Comparative effectiveness study of 3D reconstruction technique based on CT and MRI in operational planning and intraoperative navigation of spinal surgery
Objective:To explore the comparison of application effectiveness of three dimensional (3D) reconstruction technique based on computed tomography (CT) and magnetic resonance imaging (MRI) in operational planning and intraoperative navigation of spinal surgery. Methods:A total of 98 patients who underwent spinal surgery in The Second People's Hospital of Huishan District of Wuxi City from September 2016 to June 2023 were selected,and they were divided into study group (59 cases) and control group (39 cases) according to different surgical method. Study group used 3D reconstruction technique based on CT and MRI to conduct operation of spinal surgery,and control group adopted conventional two-dimensional (2D) imaging technique to conduct operation of spinal surgery. Operation time,accuracy of resection at the lesion site,incidence of postoperative complications,satisfaction score of patient and postoperative recovery time were observed and calculated as statistical method for the two groups. Results:In the study group,the operation time and postoperative recovery time were respectively (2.67±1.03) h and (8.15±1.03) weeks,while they were respectively (3.98±1.06) h and (10.08±2.15) weeks in the control group. The operative time and postoperative recovery time of study group were significantly shorter than those of control group,and the differences of them between two groups were statistically significant (t=6.092,5.950,P<0.05),respectively. The postoperative complication rate of study group was 13.56％ (8/59),which was significantly lower than 30.77％(12/59) of control group,and the difference of that between two groups was statistically significant (x2=4.280,P<0.05). The satisfaction scores of preoperative communication,surgical procedure and postoperative recovery of study group were significantly higher than those of control group,and the differences of them between two groups were significant (t=9.024,6.658,6.855,P<0.05),respectively. The accuracies of surgical resection of vertebral bodies,intervertebral discs,vertebral arches,vertebral plates,as well as spinal cord and nerve roots of study group were all significantly higher than those of control group,and the differences of them between two groups were statistically significant (t=46.18,50.483,68.997,64.482,43.822,P<0.05),respectively. Conclusion:The 3D reconstruction technique based on CT and MRI has significant advantages in operation planning and intraoperative navigation of spinal surgery,which can effectively shorten operation time and postoperative recovery time,and reduce incidence of postoperative complications,and improve satisfaction and accuracy of surgical resection of lesion site of patients.
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