PDF(Pubmed)
Abstract：
The transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a novel approach available for the management of lumbar spondylolisthesis. It avoids the need to manipulate either of the exiting or traversing nerve roots, both protected by the bony boundaries of the approach. With the advancement in operative technologies such as navigation, mapping, segmentation, and augmented reality (AR), surgeons are prompted to utilize these technologies to enhance their surgical outcomes. A 36-year-old male patient was complaining of chronic progressive lower back pain. He was found to have grade 2 L4/5 spondylolisthesis. We studied the feasibility of a trans-Kambin or a transfacet MIS-TLIF, and decided to proceed with the latter given the wider corridor it provides. Preoperative trajectory planning and level segmentation in addition to intraoperative navigation and image merging were all utilized to provide an AR model to guide us through the surgery. The use of AR can build on the safety and learning of novel surgical approaches to spine pathologies. However, larger high-quality studies are needed to further objectively analyze its impact on surgical outcomes and to expand on its application.
摘要：
经椎间孔微创腰椎椎间融合术（MIS-TLIF）是治疗腰椎滑脱的一种新方法。它避免了操纵退出或穿越神经根的需要，都受到方法的骨骼边界的保护。随着导航等操作技术的进步，映射,分割，增强现实(AR)促使外科医生利用这些技术来提高他们的手术效果。一名36岁的男性患者抱怨慢性进行性下背部疼痛。他被发现有2级L4/5脊椎前移。我们研究了反式Kambin或反式MIS-TLIF的可行性，并决定继续使用后者，因为它提供了更广泛的走廊。术前轨迹规划和水平分割以及术中导航和图像合并都被用来提供AR模型来指导我们完成手术。AR的使用可以建立在脊柱病理的新型手术方法的安全性和学习上。然而,需要更大规模的高质量研究来进一步客观分析其对手术结局的影响,并扩大其应用范围.
