| 安占天,黄珂,李志斌,等.脊柱机器人用于治疗老年骨质疏松性椎体压缩骨折的现状[J].中国临床保健杂志,2025,28(5):718-720. |
| 脊柱机器人用于治疗老年骨质疏松性椎体压缩骨折的现状 |
| The current status and prospective view of spinal robots treating osteoporotic vertebral compression fractures in the elderly |
| 投稿时间：2025-06-10 |
| DOI：10.3969/J.issn.1672-6790.2025.05.026 |
| 中文关键词: 脊柱骨折 骨折,压缩性 骨质疏松 机器人手术 老年人 |
| 英文关键词: Spinal fractures Fractures,compression Osteoporosis Robotic surgical procedures Aged 〖FL |
| 基金项目: |
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| 摘要点击次数: 31 |
| 全文下载次数: 19 |
| 中文摘要: |
| 骨质疏松性椎体压缩骨折是老年人最常见的骨骼疾病之一,其主要特点包括骨量减少、骨质量下降及骨强度降低,通常伴随腰背部疼痛和活动受限。传统保守治疗需要患者长期卧床,可能引发多种并发症；相比之下,手术治疗,尤其是经皮椎体成形术,以创伤小、恢复快、并发症少为优势,能够显著改善患者的日常生活质量。然而,由于骨质疏松性椎体压缩骨折常伴椎体严重压缩,进针操作空间受限,增加了手术难度,并可能导致严重并发症。随着技术的进步,骨科手术机器人应运而生,并在治疗骨质疏松性椎体压缩骨折中展现出独特优势。这些机器人能够基于患者的三维影像数据,辅助医生进行椎体进针位置、工作通道方向及深度的手术规划,并通过机械臂按预设路径完成精准定位操作。这种技术显著降低了因人工操作误差导致的邻近神经血管损伤及骨水泥外漏等风险,提高了手术的精准性和安全性。该文将主要围绕脊柱机器人在治疗老年骨质疏松性椎体压缩骨折中的适应证和禁忌证、手术技术及术后并发症等方面展开讨论,并对其发展现状与未来前景进行分析和展望。 |
| 英文摘要: |
| Osteoporotic vertebral compression fracture is among the most prevalent skeletal disorders affecting the elderly population.It is characterized by a bone mass loss,diminished bone quality,and decreased bone strength,often accompanied by back pain and restricted mobility.Traditional conservative treatments typically require prolonged bed rest,which may result in various complications.In contrast,surgical interventions,particularly percutaneous vertebroplasty,offer several advantages,including minimal invasiveness,faster recovery,and a lower incidence of complications,thereby significantly enhancing patients′ quality of life.However,osteoporotic vertebral compression fracture frequently involves severe vertebral compression,restricting the available space for needle insertion,increasing procedural complexity,and heightening the risk of severe complications.With technological advancements,orthopedic surgical robots have emerged as a transformative tool in the management of osteoporotic vertebral compression fracture, demonstrating distinct advantages.These systems utilize patient-specific three-dimensional imaging data to assist physicians in planning the entry point,trajectory,and depth of needle insertion.Additionally,robotic arms precisely execute positioning tasks based on pre-planned paths.This approach significantly reduces risks associated with manual errors,such as damage to adjacent neurovascular structures and cement leakage,thereby improving both the accuracy and safety of the procedure.This article aims to provide a comprehensive analysis of the indications,contraindications,surgical techniques,and postoperative complications associated with the use of spinal robots in the treatment of OVCF in elderly patients.Furthermore,it examines the current state of development in this field and explores potential future directions. |
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