medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2016, Number 2

<< Back Next >>

Acta Ortop Mex 2016; 30 (2)

O-arm navigation in spinal surgery for complex cases

Pescador D, Rendón D, Blanco J, González R, Martín JM, Cano-Gala C, Pescador D

Language: Spanish
References: 16
Page: 100-104
PDF size: 770.65 Kb.


ABSTRACT

The intraoperative computer-assisted navigation technique has evolved and changed the way we approach certain complex cases in the vertebral pathologies. The main advantages of this technique are that it increases the accuracy of the procedure, reduces its morbidity and invasiveness, diminishes the radiation dose and improves surgical protocols. In addition to the transpedicular fixation, the navigation system is useful in a high variety of pathologies such as spinal decompression or tumor resection. In the present study, we show several cases where navigation is used intraoperatively in different pathologies and their clinical outcomes.


REFERENCES

  1. Patil S, Lindley EM, Burger EL, Yoshihara H, Patel VV: Pedicle screw placement with O-arm and stealth navigation. Orthopedics. 2012; 35(1): e61-5.

  2. Ailawadhi P, Agrawal D, Satyarthee GD, Gupta D, Sinha S, Mahapatra AK: Use of O-arm for spinal surgery in academic institution in India: experience from JPN apex trauma centre. Neurol India. 2011; 59(4): 590-3.

  3. Abul-Kasim K, Söderberg M, Selariu E, Gunnarsson M, Kherad M, Ohlin A: Optimization of radiation exposure and image quality of the cone-beam O-arm intraoperative imaging system in spinal surgery. J Spinal Disord Tech. 2012; 25(1): 52-8.

  4. Silbermann J, Riese F, Allam Y, Reichert T, Koeppert H, Gutberlet M: Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques. Eur Spine J. 2011; 20(6): 875-81. Epub 2011 Jan 21.

  5. Wang T, Zhang Q, Niu XH, Yu F, Li Y, Zhao HT, et al: Computer navigation-guided excision of osteoid osteomas. Zhonghua Wai Ke Za Zhi. 2011; 49(9): 808-11.

  6. Ishikawa Y, Kanemura T, Yoshida G, Matsumoto A, Ito Z, Tauchi R, et al: Intraoperative, full rotation, three-dimensional image (O-arm)-based navigation system for cervical pedicle screw insertion. J Neurosurg Spine. 2011; 15(5): 472-8.

  7. Abe Y, Ito M, Abumi K, Kotani Y, Sudo H, Minami A: A novel cost-effective computer-assisted imaging technology for accurate placement of thoracic pedicle screws. J Neurosurg Spine. 2011; 15(5): 479-85.

  8. Scheufler KM, Franke J, Eckardt A, Dohmen H: Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing, part I: cervicothoracic spine. Neurosurgery. 2011; 69(4): 782-95.

  9. Wang Y, Le DQ, Li H, Wang M, Eric Bünger C: Navigated percutaneous lumbosacral interbody fusion: a feasibility study. Comput Aided Surg. 2011; 16(3): 135-42.

  10. Costa F, Cardia A, Ortolina A, Fabio G, Zerbi A, Fornari M: Spinal navigation: standard preoperative versus intraoperative computed tomography data set acquisition for computer-guidance system: radiological and clinical study in 100 consecutive patients. Spine (Phila Pa 1976). 2011; 36(24): 2094-8.

  11. Liu YJ, Tian W, Liu B, Li Q, Hu L, Li ZY, et al: Comparison of the clinical accuracy of cervical (C2-C7) pedicle screw insertion assisted by fluoroscopy, computed tomography-based navigation, and intraoperative three-dimensional C-arm navigation. Chin Med J (Engl). 2010; 123(21): 2995-8.

  12. Steudel WI, Nabhan A, Shariat K: Intraoperative CT in spine surgery. Acta Neurochir Suppl. 2011; 109: 169-74.

  13. Tormenti MJ, Kostov DB, Gardner PA, Kanter AS, Spiro RM, Okonkwo DO: Intraoperative computed tomography image-guided navigation for posterior thoracolumbar spinal instrumentation in spinal deformity surgery. Neurosurg Focus. 2010; 28(3): E11.

  14. Maier B, Zheng G, Ploss C, Zhang X, Welle K, Nolte LP, Marzi I: A CT-free, intra-operative planning and navigation system for minimally invasive anterior spinal surgery —an accuracy study. Comput Aided Surg. 2007; 12(4): 233-41.

  15. Grützner PA, Beutler T, Wendl K, von Recum J, Wentzensen A, Nolte LP: Intraoperative three-dimensional navigation for pedicle screw placement. Chirurg. 2004; 75(10): 967-75.

  16. Gebhard F, Kinzl L, Hartwig E, Arand M: Navigation of tumors and metastases in the area of the thoraco-lumbar spine. Unfallchirurg. 2003; 106(11): 949-55.




2020     |     www.medigraphic.com