[1]朱宗东谭波唐智胡豇魏丹廖锋**.三维C臂结合骨科手术机器人辅助经S3椎体骶髂螺钉置入治疗骨盆骨折4例[J].中国微创外科杂志,2025,01(10):636-640.
　Zhu Zongdong,Tan Bo,Tang Zhi,et al.Carm Combined With Orthopedic Robotassisted Iliosacral Screw Fixation Through S3 Vertebra for Pelvic Fracture: Report of 4 Cases[J].Chinese Journal of Minimally Invasive Surgery,2025,01(10):636-640.
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三维C臂结合骨科手术机器人辅助经S3椎体骶髂螺钉置入治疗骨盆骨折4例()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年10期
页码:
636-640
栏目:
经验交流
出版日期:
2025-10-25

文章信息/Info

Title:
Carm Combined With Orthopedic Robotassisted Iliosacral Screw Fixation Through S3 Vertebra for Pelvic Fracture: Report of 4 Cases
作者:
朱宗东谭波唐智胡豇魏丹廖锋**
(四川省医学科学院·四川省人民医院骨科电子科技大学医学院，成都610072)
Author(s):
Zhu Zongdong;  Tan Bo;  Tang Zhi;  et al.
Department of Orthopedics, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China
关键词:
骨盆骨折; 骶髂螺钉; 第3骶椎; 三维成像; 机器人辅助骨科手术
Keywords:
Pelvic fracture; Iliosacral screw; Third sacral vertebra; Threedimensional imaging; Robotassisted orthopedic surgery
文献标志码:
B
摘要:
目的探讨三维C臂结合骨科手术机器人辅助经S3椎体骶髂螺钉置入手术的可行性与安全性。方法2023年7月~2024年6月，对4例闭合性骨盆骨折患者，术前骨盆CT三维重建可见经S3椎体骶髂螺钉骨性通道存在且需要置钉固定，不存在经S1椎体通道，或经S3通道固定的稳定性优于经S1通道固定，使用三维C臂结合骨科手术机器人置入空心螺钉。术后随访至少6个月，评定骨折愈合情况和肢体功能。结果4例均顺利置入经S2、S3骶髂螺钉各1枚，8枚螺钉均未穿出骨皮质。术后3个月Majeed评分优3例，良1例。术后分别随访18、12、7、6个月，骨折均顺利愈合，无螺钉松动或断裂。结论对于存在经S3椎体骶髂螺钉骨性通道的骨盆骨折，术中三维图像采集结合手术机器人辅助置钉安全、可行。
Abstract:
ObjectiveTo verify the feasibility and safety of threedimensional (3D) image acquisition by Carm combined with orthopedic robotassisted iliosacral screw fixation through S3 vertebra.MethodsFrom July 2023 to June 2024, a total of 4 patients with closed pelvic fracture were surgically treated. Preoperative pelvic CT 3D reconstruction showed the presence of an ideal iliosacral screw bone channel through S3 vertebra which required screw fixation. There was no such channel through the S1 vertebra, or the stability of fixation through the S3 channel was better than that through the S1 channel. The 3D image acquisition by Carm combined with orthopedic surgical robot was used to insert screws. Followups were conducted for at least 6 months after surgery to assess fracture healing and limb function.ResultsAll the 4 patients were successfully implanted with a S2 and a S3 iliosacral screw, and all the 8 screws did not penetrate the cortical bone. Three cases had excellent Majeed scores and 1 case had good scores at 3 months after surgery. Followups were conducted for 18, 12, 7, and 6 months after surgery,respectively, and all fractures healed smoothly without any loosening or breakage of screws.Conclusion3D image acquisition by Carm combined with orthopedic robotassisted iliosacral screw fixation through S3 vertebra is feasible, safe and effective.

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备注/Memo

备注/Memo:
基金项目：四川省科技厅科技支撑项目(2022YFS0103)；国家重点研发计划(2022YFC2407506)**通讯作者，Email：liaofeng@uestc.edu.cn
更新日期/Last Update: 2025-11-25