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Surgical workflow for fully navigated high sacral amputation in sacral chordoma.
Johannes Goldberg1, Simon Heinrich Bayerl1, Christian Witzel2
1Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Neurosurgical Review
|November 20, 2019
Summary
High sacral amputation using intraoperative computed tomography (iCT)-based spinal navigation enhances surgical safety and accuracy. This advanced technique aids in precise en bloc tumor removal while preserving neurological function.
Area of Science:
- Neurosurgery
- Orthopedic Oncology
- Surgical Navigation
Background:
- Sacral chordomas require en bloc tumor removal, often via sacrectomy or sacral amputation.
- Preserving neurological function is critical to prevent postoperative bladder and bowel dysfunction.
- Complex pelvic anatomy and surrounding structures complicate sacral tumor removal.
Observation:
- This study describes a surgical workflow for high sacral amputation using an intraoperative computed tomography (iCT)-based spinal navigation system.
- The technique integrated an iCT scanner, an image-guidance system with an infrared tracking camera, and spinal navigation tools.
- The workflow facilitated a fully navigated high sacral amputation.
Findings:
- The study successfully implemented iCT-based spinal navigation for high sacral amputation.
- Key advantages of the technique were observed throughout the surgical procedure.
- The navigation system proved to be a valuable tool for en bloc tumor removal.
Implications:
- iCT-based spinal navigation improves the safety and accuracy of high sacral amputations.
- This technology offers a complementary approach for complex sacral tumor surgeries.
- Enhanced precision may lead to better patient outcomes and reduced neurological complications.
