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Related Experiment Video

Updated: May 9, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
08:34

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Published on: October 17, 2025

Neuronavigation in minimally invasive spine surgery.

Ziev B Moses1, Rory R Mayer, Benjamin A Strickland

  • 1Departments of Neurosurgery, Brigham and Women's Hospital and Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Neurosurgical Focus
|August 3, 2013
PubMed
Summary
This summary is machine-generated.

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See all related articles

Advanced image guidance and minimally invasive spine surgery (MISS) improve surgical accuracy and safety. These technologies enable precise instrumentation placement, reducing patient morbidity and surgeon radiation exposure.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Imaging

Background:

  • Minimally invasive spine surgery (MISS) is advancing rapidly, driven by innovations in imaging and surgical techniques.
  • Traditional intraoperative imaging is being supplemented by advanced platforms like 3D-fluoroscopy, cone-beam CT, and intraoperative CT/MRI.
  • These new technologies enhance safety and accuracy in instrument placement while minimizing radiation exposure for surgeons.

Purpose of the Study:

  • To review the current applications of advanced image guidance systems in minimally invasive spine surgery.
  • To analyze the integration of novel imaging technologies with minimal access surgical approaches for spinal pathologies.

Main Methods:

  • A comprehensive literature search was conducted on PubMed, focusing on minimally invasive spine surgery and image guidance platforms.

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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement

Published on: May 11, 2020

Related Experiment Videos

Last Updated: May 9, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF
08:34

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Published on: October 17, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
06:24

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement

Published on: May 11, 2020

  • Relevant English-language studies were selected and analyzed based on their application in cervical, thoracic, and lumbosacral spinal regions.
  • Studies were characterized to highlight specific image-guided techniques and their outcomes.

    • Main Results:

    • Fifty-two studies were reviewed, detailing the use of 3D navigation (e.g., iso-C system) for C1-2 transarticular screw placement and occipital-cervical junction procedures.
    • Endoscopic techniques in cervical spine surgery and neuronavigation for thoracic and lumbar pedicle screw placement (in infection, trauma, deformity) were discussed.
    • The application of image guidance in transsacral approaches was also examined.

    Conclusions:

    • Advancements in image guidance and MISS techniques offer safer, more accurate surgical options for spinal conditions, reducing conventional approach morbidities.
    • Percutaneous transpedicular screw placement is a primary beneficiary of navigation, but neuronavigation benefits extend to other areas of spine surgery.
    • Continued growth and innovation in image-guided MISS are anticipated, further enhancing patient care.