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Related Experiment Video

Updated: Feb 26, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Simultaneous navigated cervico-thoracic and thoraco-lumbar fixation.

Krunal Patel1, Tamara Tajsic2, Karol P Budohoski2

  • 1Department of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK. krunal.patel@addenbrookes.nhs.uk.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|July 26, 2017
PubMed
Summary

This case report details the first simultaneous multi-segment spinal fixation using two independent image guidance systems. This innovative approach achieved accurate results, potentially reducing operative time and patient morbidity.

Keywords:
Ankylosing spondylitisImage guidanceMinimally invasiveMultisegment fixationPercutaneousStealth™

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Technology

Background:

  • Image guidance systems are increasingly utilized in spinal fixation procedures.
  • Simultaneous fixation of multiple spinal segments presents unique surgical challenges.
  • The integration of multiple navigation systems offers potential advantages for complex spinal surgeries.

Observation:

  • A case report describing the simultaneous fixation of C6 and T12 unstable, three-column fractures in a patient with ankylosing spondylitis.
  • Two independent Medtronic Stealth Station S7 systems with O-arm imaging were employed for surgical guidance.
  • The procedure involved two surgical teams performing cervico-thoracic and thoraco-lumbar fixations concurrently.

Findings:

  • Simultaneous cervico-thoracic and thoraco-lumbar fixations were successfully performed by two surgical teams.
  • The operative time for the procedure was 2.5 hours.
  • Post-operative imaging confirmed accurate placement of spinal instrumentation, with no neurological sequelae reported for the patient.

Implications:

  • The use of independent navigation systems enables simultaneous, accurate multi-segment spinal fixation.
  • This technique may lead to reduced operative times and decreased patient morbidity, particularly for those requiring prolonged prone positioning.
  • Potential benefits include decreased radiation exposure for operating room staff.