The most common indication is disk displacement or herniation discectomy: Excision, in part or whole, of an INTERVERTEBRAL DISC.The personnel that perform CT scans are called radiographers or radiologic technologists Computed tomography: A CT scan or computed tomography scan is a medical imaging technique that uses computer-processed combinations of multiple X-ray measurements taken from different angles to produce tomographic images of a body, allowing the user to see inside the body without cutting.PELD: Percutaneous endoscopic lumbar discectomy. For the treatment of LDH, robot assistance systems are safe, effective, and less invasive than conventional f-PELD. The authors also note the higher cost for robot-assisted surgery in the study, compared to conventional f-PELD, with the cost borne by patients, as well as the time-consuming nature of processing the preoperative CT and intraoperative fluoroscopy imaging data, which may make patients uncomfortable without any anesthesia. By placing patients in the same prone position for preoperative CT and intraoperative imaging, the authors were able to eliminate navigational error using the r-PELD procedure. Considering that nerve compression is the core symptom guiding PELD, establishing an ideal working cannula to reach the lesion is a key outcome of the PELD procedure. In the study, the higher rate of puncture accuracy in the r-PELD group minimized the invasiveness of the procedure, with a lower volume of blood loss and more effective removal of the superior articular process (SAP) for the r-PELD group than that for the f-PELD group. The patients in the r-PELD group and f-PELD group were confirmed by computed tomography (CT), magnetic_resonance (MR), and fluoroscopy imaging for the diagnosis of LDH (Figs 1 and 2). Of the 55 patients who met the selection criteria, 22 were treated with r-PELD (12 men mean age, 39.2 years age range, 15-59 years) and 33 with f-PELD (23 men mean age, 43.4 years age range, 19-71 years). The aim in this study was to compare clinical outcomes between robot-assisted PELD (r-PELD) and conventional fluoroscopy-assisted PELD (f-PELD) for the treatment of LDH. Surgeons generally select to perform PELD at L5-S1 using an interlaminar approach, although radiation exposure during fluoroscopy-guided puncture is unavoidable. how: The following clinical and surgical outcomes were compared between the two groups the visual analog scale for radiculopathy pain Oswestry Disability Index intraoperative volume of blood loss frequency of fluoroscopy used during the procedure and MacNab classification.The robot assistance system the authors used in the study provided created a satisfactory trajectory at L5-S1 with a high iliac crest, with two fluoroscopy images required, on average, per procedure. what: The aim in this study was to compare clinical outcomes between robot-assisted PELD (r-PELD) and conventional fluoroscopy-assisted PELD (f-PELD) for the treatment of LDH.who: Zongjiang Wang from the (UNIVERSITY) have published the research: Minimally invasive trans-Superior articular process percutaneous endoscopic lumbar discectomy with Robot assistance, in the Journal: (JOURNAL).
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