zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2022-19-3-01zdor-2304Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESИндивидуальные навигационные шаблоны для установки транспедикулярных винтов в хирургии позвоночника: систематический обзорIndividual navigation templates for pedicle screw placement in spine surgery: a systematic reviewhttps://orcid.org/0000-0002-2358-2897КовалёвЕ. В.KovalevE. V.

Ковалёв Евгений Владимирович, врач-нейрохирург

г. Гомель

Evgeny V. Kovalev, neurosurgeon

Gomel

kovalevsurgery@mail.ruhttps://orcid.org/0000-0003-2681-1533КириленкоС. И.KirilenkoS. I.

Кириленко Сергей Иванович, к.м.н., врач-нейрохирург, заведующий нейрохирургическим отделением № 2

г. Гомель

Sergey I. Kirilenko, PhD (Med), neurosurgeon, Head of Neurosurgery Department No.2

Gomel

ortoped74@bk.ruhttps://orcid.org/0000-0002-4883-5598МазуренкоА. Н.MazurenkoA. N.

Мазуренко Андрей Николаевич, к.м.н., доцент, заведующий лабораторией травматических повреждений позвоночника и спинного мозга

г. Минск

Andrey N. Mazurenko, PhD (Med), Associate Professor, Head of the Laboratory of the Spine and Spinal Cord Traumatic Injuries

Minsk

mazurenko@mail.ruhttps://orcid.org/0000-0002-6172-3371ДубровскийВ. В.DubrouskiU. V.

Дубровский Владислав Викторович, научный сотрудник

г. Гомель

Uladzislau V. Dubrouski, research associate

Gomel

vlad.mpri@gmail.comГомельская областная клиническая больницаGomel Regional Clinical HospitalРеспубликанский научно-практический центр травматологии и ортопедииRepublican Scientific and Practical Center of Traumatology and OrthopedicsИнститут механики металлополимерных систем им. В. А. Белого НАН БеларусиV. A. Belyi Metal-Polymer Research Institute of the National Academy of Sciences of Belarus»202213092022193517Copyright © Ковалёв Е.В., Кириленко С.И., Мазуренко А.Н., Дубровский В.В., 20222022Ковалёв Е.В., Кириленко С.И., Мазуренко А.Н., Дубровский В.В.Kovalev E.V., Kirilenko S.I., Mazurenko A.N., Dubrouski U.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/2304

В обзоре литературы приведены данные мировых исследований о применении индивидуальных навигационных шаблонов в хирургии позвоночника. Проанализированы опубликованные результаты применения индивидуальных навигационных шаблонов на разных отделах позвоночника. Приведена оценка точности и безопасности установленных транспедикулярных винтов при помощи шаблонов. Выделены основные этапы создания шаблонов, включая методы визуализации для 3D-моделирования, методы 3D-печати, доступные материалы, а также определены время и затраты, связанные с 3D-печатью. Для анализа информации выбраны 23 публикации, из них 8 касаются шейного отдела, 10 — грудного и 5 — поясничного отдела позвоночника. Проанализированы данные 460 пациентов, которым с помощью шаблонов установлено 3294 винта, из которых, как показал анализ, 3059 (92,8 %) имели наивысшую степень безопасной установки. 

The literature review presents data from world studies on the use of individual navigation templates in spine surgery and analyzes the published results of the application of individual navigation templates on different parts of the spine. The accuracy and safety of fixed transpedicular screws were evaluated using the templates. The main stages of template creation were highlighted, including the visualization methods for 3D modeling, 3D printing methods, available materials, as well as the time and costs associated with 3D printing were determined. For information analysis 23 publications were selected, 8 of them relate to the cervical spine, 10 — to the thoracic, and 5 — to the lumbar spine. The data of 460 patients in whom 3,294 screws had been fixed using the templates were analyzed, and the analysis has revealed that out of 3,294 screws, 3,059 (92.8%) have the highest level of safe fixation.

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