机器人辅助经皮穿刺皮下经肌间置钉技术在脊柱侧弯微创治疗中的应用

打开文本图片集

中图分类号 R682.1+3 文献标识码A 文章编号2096-7721（2025）11-1878-06

Application of robot-assisted subcutaneous intermuscular screw placement technique in minimally invasive treatment for scoliosis

CONG Lin， MENG Xiaotong， ZHU Haitao，LIU Xinchun， CUI Cui， YUAN Wei， ZHU Yue （DepartmentofOrthopedics，theFirst Hospital of China Medical University，Shenyang11Ooo1，China）

AbstractObjective：Toevaluatethefeasibilityofrobot-asistedsubcutaneous intermusularpediclescretechnique（RA-SSfor minimallyinvasivetreatmentofsoliosis.Methods：Aretrospectiveanalysiswasconductedon14scoliosispatientshounderentRASIPSTattheDepartmentofOrthopedics，theFirstAflatedHospitalofChinaMedicalUniversityfromAugust218toDeceber021. Screw placementaccuracywasasessedusing3DC-armimaging，withcorectionoutcomesandscrew-relatedcomplicationsrecorded during follow-up（13-24 months）.Results：Of 207 guidewires inserted，199 were succeful，with asuccessateof 96.14% . All 178 pedicle screws placed based on guidewires achieved 100% accuracy. The Cobb angle of the major curve improved from （67.38±26.11）∘ preoperatively to （26.54±11.69）∘ postoperatively，with the correction rate of （60.37±8.96）% .No screw-related complications were observed.Conclusion：RA-STisafeasibleminimallinvasiveappoach forscoliosiscorection，hichprovidesanovative technological option for precise minimally invasive treatment of scoliosis.

Key wordsOrthopedicRobot; Scoliosis; Subcutaneous IntermuscularSrew Placement; Pedicle Screw; Minimall Invasive Surgery

脊柱侧弯是一种以脊柱三维畸形为特征的复杂脊柱病变，包括侧向弯曲和椎体旋转等[1]。（剩余12501字）