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Pre- and intraoperative thoracic spine localization techniques: a systematic review
Michael J Strong1, Julianne Santarosa2, Timothy P Sullivan3
11Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
Journal of Neurosurgery. Spine
|November 19, 2021
Summary
Accurate thoracic spine surgery requires precise localization. This review details various pre- and intraoperative techniques to prevent wrong-level procedures, emphasizing patient-specific choices for optimal outcomes.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Surgical Navigation
Background:
- Wrong-level spinal surgery remains a concern despite advanced medical technology.
- Thoracic spine localization is challenging due to patient anatomy and imaging limitations.
Purpose of the Study:
- To review and describe techniques for accurate thoracic spine localization.
- To assess methods for preventing incorrect surgical levels in the thoracic spine.
Main Methods:
- A systematic literature search was conducted using PubMed (1990-2020).
- The review included 27 articles analyzed qualitatively, adhering to PRISMA guidelines.
Main Results:
- Multiple pre- and intraoperative localization strategies exist.
- Techniques include metallic markers, neuronavigation, imaging (MRI, fluoroscopy, ultrasound), and skin marking.
Conclusions:
- Various thoracic spine localization techniques offer distinct benefits and drawbacks.
- The choice of technique is ultimately patient-specific and surgeon-dependent.
