposition procedure accounted for 10% (in one case crews were not replaced due to clinical sequelae). Conclusions Our data show that the spinal fusion with the O-arm tool has more accuracy, thus might be more indicated in procedures that require minimally invasive spinal stabilization.
Źródło:
European Journal of Translational and Clinical Medicine; 2022, 5, 2; 31-36
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Radiation-free Insertion of Interlocked Intramedullary Tibial Nail in Closed Extra-articular Displaced Tibial Shaft Fractures in an Emergency Setup
Autorzy:
Charak, Sumeet Singh
Chib, Mohinder Singh
Darokhan, Mohammad Azhar Ud Din
Jamwal, Preeti
Powiązania:
https://bibliotekanauki.pl/articles/28411972.pdf
Data publikacji:
2021-12-20
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
tibia
fractures
operative treatment
C-arm
results
Opis:
Background. Interlocking nailing is considered a gold standard surgical treatment of mid-shaft closed diaphyseal tibial fractures. With increasing exposure of orthopaedic surgeons to radiation, we propose a solution to this health hazard through a study wherein we perform the surgery without any radiation or C-arm exposure. Material and methods. This prospective study was done at GMC Jammu from January 2017 to February 2020 and included 218 patients, with 18 patients having bilateral tibia fractures in the age group 15 to 58 years (mean of 37.6 years), including 63.7% males (n=139) and 36.3% females (n=79). The 236 extra-articular closed tibial mid-diaphyseal fractures were operated on and intramedullary tibial nailing was performed without a single C-arm exposure. Postoperative x-rays were done and reduction assessed by standard acceptable criteria. Results. Among 236 cases in which nailing was done, 227 (96%) patients were successfully distally locked, including 128 (56.3%) locked through the jig and 99 (43.6%) by “hit and trial method.” All cases met acceptability criteria set for management of tibia by nailing. Conclusions. 1. This study strengthens the proof that closed extra-articular diaphyseal fractures of the tibia can be managed by nailing without using the C-arm with excellent results. 2. The C-arm is always available for cases where distal locking could not be achieved. 3. The technique has a great role in centres with limited facilities of intra-operative radiography in emergency operation theatres.
Źródło:
Ortopedia Traumatologia Rehabilitacja; 2021, 23(6); 427-431
1509-3492
2084-4336
Pojawia się w:
Ortopedia Traumatologia Rehabilitacja
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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