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Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
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Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation
Terrence T Kim1, J Patrick Johnson2, Robert Pashman1
1Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Biomed Research International
|May 24, 2016
Summary
Minimally invasive spine surgery using intraoperative computed tomography (CT) navigation improves accuracy and reduces complications. This technique offers advantages over traditional fluoroscopy, including lower radiation exposure and fewer revisions for lumbar spine pathologies.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Medical Imaging
Background:
- Minimally invasive spine surgery (MISS) is increasingly utilized for lumbar spine pathologies.
- Traditional fluoroscopy-guided techniques have limitations in accuracy and radiation exposure.
Observation:
- This study details a perioperative MISS technique employing intraoperative computed tomography (CT) image-guided navigation.
- An illustrative case of minimally invasive percutaneous posterior spinal fusion using the O-arm system with navigation is presented.
Findings:
- Intraoperative CT navigation offers significant advantages over fluoroscopic methods.
- Benefits include reduced occupational radiation exposure, decreased need for postoperative imaging, and lower revision rates.
- The technique has been reported to increase surgical accuracy.
Implications:
- This navigation-assisted MISS approach enhances patient safety and surgical outcomes.
- It represents a valuable advancement in treating diverse lumbar spine conditions.
- Wider adoption could lead to improved efficiency and reduced healthcare costs associated with spine surgery.
