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Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
Published on: July 15, 2021
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How I do it? Lumbar cortical bone trajectory fixation with image-guided neuronavigation.
Juan Delgado-Fernández1, Paloma Pulido Rivas2, Ricardo Gil-Simoes2
1Division of Neurosurgery, Department of Surgery, University Hospital 12 de Octubre, Avda de Córdoba S/N, 28041, Madrid, Spain. juan.delgado.fdez@gmail.com.
Acta Neurochirurgica
|October 16, 2019
Summary
Cortical bone trajectory surgery, a minimally invasive technique, improves outcomes for osteoporotic patients. Using 3D neuronavigation reduces radiation and complications associated with spinal fusion.
Area of Science:
- Spinal surgery
- Orthopedic surgery
- Neurosurgery
Background:
- Cortical bone trajectory (CBT) was introduced in 2009 to address screw loosening in osteoporotic bone.
- CBT has shown biomechanical and perioperative advantages over traditional pedicle screws.
- It is recognized as a minimally invasive surgical approach.
Purpose of the Study:
- To present our experience using 3D neuronavigation-assisted CBT.
- To review complications, avoidance strategies, limitations, and pitfalls of the technique.
Main Methods:
- Utilized 3D neuronavigation for guidance during CBT procedures.
- Reviewed clinical outcomes, complications, and technical considerations.
Main Results:
- 3D neuronavigation-assisted CBT demonstrated efficacy in the described cases.
- The technique aims to minimize radiation exposure and surgical complications.
Conclusions:
- Cortical bone trajectory guided by 3D neuronavigation is a valuable technique.
- This approach can potentially reduce radiation exposure and complication rates in spinal surgery.
