Computer-assisted navigation in complex cervical spine surgery: tips and tricks.

Stereotaxic techniques cervical vertebrae/surgery computer-assisted/instrumentation orthopedic procedures/instrumentation spine/surgery surgery

Journal

Journal of spine surgery (Hong Kong)
ISSN: 2414-469X
Titre abrégé: J Spine Surg
Pays: China
ID NLM: 101685460

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 21 4 2020
pubmed: 21 4 2020
medline: 21 4 2020
Statut: ppublish

Résumé

Stereotactic navigation is quickly establishing itself as the gold standard for accurate placement of spinal instrumentation and providing real-time anatomic referencing. There have been substantial improvements in computer-aided navigation over the last decade producing improved accuracy with intraoperative scanning while shortening registration time. The newest iterations of modeling software create robust maps of the anatomy while tracking software localizes instruments in multiple display modes. As a result, stereotactic navigation has become an effective adjunct to spine surgery, particularly improving instrumentation accuracy in the setting of atypical anatomy. This article provides an overview of stereotactic navigation applied to complex cervical spine surgery, details the means for registration and direct referencing, and shares our preferred methods to implement this promising technology.

Identifiants

pubmed: 32309652
doi: 10.21037/jss.2019.11.13
pii: jss-06-01-136
pmc: PMC7154370
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

136-144

Informations de copyright

2020 Journal of Spine Surgery. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: The series “Advanced Techniques in Complex Cervical Spine Surgery” was commissioned by the editorial office without any funding or sponsorship. ISA served as the unpaid Guest Editors of the series “Advanced Techniques in Complex Cervical Spine Surgery” published in Journal of Spine Surgery. The other authors have no conflicts of interest to declare.

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Auteurs

Nicholas Wallace (N)

Department of Orthopedic Surgery, Division of Spine Surgery, University of Michigan, Ann Arbor, MI, USA.

Nathaniel E Schaffer (NE)

Department of Orthopedic Surgery, Division of Spine Surgery, University of Michigan, Ann Arbor, MI, USA.

Brett A Freedman (BA)

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Ahmad Nassr (A)

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Bradford L Currier (BL)

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Rakesh Patel (R)

Department of Orthopedic Surgery, Division of Spine Surgery, University of Michigan, Ann Arbor, MI, USA.

Ilyas S Aleem (IS)

Department of Orthopedic Surgery, Division of Spine Surgery, University of Michigan, Ann Arbor, MI, USA.

Classifications MeSH