Operating guidelines for navigation-and robot-assisted pedicle screw fixation in the lower cervical spine(version 2024)
Lower cervical pedicle screws are widely used in the treatment of cervical disorders such as trauma and degeneration because of their good biomechanical stability and anti-pullout strength.However,the cervical vertebra has complex anatomical structure and is adjacent to many important structures,so screw misplacement may easily result in serious complications.Navigation and robot systems have been wildly applied to assist in thoracic and lumbar pedicle screw fixation but are still in the exploratory stage for lower cervical pedicle fixation.Moreover,there are certain difficulties in navigation-and robot-assisted screw placement,and non-standard application may easily lead to failure of auxiliary surgery.At present,there is no guideline or consensus on navigation-and robot-assisted lower cervical surgery at home and abroad.In order to standardize the procedures of this technique,the Spinal Trauma Academic Group of Orthopedics Branch of Chinese Medical Doctor Association organized relevant experts to formulate Operating guidelines for navigation-and robot-assisted pedicle screw fixation in the lower cervical spine(version 2024)based on evidence-based medicine.Ten recommendations were proposed on indications and contraindications,preoperative preparation,intraoperative procedures and common problems and countermeasures of lower cervical pedicle screw surgery assisted by navigation and robot systems,so as to provide a reference for the standardized operation of the surgery in hospitals at all levels.
RoboticsCervical vertebraeSpinal fracturesInternal fixatorsSurgical navigation systems
NETL
NSTL
万方数据
