[1]刘万鹏张劲新陈文创①潘艺之②陈荣彬余照宇林新源李勇**.机器人辅助导航经皮拉力螺钉治疗Hangman骨折[J].中国微创外科杂志,2025,01(7):429-434.
　Liu Wanpeng*,Zhang Jinxin*,Chen Wenchuang,et al.Robotassisted Navigation With Percutaneous Lag Screw Treatment for Hangman’s Fracture[J].Chinese Journal of Minimally Invasive Surgery,2025,01(7):429-434.
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机器人辅助导航经皮拉力螺钉治疗Hangman骨折()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年7期
页码:
429-434
栏目:
短篇论著
出版日期:
2025-07-30

文章信息/Info

Title:
Robotassisted Navigation With Percutaneous Lag Screw Treatment for Hangman’s Fracture
作者:
刘万鹏张劲新陈文创①潘艺之②陈荣彬余照宇林新源李勇**
(广东省中医院珠海医院骨三科，珠海519015)
Author(s):
Liu Wanpeng*;  Zhang Jinxin*;  Chen Wenchuang;  et al.
*Department of Orthopedics, Guangdong Provincial Hospital of Traditional Chinese Medicine Zhuhai Hospital, Zhuhai 519015, China
关键词:
机器人辅助导航; 拉力螺钉; Hangman骨折; 置钉准确性; 疗效
Keywords:
Robotassisted navigation; Lag screw; Hangman’s fracture; Screw accuracy; EfficacyHangman
文献标志码:
A
摘要:
目的探讨机器人辅助导航经皮拉力螺钉治疗Hangman骨折的临床疗效。方法回顾性分析2021年9月~2023年8月我院采用机器人辅助C2经皮拉力螺钉治疗的5例Hangman骨折的临床资料。将头颈适度屈曲置于Mayfield头架，麻醉状态下配合手法牵引闭合复位，天玑骨科手术机器人辅助置入C2经皮拉力螺钉。术后复查颈椎CT评估置钉准确性、骨折愈合情况，Odom分级评估临床疗效。结果本组5例均成功手术，无椎动脉及神经损伤等并发症。共置入10枚螺钉，依据GertzbeinRobbins标准，A类9枚，B类1枚，置钉准确率90%(9/10)，优良率100%(10/10)。颈部切口长20~30 mm，平均27 mm；手术时间86~160 min，平均112.8 min；术中出血量10~50 ml，平均30 ml；术后住院时间5~18 d，平均8 d。随访12~34个月，平均23.6月，骨折均愈合，无螺钉断裂、松动。根据Odom分级，优4例，良1例。结论机器人辅助导航C2拉力螺钉治疗Hangman骨折精准微创、安全有效。
Abstract:
ObjectiveTo evaluate the clinical efficacy of robotassisted navigation with percutaneous lag screw treatment for Hangman’s fracture.MethodsWe retrospectively analyzed the clinical data of 5 patients treated with robotassisted C2 percutaneous lag screw for Hangman’s fracture in our hospital from September 2021 to August 2023. Patients were positioned with moderate headneck flexion in a Mayfield head clamp. After closed reduction with manual traction under general anesthesia, the C2 percutaneous lag screws were implanted under TINAVI orthopedic surgical robot assistance. Postoperative cervical CT scans were used to assess screw placement accuracy and fracture healing quality. Clinical efficacy was evaluated by the Odom grading system.ResultsAll the 5 patients were operated successfully without vertebral artery injury or neurological complications. A total of 10 screws were implanted. According to the GertzbeinRobbins standard, 9 screws belonged to the grade A, and 1 belonged to the grade B, with an accuracy of 90% (9/10) and an excellent rate of 100% (10/10). The neck incision length ranged 20-30 mm (mean, 27 mm). The operation time was 86-160 min (mean, 112.8 min). The intraoperative blood loss was 10-50 ml (mean, 30 ml). The postoperative hospitalization was 5-18 d (mean, 8 d). The patients were followed up for 12-34 months (mean, 23.6 months). All fractures healed without screw breakage or loosening. According to the Odom grading, 4 cases were excellent, and 1 case was good.ConclusionRobotassisted navigation C2 percutaneous lag screw treatment for Hangman’s fracture is accurate and minimally invasive, safe and effective.

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备注/Memo

备注/Memo:
基金项目：珠海市医学科研项目基金(2220009000282)**通讯作者，Email：lyzhuhai666@163.com①(中山市中医院骨一科，中山528400)②(广州中医药大学第二临床医学院，广州510405)
更新日期/Last Update: 2025-09-18