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Prohibited Arc Angles During Leksell Frame-Based Stereotaxy.
Holger Joswig1, Andrew G Parrent1, Keith W MacDougall1
1Epilepsy Program, Department of Clinical Neurological Sciences, Division of Neurosurgery, London Health Sciences Centre, University Hospital, London, Ontario, Canada.
World Neurosurgery
|February 3, 2018
Summary
This study provides a crucial matrix for Leksell frame stereotactic surgery, detailing usable and prohibited X-coordinate and arc angle combinations. This facilitates optimal trajectory planning for neurosurgical procedures.
Area of Science:
- Neurosurgery
- Medical Device Technology
- Surgical Navigation
Background:
- Leksell frame-based stereotaxy can face trajectory obstructions from arc supports.
- Specific X-coordinate and arc angle settings pose challenges for lateral trajectories.
Purpose of the Study:
- To develop a comprehensive matrix of usable and prohibited settings.
- To aid in identifying optimal lateral stereotactic trajectories with the Leksell frame.
Main Methods:
- Testing various X-coordinate and arc angle combinations.
- Utilizing a Leksell Multi-Purpose Stereotactic Arc on a Leksell Coordinate Frame G.
Main Results:
- A definitive matrix of usable and prohibited settings was generated.
- The matrix identifies specific combinations to avoid for unobstructed trajectories.
Conclusions:
- The developed matrix streamlines workflow in Leksell frame stereotactic procedures.
- Improved trajectory planning enhances surgical efficiency and safety.
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