ID | 49047 |
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Author |
Sugimoto, Yoshihisa
Kaken ID
Nakahara, Ryuichi
Misawa, Haruo
Kunisada, Toshiyuki
Kaken ID
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Abstract | An 11 year-old girl had 66 degrees of kyphosis in the thoracolumbar junction. For the purpose of planning for kyphosis correction, we created a 3-D, full-scale model of the spine and consulted spinal navigation. Three-dimensional models are generally used as tactile guides to verify the surgical approach and portray the anatomic relations specific to a given patient. We performed posterior fusion from Th10 to L3, and vertebral column resection of Th12 and L1. Screw entry points, directions, lengths and diameters were determined by reference to navigation. Both tools were useful in the bone resection. We could easily detect the posterior element to be resected using the 3D model. During the anterior bony resection, navigation helped us to check the disc level and anterior wall of the vertebrae, which were otherwise difficult to detect due to their depth in the surgical field. Thus, the combination of navigation and 3D models helped us to safely perform surgery for a patient with complex spinal deformity.
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Keywords | congenital scoliosis
kyphosis
navigation
3-dimensional models
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2012-12
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Volume | volume66
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Issue | issue6
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Publisher | Okayama University Medical School
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Start Page | 499
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End Page | 502
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2012 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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