polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумы10.56618/2071-2693_2023_15_3_40polenovjournal-215Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL PAPERSСравнительный анализ выполнения транспедикулярной фиксации у пациентов с позвоночно-спинномозговой травмой методом “свободной руки” и с помощью оригинального навигационного устройстваComparative analysis of the performance of transpedicular fixation in patients with spinal cord injury by the “free hand” method and using an original navigation devicehttps://orcid.org/0000-0002-9712-4661ИваненкоА. В.IvanenkoA. V.

Иваненко Андрей Валентинович

Россия, Санкт-Петербург, ул. Маяковского, 12, 191014 

 Ivanenko Andrey Valentinovich 

Saint Petersburg, Mayakovskogo str. 12, 191014 

https://orcid.org/0000-0001-7350-6772УсиковВ. Д.UsykovV. D.

Усиков Владимир Дмитриевич

Россия, г. Пенза, ул. Центральная 1В, 440004 

Usykov Vladimir Dmitrievich 

Russia, Penza, Tsentralnaya str. 1B, 440004

https://orcid.org/0000-0002-0548-8944КуфтовВ. С.KuftovV. S.

Куфтов Владимир Сергеевич

Россия, Брянск, ул. Камозина, 11, 241035 

Kuftov Vladimir Sergeevich 

11 Kamozina str., Bryansk, 241035

https://orcid.org/0000-0002-8571-1447МонашенкоД. Н.MonashenkoD. N.

Монашенко Дмитрий Николаевич 

Россия, Санкт-Петербург, ул. Костюшко, 2, 196066 

Monashenko Dmitry Nikolaevich 

St. Petersburg, Kosciusko str., 2, 196066

https://orcid.org/0000-0002-8343-4917УлитинА. Ю.UlitinA. Yu.

Улитин Алексей Юрьевич

Россия, Санкт-Петербург, ул. Маяковского, 12, 191014 

Ulitin Alexey Yurievich 

Saint Petersburg, Mayakovskogo str. 12, 191014

РНХИ им. проф. А. Л. Поленова — филиал НМИЦ им. В. А. АлмазоваРоссияRussian Scientific research Institute for Neurosurgery prof. A. l. Polenov branch Federal State Budgetary Institution «V.A. Almazov National medical research Center»Russian FederationМТФ “Синтез”РоссияMTF “ Sintez”Russian FederationГАУЗ Городская больница № 1РоссияBryansk City Hospital No. 1Russian FederationГБУЗ Городская больница № 26РоссияCity Hospital No. 26Russian FederationРНХИ им. проф. А. Л. Поленова — филиал НМИЦ им. В. А. АлмазоваРоссияRussian Scientific Research Institute for Neurosurgery prof. A. L . Polenov branch Federal State Budgetary Institution «V. A . Almazov National Medical Research Center»Russian Federation2023190820231534045Copyright © Иваненко А.В., Усиков В.Д., Куфтов В.С., Монашенко Д.Н., Улитин А.Ю., 20232023Иваненко А.В., Усиков В.Д., Куфтов В.С., Монашенко Д.Н., Улитин А.Ю.Ivanenko A.V., Usykov V.D., Kuftov V.S., Monashenko D.N., Ulitin A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/215

Представлен ретроспективный анализ введения транспедикулярных винтов у 93 больных с позвоночно-спинномозговой травмой (ПСМТ) на грудном и поясничном отделах. По технике установки винтов сформированы 2 группы: пациентам первой группы (50 человек) — установка транспедикулярных винтов проводилась методом “свободной руки” (free–hand), пациентам второй группы (43 человека) винты устанавливались с помощью разработанного нами оригинального навигационного устройства. Использование предлагаемого навигационного устройства позволило не только снизить лучевую нагрузку и время операции, но и повысить точность установки винтов до 94,2 % с минимальным отклонением от планируемых траекторий по отношению к методу “свободной руки” — 83,5 %.

A retrospective analysis of the introduction of transpedicular screws in 93 patients with spinal cord injury (PSMT) in the thoracic and lumbar regions is presented. According to the screw installation technique, 2 groups were formed: for patients of the first group (50 people), the installation of transpedicular screws was carried out by the “free–hand” method, for patients of the second group (43 people), the screws were installed using an original navigation device developed by us. The use of the proposed navigation device allowed not only to reduce the radiation load and the operation time, but also to increase the accuracy of the screws to 94.2 % with a minimum deviation from the planned trajectories in relation to the “free hand” method — 83.5 %.

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The authors declare that there are no conflicts of interest present.