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Updated: Jun 28, 2025

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Image-Guided Navigation in Spine Surgery: From Historical Developments to Future Perspectives.

John Preston Wilson1, Lane Fontenot1, Caleb Stewart1

  • 1Department of Neurosurgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA 71103, USA.

Journal of Clinical Medicine
|April 13, 2024
PubMed
Summary

Spine surgery navigation has evolved from fluoroscopy to robotics. Intraoperative navigation with internal fiducial markers ensures accuracy, reducing revisions and improving operating room efficiency.

Keywords:
CT image-guided navigationfluoroscopic navigationimage-guided navigationintraoperative navigationmachine vision image-guidanceminimally invasive spine surgery navigationpedicle screw fixationrobot-assisted image-guided navigationspine surgery navigation

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Technology

Background:

  • Intraoperative navigation is crucial for accurate instrumentation in spine surgery.
  • Spinal navigation has advanced significantly, from fluoroscopy to robotic systems.
  • Understanding navigation system protocols enhances surgical effectiveness.

Purpose of the Study:

  • To highlight the importance of intraoperative navigation in spine surgery.
  • To discuss the evolution and application of spinal navigation technologies.
  • To demonstrate the use of internal fiducial markers for confirming navigation accuracy.

Main Methods:

  • Review of intraoperative navigation systems in spine surgery.
  • Discussion of system protocols and operating room integration.
  • Intraoperative confirmation of navigation accuracy using internal fiducial markers.

Main Results:

  • Advanced navigation systems, including robotics, offer improved guidance.
  • Internal fiducial markers provide intraoperative verification of navigation accuracy.
  • Effective use of navigation technology can be optimized by understanding system protocols.

Conclusions:

  • Intraoperative navigation is essential for precise instrumentation in spine surgery.
  • Internal fiducial markers enhance the reliability of navigation systems.
  • Optimized navigation reduces revision surgeries, complications, and improves OR efficiency.