Name: clinical application of microscope-assisted minimally invasive anterior lumbar interbody fusion
Uploaded: 2023-06-16T13:50:00
Description: Watch this Scientific Journal Video about Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion at JoVE.com

作者没有致谢。

本研究经河北医科大学第三附属医院伦理委员会审批，并取得所有患者的书面知情同意书。此外，任何患者都无法识别任何图像。
1.术前准备
<ol><li>根据患者病史选择合适的病例，包括症状、体征、既往腰腹部手术史、腹部检查和影像学检查，如腰椎 X 线检查、计算机断层扫描 （CT） 和磁共振成像 （MRI）。</li>
	<li>建议患者在术前进行腹主动脉CT血管造影和下?...

<ol>
	<li>O'Brien, J. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+role+of+fusion+for+chronic+low+back+pain.">The role of fusion for chronic low back pain.</a> The Orthopedic Clinics of North America. 14 (3), 639-647 (1983).</li><li>Cho, J. Y., Goh, T. S., Son, S. M., Kim, D. S., Lee, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+anterior+approach+and+posterior+approach+to+instrumented+interbody+fusion+for+spondylolisthesis:+A+meta-analysis.">Comparison of anterior approach and posterior approach to instrumented interbody fusion for spondylolisthesis: A meta-analysis.</a> World Neurosurgery. 129, e286-e293 (2019).</li><li>Min, J. H., Jang, J. S., Lee, S. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+anterior-+and+posterior-approach+instrumented+lumbar+interbody+fusion+for+spondylolisthesis.">Comparison of anterior- and posterior-approach instrumented lumbar interbody fusion for spondylolisthesis.</a> Journal of Neurosurgery. Spine. 7 (1), 21-26 (2007).</li><li>Choy, W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Risk+factors+for+medical+and+surgical+complications+following+single-level+ALIF.">Risk factors for medical and surgical complications following single-level ALIF.</a> Global Spine Journal. 7 (2), 141-147 (2017).</li><li>Amaral, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Stand-alone+anterior+lumbar+interbody+fusion+-+Complications+and+perioperative+results.">Stand-alone anterior lumbar interbody fusion - Complications and perioperative results.</a> Revista Brasileira de Ortopedia. 52 (5), 569-574 (2017).</li><li>H&#228;rtl, R., Joeris, A., McGuire, R. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+the+safety+outcomes+between+two+surgical+approaches+for+anterior+lumbar+fusion+surgery:+anterior+lumbar+interbody+fusion+(ALIF)+and+extreme+lateral+interbody+fusion+(ELIF).">Comparison of the safety outcomes between two surgical approaches for anterior lumbar fusion surgery: anterior lumbar interbody fusion (ALIF) and extreme lateral interbody fusion (ELIF).</a> European Spine Journal. 25 (5), 1484-1521 (2016).</li><li>Richter, M., Weidenfeld, M., Uckmann, F. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anterior+lumbar+interbody+fusion.+Indications,+technique,+advantages+and+disadvantages.">Anterior lumbar interbody fusion. Indications, technique, advantages and disadvantages.</a> Der Orthopde. 44 (2), 154-161 (2015).</li><li>Zdeblick, T. A., David, S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+prospective+comparison+of+surgical+approach+for+anterior+L4-L5+fusion:+laparoscopic+versus+mini+anterior+lumbar+interbody+fusion.">A prospective comparison of surgical approach for anterior L4-L5 fusion: laparoscopic versus mini anterior lumbar interbody fusion.</a> Spine. 25 (20), 2682-2687 (2000).</li><li>Wert, W. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Identifying+risk+factors+for+complications+during+exposure+for+anterior+lumbar+interbody+fusion.">Identifying risk factors for complications during exposure for anterior lumbar interbody fusion.</a> Cureus. 13 (7), e16792 (2021).</li><li>Michael, M. H., Karsten, W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Microsurgical+anterior+approaches+to+the+lumbar+spine+for+interbody+fusion+and+total+disc+replacement.">Microsurgical anterior approaches to the lumbar spine for interbody fusion and total disc replacement.</a> Neurosurgery. 51, 159-165 (2002).</li><li>Aebi, M., Steffen, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Synframe:+A+preliminary+report.">Synframe: A preliminary report.</a> European Spine Journal. 9 (1), S044-S050 (2000).</li><li>Momin, A. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Exploring+perioperative+complications+of+anterior+lumber+interbody+fusion+in+patients+with+a+history+of+prior+abdominal+surgery:+A+retrospective+cohort+study.">Exploring perioperative complications of anterior lumber interbody fusion in patients with a history of prior abdominal surgery: A retrospective cohort study.</a> The Spine Journal. 20 (7), 1037-1043 (2020).</li><li>Brau, S. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mini-open+approach+to+the+spine+for+anterior+lumbar+interbody+fusion:+description+of+the+procedure,+results+and+complications.">Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procedure, results and complications.</a> The Spine Journal. 2 (3), 216-223 (2002).</li><li>Brau, S. A., Delamarter, R. B., Schiffman, M. L., Williams, L. A., Watkins, R. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Vascular+injury+during+anterior+lumbar+surgery.">Vascular injury during anterior lumbar surgery.</a> The Spine Journal. 4 (4), 409-412 (2004).</li><li>Westfall, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Exposure+of+the+anterior+spine.+Technique,+complications,+and+results+in+85+patients.">Exposure of the anterior spine. Technique, complications, and results in 85 patients.</a> American Journal of Surgery. 154 (6), 700-704 (1987).</li><li>Jasani, V., Jaffray, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+anatomy+of+the+iliolumbar+vein.+A+cadaver+study.">The anatomy of the iliolumbar vein. A cadaver study.</a> The Journal of Bone and Joint Surgery. British Volume. 84 (7), 1046-1049 (2002).</li><li>Garg, J., Woo, K., Hirsch, J., Bruffey, J. D., Dilley, R. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Vascular+complications+of+exposure+for+anterior+lumbar+interbody+fusion.">Vascular complications of exposure for anterior lumbar interbody fusion.</a> Journal of Vascular Surgery. 51 (4), 946-950 (2010).</li><li>Hrabalek, L., Adamus, M., Gryga, A., Wanek, T., Tucek, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+comparison+of+complication+rate+between+anterior+and+lateral+approaches+to+the+lumbar+spine.">A comparison of complication rate between anterior and lateral approaches to the lumbar spine.</a> Biomedical Papers of the Medical Faculty of the University Palacky. 158 (1), 127-132 (2014).</li><li>Escobar, E., Transfeldt, E., Garvey, T., Ogilvie, J., Schultz, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Video-assisted+versus+open+anterior+lumbar+spine+fusion+surgery.">Video-assisted versus open anterior lumbar spine fusion surgery.</a> Spine. 28 (7), 729-732 (2003).</li><li>Katkhouda, N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Is+laparoscopic+approach+to+lumbar+spine+fusion+worthwhile.">Is laparoscopic approach to lumbar spine fusion worthwhile.</a> American Journal of Surgery. 178 (6), 458-461 (1999).</li><li>Comer, G. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Retrograde+ejaculation+after+anterior+lumbar+interbody+fusion+with+and+without+bone+morphogenetic+protein-2+augmentation:+A+10-year+cohort+controlled+study.">Retrograde ejaculation after anterior lumbar interbody fusion with and without bone morphogenetic protein-2 augmentation: A 10-year cohort controlled study.</a> The Spine Journal. 12 (10), 881-890 (2012).</li><li>Mayer, H. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+ALIF+concept.">The ALIF concept.</a> European Spine Journal. 9 (1), S035-S043 (2000).</li><li>Shin, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Microscopic+anterior+foraminal+decompression+combined+with+anterior+lumbar+interbody+fusion.">Microscopic anterior foraminal decompression combined with anterior lumbar interbody fusion.</a> The Spine Journal. 13 (10), 1190-1199 (2013).</li><li>Ikard, R. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Methods+and+complications+of+anterior+exposure+of+the+thoracic+and+lumbar+spine.">Methods and complications of anterior exposure of the thoracic and lumbar spine.</a> Archives of Surgery. 141 (10), 1025-1034 (2006).</li><li>Derman, P. B., Albert, T. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Interbody+fusion+techniques+in+the+surgical+management+of+degenerative+lumbar+spondylolisthesis.">Interbody fusion techniques in the surgical management of degenerative lumbar spondylolisthesis.</a> Current Reviews in Musculoskeletal Medicine. 10 (4), 530-538 (2017).</li><li>Dias Pereira Filho, A. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Technique+for+exposing+lumbar+discs+in+anterior+approach+using+steinmann+wires:+Arthroplasties+or+arthrodesis.">Technique for exposing lumbar discs in anterior approach using steinmann wires: Arthroplasties or arthrodesis.</a> World Neurosurgery. 148, 189-195 (2021).</li><li>Motov, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Implementation+of+a+three-dimensional+(3D)+robotic+digital+microscope+(AEOS)+in+spinal+procedures.">Implementation of a three-dimensional (3D) robotic digital microscope (AEOS) in spinal procedures.</a> Scientific Reports. 12 (1), 22553 (2022).</li><li>Siller, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+high-definition+3D+exoscope+as+an+alternative+to+the+operating+microscope+in+spinal+microsurgery.">A high-definition 3D exoscope as an alternative to the operating microscope in spinal microsurgery.</a> Journal of Neurosurgery. Spine. 33 (5), 705-714 (2020).</li></ol>

在Mini-ALIF手术暴露期间，腹膜周围的几个转圈和椎管减压是手术的关键步骤。打开腹前直肌鞘并分离腹横筋膜时，前腹膜损伤很容易导致这种方法失败5.此外，有腰椎感染和腹部手术史的患者可出现腹膜和软组织粘连等术中并发症，钝性夹层难以分离，易引起髂静脉撕裂12。经过腹膜后屈，腰大肌的表面和内缘被输尿管、生殖器股神经、髂总动脉、直肠和其他重...

前腰椎椎间融合术 （ALIF） 是一种对前腰椎采取腹部入路的融合手术，由 O'Brien 于 1983 年首次描述1。ALIF具有出血少、肌肉和神经损伤少、恢复腰椎前凸和减少对邻近节段性变性的影响的能力优于后腰椎椎间融合术等优点，现已广泛用于治疗腰椎滑脱、脊柱畸形、腰椎感染和退行性腰椎间盘疾病2,3.然而，该手术也可能导致并发症，例如血管、神经和输尿管损伤;早期血管损伤尤为常见，发生率为10.4%的病例4,5,6,7,8,9。
在手术过程中使用显微镜可以获得更清晰的手术区域，从而在减少组织损伤方面具有更高的安全性，以及更小的手术切口 8,10。然而，微创前腰椎椎间融合术（Mini-ALIF）仍然需要高度的可视化和稳定性，并且需要使用适当的扩张器。早期的框架腹腔镜扩张器，例如 Synframe 系统的 Activ O 扩张器或目前使用的 Miaspas-ALIF 扩张器 （Aesculap），主要用于传统的开放式 ALIF 手术11，但它们的显微稳定性差、安装要求复杂和成本高，阻碍了显微镜在前腰椎手术中的应用。
在这项研究中，我们介绍了一种用于显微镜辅助 Mini-ALIF 的新型扩张器系统，该系统涉及打开手术区域并在显微镜下通过固定在椎体上的块和牵开器完成神经减压。本研究旨在研究显微镜辅助前路减压融合术的技术方面，并介绍一种适用于Mini-ALIF的吊具系统。该系统可以提供良好的术中椎间盘暴露，对重要结构的良好区分，椎间隙的充分扩张，以及必要的椎间高度的恢复，这对经验不足的外科医生非常有帮助。

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Anterior Lumbar Cage Instrument</td>
			<td>LDR Medical</td>
			<td>ROI-A</td>
			<td></td>
		</tr>
		<tr>
			<td>Cefazolin Sodium for Injection</td>
			<td>Brilliant Pharmaceuticals</td>
			<td>Chinese Drug Approval Number H20217016</td>
			<td></td>
		</tr>
		<tr>
			<td>Coagulation Forceps</td>
			<td>Zhenjiang Hengsheng Juen Medical Instrument Co., Ltd.</td>
			<td>BZN-Q-A-S</td>
			<td></td>
		</tr>
		<tr>
			<td>Coated, Braided Silk</td>
			<td>Suzhou Jiasheng Medical Treatment Products Co.,Ltd.</td>
			<td>2-0(4#)</td>
			<td></td>
		</tr>
		<tr>
			<td>Endplate Rugine</td>
			<td>LDR Medical</td>
			<td>IGO16R</td>
			<td></td>
		</tr>
		<tr>
			<td>Microscope</td>
			<td>Carl Zeiss AG</td>
			<td>S88</td>
			<td></td>
		</tr>
		<tr>
			<td>SPSS Statistics for Windows</td>
			<td>IBM Corp</td>
			<td>version 26.0</td>
			<td></td>
		</tr>
		<tr>
			<td>Surgical ablation electrodes</td>
			<td>Jiangsu Yibo Leiming Medical Technology Co., Ltd.</td>
			<td>LM-A5</td>
			<td></td>
		</tr>
	</tbody>
</table>

clinical application of microscope-assisted minimally invasive anterior lumbar interbody fusion

本研究旨在研究显微镜辅助前路减压融合术的技术方面，并介绍一种适用于微创前腰椎椎间融合术 （Mini-ALIF） 的扩张器系统。本文是显微镜下前腰椎手术的技术说明。我们回顾性收集了 2020 年 7 月至 2022 年 8 月期间在我院接受显微镜辅助 Mini-ALIF 手术的患者的信息。使用重复测量方差分析比较不同时期的影像指标。该研究纳入了42名患者。平均术中出血量为180 mL，平均手术时间为143 min。平均随访时间为18个月。除一例腹膜破裂外，未发生其他严重并发症。术后孔和椎间盘高度均高于术前。吊具辅助微型Mini-ALIF简单易用。它可以提供良好的术中椎间盘暴露，对重要结构的良好辨别，椎间隙的充分扩张，以及必要的椎间高度的恢复，这对经验不足的外科医生非常有帮助。

回顾性入组2020年7月至2022年8月在河北医科大学第三附属医院接受Mini-ALIF治疗腰椎退行性疾病的患者，记录年龄、性别等基本信息，以及病历、影像学信息。纳入标准是接受Mini-ALIF治疗腰椎管狭窄症、椎间盘源性腰痛和低级别（I或II）滑脱的患者，这些患者对严格保守治疗无效超过6个月。排除标准如下：1）随访时间少于1年;2）随访数据不完整。
这项研究包括 42 名患者，包括 ...

Watch this Scientific Journal Video about Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion at JoVE.com

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

本文中描述的技术非常适合Mini-ALIF程序，可实现出色的曝光和减压，并有助于显微镜辅助操作。

显微镜辅助微创前腰椎椎间融合术的临床应用

This study aims to investigate the technical aspects of microscope-assisted anterior decompression fusion and to introduce a spreader system suitable for ...

该技术展示了对椎管的充分压缩，而不会损坏腹膜、血管等重要结构，并且在牵开器的帮助下，可以在显微镜的帮助下更清楚地暴露和减压椎管。全身麻醉后，将患者置于仰卧位。随后将Kirschner针固定在腹部的外侧。在 X 射线下使用 Kirschner 针的位置来定位手术腰椎段。根据节段的位置标记手术切口部位。然后在下腹部旁边的腹直肌外侧做一个 5 厘米的横向切口。在工作距离为 535 毫米的显微镜下，识别并切开腹直肌前鞘。然后将腹直肌钝性地分离到其外缘，并用拉钩将腹直肌的外缘向中线缩回，露出腹直肌后鞘。然后用纱布球将腹横筋膜和腹膜前外侧壁分开，对侧推入腹膜后间隙，到达椎体前侧。然后利用血管钳和神经剥离器分离髂动静脉。此外，根据骶中动脉的闭塞情况，用丝线结扎骶正中动脉。用纱布和血管镊子分离椎前软组织。然后在显微镜下探索骶骨血管空间。接下来，使用吊具将手术区域暴露在各个方向。接下来，使用具有三个不同深度连接孔的卷收器，并将直握拉杆连接到卷收器上。让助手将 T 型推杆连接到另一侧，以协助外科医生并推开软组织。然后使用直径为 3.2 毫米的定位管将吊具固定在手术段的两个相邻椎体上。取出病变的椎间盘，在显微镜的引导下，切除后纵韧带。然后对神经根进行减压。接下来，进行内窥镜止血并植入合适的椎间融合笼。最后，根据诊断使用适当的内固定。这项研究包括 42 名接受小型 ALIF 手术的患者，其中包括腰椎滑脱、椎间盘源性背痛和椎间盘突出症。30例患者行单节段手术，12例行双节段手术。平均手术时间为143分钟，平均住院时间为7天。比较患者手术节段椎间盘和椎间孔高度，发现各随访期高度均明显高于术前，凸显了良好的间接减压效果。该患者腰椎 MRI 显示 L-5 至 S-1 处椎间盘突出，术前 7 天偏向左侧孔位。然而，手术三天后，椎间盘突出消失了。显微镜辅助的mini ALIF非常适合初学者，可以大大减少额外损伤的发生，但需要耐心细致的操作。

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Minimally Invasive Establishment of Murine Orthotopic Bladder Xenografts

微创建立小鼠原位膀胱移植瘤的

Orthotopic bladder cancer xenografts are the gold standard to study molecular cellular manipulations and new therapeutic agents&#160;in vivo. Suitable ...

科研

医学

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

微创拇指大小翼点入开颅未破裂前循环动脉瘤的手术夹子结扎

Less invasive surgical approaches for intracranial aneurysm clipping may reduce length of hospital stay, surgical morbidity, treatment cost, and improve ...

Encapsulation Thermogenic Preadipocytes for Transplantation into Adipose Tissue Depots

封装产热前脂肪细胞移植到脂肪组织仓库

Cell encapsulation was developed to entrap viable cells within semi-permeable membranes. The engrafted encapsulated cells can exchange low molecular ...

Minimally Invasive Transverse Aortic Constriction in Mice

微创横向主动脉缩窄小鼠

Minimally invasive transverse aortic constriction (MTAC) is a more desirable method for the constriction of the transverse aorta in mice than standard ...

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

微创拇外翻手术中神经风险的解剖学研究

The growing popularity of minimally invasive surgical (MIS) procedures makes it necessary that new anatomical references arise, to aid in tridimensional ...

A Minimally Invasive Model to Analyze Endochondral Fracture Healing in Mice Under Standardized Biomechanical Conditions

标准化生物力学条件下小鼠软骨骨折愈合的微创模型分析

Bone healing models are necessary to analyze the complex mechanisms of fracture healing to improve clinical fracture treatment. During the last decade, an ...

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

内镜下鼻中隔成形术有限双线切除: 间隔偏差微创手术

Endoscopic septoplasty is a surgical procedure in otolaryngology that is commonly performed to treat nasal airway obstruction caused by nasal septal ...

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

锥形束术中计算机断层扫描图像指南,用于微创跨体间融合

Transforaminal lumbar interbody fusion (TLIF) is commonly used for the treatment of spinal stenosis, degenerative disc disease, and spondylolisthesis. ...

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery

电磁导航经胸结节定位用于微创胸外科手术

The increased use of chest computed tomography (CT) has led to an increased detection of pulmonary nodules requiring diagnostic evaluation and/or ...

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

视频栅格立体成像和跑步机步态分析对腰椎融合手术后患者体型和步态剖面的评价

This protocol provides guidance on how to perform high resolution video rasterstereography and treadmill gait analysis on patients after lumbar fusion ...