3D-based navigation in posterior stabilisations of the cervical and thoracic spine: problems and benefits. Results of 451 screws

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
J-S JarversC Josten

Abstract

Navigated procedures in spinal surgery have been established due to an increasing demand for precision. Especially, 3D C-arms connected to navigation systems are being used more often and can be utilised intraoperatively for the planning and controlling of screw positions. This prospective study analyses our experiences with 3D-based navigation in posterior stabilisations in the cervical and thoracic spine. A 3D C-Arm (Ziehm Vision Vario 3D(®)) was connected to a navigation system (VectorVision, Brainlab(®)) and used for the placement of, in total, 451 screws among 67 patients. Of those, 14 patients had to undergo operations in the cervical and 53 in the thoracic spine. Postoperatively, the positioning was observed with computed tomography (CT). The application time is approximately 6 min. In total, 354/451 (78.5%) screws could be inserted assisted with navigation, and 272/451 (60.3%) were controlled intraoperatively. Regarding the cervical spine, in 87.1% (61/70) of the screws, the navigation procedure was uneventful. The positioning of 63.2% (43/68) of the screws was checked intraoperatively. In the upper thoracic spine, 77% (293/381) could be placed with navigation and 59.6% (227/381) were controlled intraoperatively. Occasi...Continue Reading

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Citations

Sep 26, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·S BandieraS Boriani
Sep 21, 2016·Der Unfallchirurg·O GonschorekV Bühren
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