neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2015-0-3-79-82neurosurgery-207Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEИСПОЛЬЗОВАНИЕ РОБОТОАССИСТЕНЦИИ ДЛЯ ПЕРКУТАННОГО ВВЕДЕНИЯ КОСТНОГО ЦЕМЕНТА В ТРАНСПЕДИКУЛЯРНЫЕ ВИНТЫ ПРИ ИХ НЕСОСТОЯТЕЛЬНОСТИThe usage of robot-assisted technique for percutaneous injection of bone cement into transpedicular screws in the case of their failureЗильберштейнБорисZil’BershteynB. .silberstein.b@gmail.comБрускинАлександрBruskinA. .noemail@neicon.ruАлександровскийВиталийAleksandrovskiyV. .noemail@neicon.ruБеренфельдБенжаминBerenfel’DB. .noemail@neicon.ruМедицинский центр Леди Дэвис Карнель; Компания Mazor RoboticsRussian FederationМедицинский центр Леди Дэвис КарнельRussian Federation201505102015037982Copyright © Зильберштейн Б..., Брускин А..., Александровский В..., Беренфельд Б..., 20152015Зильберштейн Б., Брускин А., Александровский В., Беренфельд Б.Zil’Bershteyn B..., Bruskin A..., Aleksandrovskiy V..., Berenfel’D B...Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/207

Описан случай двустороннего и одностороннего образования полостей в позвонках вокруг транспедикулярных винтов из-за остеопороза, что привело к их несостоятельности и к тяжелым изнуряющим болям в пояснице. Риск открытой операции у 78-летней пациентки с ожирением и рядом соматических заболеваний был крайне высок, поэтому было успешно выполнено заднее перкутанное введение цемента в эти полости с применением роботоассистенции, что позволило избежать открытой операции и связанных с ней возможных осложнений.

This article presents the clinical case of bilateral and unilateral formation of cavities in vertebral bodies around the previously placed transpedicular screws because of osteoporosis that resulted in their failure and severe изнуряющим lumbar pain syndrome. The risk of open surgery at 78 years old female patient suffered from obesity and some somatic pathologies was extremely high that is why we successfully used the posterior percutaneous injection of bone cement into these cavities using robot-assisted technique, which allowed escaping open surgery and possible related complications.

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