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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
3D-imaging in percutaneous spine surgery using the Surgivisio system
Mehdi Boudissa1, Marc Prod'homme2, Gaël Kerschbaumer2
1Service de chirurgie orthopédique et traumatologique, CHU Grenoble, hôpital Nord, boulevard de la Chantourne, 38700 La Tronche, France; Université Grenoble Alpes, Grenoble, France; CNRS UMR 5525, laboratoire TIMC-IMAG, université Grenoble Alpes, Pavillon Taillefer, 38700 La Tronche, France.
The Surgivisio system offers accurate pedicle screw placement in minimally invasive spine surgery. This intraoperative 3D imaging tool demonstrates effectiveness with acceptable operative times and radiation exposure.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Medical Imaging Technology
Background:
- Minimally invasive spine surgery (MISS) requires precise instrumentation.
- Intraoperative imaging is crucial for accurate pedicle screw placement in MISS.
- The Surgivisio system represents a new generation of intraoperative 3D imaging.
Purpose of the Study:
- To describe the Surgivisio system, its advantages, and limitations.
- To evaluate the accuracy, operative time, and radiation exposure of the Surgivisio system in percutaneous spinal surgery.
Main Methods:
- Analysis of the first year of Surgivisio system use (29 patients).
- Evaluation of pedicle screw insertion accuracy using Heary and Gertzbein classifications.
- Measurement of operative time and radiation exposure per navigated vertebra.
Main Results:
- 95.5% of pedicle screw placements were rated as acceptable (107/112).
- Mean operative time was 29.3 minutes per vertebra.
- Mean radiation exposure was 0.61 mSv per vertebra.
Conclusions:
- The Surgivisio system is an effective navigation tool for pedicle screw insertion in MISS.
- The system provides acceptable radiation exposure and operative time.
- This technology enhances precision in percutaneous spinal procedures.

