Journal of Korean Neurosurgical Society

  • 제51권2호
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  • Pages.120-123
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Preliminary Report of Three-Dimensional Reconstructive Intraoperative C-Arm in Percutaneous Vertebroplasty

  • Shin, Jae-Hyuk (Department of Orthopedic Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jeong, Je-Hoon (Department of Neurosurgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2011.07.28
  • 심사 : 2012.02.24
  • 발행 : 2012.02.28
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초록

Objective : Percutaneous vertebroplasty (PVP) is usually carried out under three-dimensional (2D) fluoroscopic guidance. However, operative complications or bone cement distribution might be difficult to assess on the basis of only 2D radiographic projection images. We evaluated the feasibility of performing an intraoperative and postoperative examination in patients undergoing PVP by using three-dimensional (3D) reconstructive C-arm. Methods : Standard PVP procedures were performed on 14 consecutive patients by using a Siremobil Iso-$C^{3D}$ and a multidetector computed tomography machine. Post-processing of acquired volumetric datasets included multiplanar reconstruction (MPR) and surface shaded display (SSD). We analyzed intraoperative and immediate postoperative evaluation of the needle trajectory and bone cement distribution. Results : The male : female ratio was 2 : 12; mean age of patients, 70 (range, 77-54) years; and mean T score, -3.4. The mean operation time was 52.14 min, but the time required to perform and post-process the rotational acquisitions was 7.76 min. The detection of bone cement distribution and leakage after PVP by using MPR and SSD was possible in all patients. However, detection of the safe trajectory for needle insertion was not possible. Conclusion : 3D rotational image acquisition can enable intra- or post-procedural assessment of vertebroplasty procedures for the detection of bone cement distribution and leakage. However, it is difficult to assess the safe trajectory for needle insertion.

키워드

참고문헌

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피인용 문헌

  1. Clinical Effects and Radiological Results of Vertebroplasty: Over a 2-year Follow-Up Period vol.9, pp.4, 2012, https://doi.org/10.14245/kjs.2012.9.4.334