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Surface Navigation and the Influence of Navigation on MIS Surgery
Ram K Alluri1, Ahilan Sivaganesan1, Avani S Vaishnav1
1Hospital for Special Surgery, New York, NY, USA.
Global Spine Journal
|April 8, 2022
Summary
Surface-based navigation in minimally-invasive spine surgery (MIS) shows promise for accurate screw placement and reduced operative time. Further research is needed to confirm its effectiveness and cost-efficiency in MIS procedures.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Surgical Navigation Technologies
Background:
- Minimally-invasive spine surgery (MIS) offers advantages but requires advanced navigation.
- Traditional fluoroscopic imaging has limitations in MIS procedures.
Purpose of the Study:
- To review evidence for surface-based navigation in MIS.
- To outline the workflow for surface-based navigation.
- To present case examples where surface-based navigation is beneficial.
Main Methods:
- Comprehensive literature review on surface-based navigation in MIS.
- Compilation of findings and case examples.
Main Results:
- Surface-based intraoperative navigation (ION) shows encouraging results in spine surgery.
- Potential for accurate pedicle screw placement.
- Reduced operative time, fluoroscopy time, and radiation exposure compared to traditional methods.
- Applicable in MIS cervical/lumbar decompressions and lumbar instrumentation.
Conclusions:
- Surface-based ION may become a key technology in MIS.
- Further studies are required to assess accuracy, complications, and cost-effectiveness.
