ПЕРВЫЙ ОПЫТ ИСПОЛЬЗОВАНИЯ ПЕРСОНАЛИЗИРОВАННЫХ 3D-МОДЕЛЕЙ В ХИРУРГИИ ПЕРЕЛОМОВ ГРУДО-ПОЯСНИЧНОГО ОТДЕЛА ПОЗВОНОЧНИКА
Ключевые слова:
грудопоясничный переход, транспедикулярная фиксация, 3D-моделирование, переломы позвоночника, VAS, ODI, ASIAАннотация
Оценить эффективность персонализированных 3D-моделей при хирургическом лечении переломов грудопоясничного перехода позвоночника. Проанализировано лечение 11 пациентов (T11–L2) с использованием предоперационного 3D-планирования на основе МСКТ. Оценка точности установки винтов проводилась по Gertzbein–Robbins, клинические результаты - по VAS, ODI и ASIA. 95,5% винтов соответствовали Grade A–B. Болевой синдром снизился (VAS >8 до 2,5), ODI - с 58% до 22% через 6 месяцев. Отмечена положительная неврологическая динамика, осложнений не зарегистрировано. 3D-моделирование повышает точность установки винтов и улучшает клинические результаты.
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