Real-time evaluation and correction method in spine posterior approach operation

A technique of posterior surgery and spine, applied in the field of clinical medicine, can solve the problems of lack of navigation guidance, early warning of danger, etc., achieve the effect of simple method, increase the success rate of surgery, and reduce the risk of surgery

Inactive Publication Date: 2014-08-13
THE THIRD XIANGYA HOSPITAL OF CENT SOUTH UNIV
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AI Technical Summary

Problems solved by technology

[0009] The purpose of the embodiments of the present invention is to provide a method for real-time assessment and correction during posterior spinal surgery, aiming at solving the lack of real-time navigation guidance in the existing posterior spinal surgery and the lack of advance warning of the risks in the operation. The problem with early warning methods

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  • Real-time evaluation and correction method in spine posterior approach operation

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Embodiment 1

[0069] Step 1, system parameter calibration, to realize the unification of the coordinate parameters of the C-arm X-ray machine and the CT equipment, so that the results of the patient’s imaging by both are in the unified coordinate system in the system;

[0070] Step 2: The acquired intraoperative frontal and lateral X-rays and preoperative CT sequences are transformed into their corresponding three-dimensional coordinate systems, and finally unified into the same coordinate system by the Euler transformation method;

[0071] Step 3: Three-dimensional reconstruction of the spine on preoperative CT and calibration of vertebral segments. By extracting the features of the spine in the CT tomographic image and the high-brightness signal in the CT slice, segment the tomographic image of the spine to obtain the 3D reconstruction, and obtain the 3D point cloud data of the spine; use the 3D point cloud data to construct the grid surface, and then Perform 3D model reconstruction and r...

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Abstract

The invention discloses a real-time evaluation and correction method in a spine posterior approach operation. Each segment of the spine is divided by an X ray photo and is matched with each corresponding segment of a 3D model which is constructed by CT (Computed Tomography), rigid body transformation is estimated, and thus a rectification result can be obtained; on the basis, the whole spine is spliced, a real-time three-dimensional spine form of a patient on an operating table is reconstructed, an operation effect is estimated in real time, the orientation for placing a nail is corrected in time, the incorrect nail placement in an operation is remedied, the operation risk is reduced, and the success rate of the operation is improved. According to the method, the spine segments belong to rigid bodies, the whole spine belongs to a non-rigid body, and 2D / 3D images of a non-rigid body joint target are subjected to registration; the 3D positions of a pedicle screw is estimated by 2D images, and the 3D form of the spine of the patient after operation nail placement is reconstructed; the problems that visual real-time monitoring and correction lacks in the existing spine posterior approach operation, and the danger existing in the operation is not remedied in time are solved.

Description

technical field [0001] The invention belongs to the technical field of clinical medicine, and in particular relates to a method for real-time evaluation and correction during posterior spinal surgery. Background technique [0002] The cause of lumbar diseases is mostly caused by spinal lesions. According to the statistics of NIH in the United States, there are more than 1 million spinal operations in the United States every year, of which more than 250,000 are performed on the lumbar spine, and the treatment cost is nearly 6 billion US dollars. The number of patients with spinal lesions in my country is more than that in European and American countries. Spinal surgery is the treatment of choice for most of these patients. [0003] Among all vertebral segments, the axis is considered to be one of the more difficult segments to implement pedicle screw placement, which is mainly related to the following factors: [0004] ① The width and height of the pedicles of the axis are sm...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B19/00
CPCA61B17/1757A61B2034/105
Inventor 周勇谭志国张朝跃邹春华
Owner THE THIRD XIANGYA HOSPITAL OF CENT SOUTH UNIV
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