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ID 49047
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Thumnail 66_6_499.pdf 1.99 MB
Author
Nakahara, Ryuichi
Misawa, Haruo
Ozaki, Toshifumi Kakenhi
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.
Keywords
congenital scoliosis
kyphosis
navigation
3-dimensional models
Amo Type
Case Report
Published Date
2012-12
Publication Title
Acta Medica Okayama
Volume
volume66
Issue
issue6
Publisher
Okayama University Medical School
Start Page
499
End Page
502
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2012 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT