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Virtual and Real Time Navigational Techniques

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Abstract

All new technology should enable physicians to perform previously undoable tasks or solve unsolved problems, rather than dominating over reason as once elegantly stated by Scott Boden. This certainly applies to spinal surgery and navigational techniques that have developed over the past decade. Image-guided spinal surgery (IGS) is certainly a good addition to the armamentarium of a spine surgeon but, by any means, does not replace experience. However, there are certain types of operations where the extent of pathology is not directly visible, the resection volume of pathological tissue cannot be predicted, or the implant trajectory is out of sight of direct vision. Here, image-guided techniques have the potential to enhance the safety of such procedures.

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References

  1. Acosta Jr., F.L., Quinones-Hinojosa, A., Gadkary, C.A., et al.: Frameless stereotactic image-guided C1-C2 transarticular screw fixation for atlantoaxial instability: review of 20 patients. J Spinal Disord Tech 18, 385–391 (2005)

    Article  PubMed  Google Scholar 

  2. Arand, M., Hartwig, E., Kinzl, L., et al.: Spinal navigation in cervical fractures – a preliminary clinical study on Judet-osteosynthesis of the axis. Comput Aided Surg 6, 170–175 (2001)

    CAS  PubMed  Google Scholar 

  3. Barsa, P., Suchomel, P., Lukas, R., et al.: Percutaneous CT-guided radiofrequency ablation in spinal osteoid osteoma treatment. Acta Chir Orthop Traumatol Cech 74, 401–405 (2007)

    CAS  PubMed  Google Scholar 

  4. Battaglia, T.C., Tannoury, T., Crowl, A.C.: A cadaveric study comparing standard fluoroscopy with fluoroscopy-based computer navigation for screw fixation of the odontoid. J Surg Orthop Adv 14, 175–180 (2005)

    PubMed  Google Scholar 

  5. Bolger, C.: Preliminary experience with computer assisted surgery for C1/C2 transarticular screw placement. Computer Assisted Orthopedic Surgery, 4th international symposium, Davos, 17–19 March 1999, p. S25.

    Google Scholar 

  6. Borm, W., Konig, R.W., Albrecht, A., et al.: Percutaneous transarticular atlantoaxial screw fixation using a cannulated screw system and image guidance. Minim Invasive Neurosurg 47, 111–114 (2004)

    Article  CAS  PubMed  Google Scholar 

  7. Bransford, R., Falicov, A., Nguyen, Q., et al.: Unilateral C-1 lateral mass sagittal split fracture: an unstable Jefferson fracture variant. J Neurosurg Spine 10, 466–473 (2009)

    Article  PubMed  Google Scholar 

  8. Braun, V., Rath, S.A., Antoniadis, G., et al.: In vivo experiences with frameless stereotactically guided screw placement in the spine – results from 75 consecutive cases. Neurosurg Rev 24, 74–79 (2001)

    Article  CAS  PubMed  Google Scholar 

  9. Foley, K.T., Smith, M.M.: Image-guided spine surgery. Neurosurg Clin N Am 7, 171–186 (1996)

    CAS  PubMed  Google Scholar 

  10. Fritz, H.G., Kuehn, D., Haberland, N., et al.: Anesthesia management for spine surgery using spinal navigation in combination with computed tomography. Anesth Analg 97, 863–866 (2003)

    Article  PubMed  Google Scholar 

  11. Gabriel, E.M., Nashold Jr., B.S.: History of spinal cord stereotaxy. J Neurosurg 85, 725–731 (1996)

    Article  CAS  PubMed  Google Scholar 

  12. Gebhard, F., Weidner, A., Liener, U.C.: Navigation at the spine. Injury 35(Suppl 1), S-A35–S-A45 (2004)

    Google Scholar 

  13. Goel, A., Desai, K.I., Muzumdar, D.P., et al.: Atlantoaxial fixation using plate and screw method: a report of 160 treated patients. Neurosurgery 51, 1351–1356 (2002). discussion 1356–1357

    Article  PubMed  Google Scholar 

  14. Goel, A., Laheri, V.: Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129, 47–53 (1994)

    Article  CAS  Google Scholar 

  15. Goffin, J., Van Brussel, K., Martens, K.: Three-dimensional computed tomography-based, personalized drill guide for posterior cervical stabilization at C1-C2. Spine (Phila Pa 1976) 26, 1343–1347 (2001)

    CAS  Google Scholar 

  16. Harms, J., Melcher, R.P.: Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26, 2467–2471 (2001)

    CAS  Google Scholar 

  17. Herz, T., Franz, A., Giacomuzzi, S.M., et al.: Accuracy of spinal navigation for magerl screws. Clin Orthop Relat Res 409, 124–130 (2003)

    Article  PubMed  Google Scholar 

  18. Holly, L.T.: Image-guided spinal surgery. Int J Med Robot 2, 7–15 (2006)

    PubMed  Google Scholar 

  19. Holly, L.T., Bloch, O., Johnson, J.P.: Evaluation of registration techniques for spinal image guidance. J Neurosurg Spine 4, 323–328 (2006)

    Article  PubMed  Google Scholar 

  20. Holly, L.T., Foley, K.T.: Intraoperative spinal navigation. Spine (Phila Pa 1976) 28, S54–S61 (2003)

    Google Scholar 

  21. Holly, L.T., Foley, K.T.: Percutaneous placement of posterior cervical screws using three-dimensional fluoroscopy. Spine (Phila Pa 1976) 31, 536–540 (2006). discussion 541

    Google Scholar 

  22. Hott, J.S., Deshmukh, V.R., Klopfenstein, J.D.: Intraoperative Iso-C C-arm navigation in craniospinal surgery: the first 60 cases. Neurosurgery 54, 1131–1136 (2004). discussion 1136-1137

    Article  PubMed  Google Scholar 

  23. Hott, J.S., Papadopoulos, S.M., Theodore, N.: Intraoperative Iso-C C-arm navigation in cervical spinal surgery: review of the first 52 cases, 29th edn, pp. 2856–2860. Spine, Phila Pa 1976 (2004)

    Google Scholar 

  24. Hufner, T., Gebhard, F., Grutzner, P.A.: Which navigation when? Injury 35(Suppl 1), S-A30–S-A34 (2004)

    Google Scholar 

  25. Hum, B., Feigenbaum, F., Cleary, K.: Intraoperative computed tomography for complex craniocervical operations and spinal tumor resections. Neurosurgery 47, 374–380 (2000). discussion 380-371

    Article  CAS  PubMed  Google Scholar 

  26. Igarashi, T., Kikuchi, S., Sato, K., et al.: Anatomic study of the axis for surgical planning of transarticular screw fixation. Clin Orthop Relat Res 408, 162–166 (2003)

    Article  PubMed  Google Scholar 

  27. Ito, H., Neo, M., Yoshida, M., et al.: Efficacy of computer-assisted pedicle screw insertion for cervical instability in RA patients. Rheumatol Int 27, 567–574 (2007)

    Article  CAS  PubMed  Google Scholar 

  28. Jolesz, F.A.: Future perspectives for intraoperative MRI. Neurosurg Clin N Am 16, 201–213 (2005)

    Article  PubMed  Google Scholar 

  29. Judet, R., Roy-Camille, R., Saillant, G.: Fractures du raches cervical. Actualités de chirurgie orthopédique de l’hospital Raymond-Poincaré 8, 174–175 (1970)

    Google Scholar 

  30. Kazan, S., Yildirim, F., Sindel, M., et al.: Anatomical evaluation of the groove for the vertebral artery in the axis vertebrae for atlanto-axial transarticular screw fixation technique. Clin Anat 13, 237–243 (2000)

    Article  CAS  PubMed  Google Scholar 

  31. Kosmopoulos, V., Schizas, C.: Pedicle screw placement accuracy: a meta-analysis. Spine (Phila Pa 1976) 32, E111–E120 (2007)

    Google Scholar 

  32. Kotani, Y., Abumi, K., Ito, M., et al.: Improved accuracy of computer-assisted cervical pedicle screw insertion. J Neurosurg 99, 257–263 (2003)

    PubMed  Google Scholar 

  33. Lee, J.H., Jahng, T.A., Chung, C.K.: C1-2 transarticular screw fixation in high-riding vertebral artery: suggestion of new trajectory. J Spinal Disord Tech 20, 499–504 (2007)

    Article  PubMed  Google Scholar 

  34. Madawi, A.A., Solanki, G., Casey, A.T., et al.: Variation of the groove in the axis vertebra for the vertebral artery. Implications for instrumentation. J Bone Joint Surg Br 79, 820–823 (1997)

    Article  PubMed  Google Scholar 

  35. Magerl, F., Seemann, P.S.: Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Kehr, P., Weidner, A. (eds.) Cervical spine, pp. 322–327. Springer, Wien (1987)

    Google Scholar 

  36. Merloz, P., Tonetti, J., Pittet, L., et al.: Computer-assisted spine surgery. Comput Aided Surg 3, 297–305 (1998)

    Article  CAS  PubMed  Google Scholar 

  37. Nolte, L.P., Slomczykowski, M.A., Berlemann, U., et al.: A new approach to computer-aided spine surgery: fluoroscopy-based surgical navigation. Eur Spine J 9(Suppl 1), S78–S88 (2000)

    Article  PubMed  Google Scholar 

  38. Ortmaier, T., Weiss, H., Dobele, S., et al.: Experiments on robot-assisted navigated drilling and milling of bones for pedicle screw placement. Int J Med Robot 2, 350–363 (2006)

    CAS  PubMed  Google Scholar 

  39. Paramore, C.G., Dickman, C.A., Sonntag, V.K.: The anatomical suitability of the C1-2 complex for transarticular screw fixation. J Neurosurg 85, 221–224 (1996)

    Article  CAS  PubMed  Google Scholar 

  40. Rajasekaran, S., Vidyadhara, S., Ramesh, P., et al.: Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries. Spine (Phila Pa 1976) 32, E56–E64 (2007)

    CAS  Google Scholar 

  41. Rajasekaran, S., Vidyadhara, S., Shetty, A.P.: Iso-C3D fluoroscopy-based navigation in direct pedicle screw fixation of Hangman fracture: a case report. J Spinal Disord Tech 20, 616–619 (2007)

    Article  CAS  PubMed  Google Scholar 

  42. Rajasekaran, S., Vidyadhara, S., Shetty, A.P.: Intra-operative Iso-C3D navigation for pedicle screw instrumentation of hangman’s fracture: a case report. J Orthop Surg (Hong Kong) 15, 73–77 (2007)

    CAS  Google Scholar 

  43. Rosenthal, D.I., Springfield, D.S., Gebhardt, M.C., et al.: Osteoid osteoma: percutaneous radio-frequency ablation. Radiology 197, 451–454 (1995)

    CAS  PubMed  Google Scholar 

  44. Schenck, J.F., Jolesz, F.A., Roemer, P.B., et al.: Superconducting open-configuration MR imaging system for image-guided therapy. Radiology 195, 805–814 (1995)

    CAS  PubMed  Google Scholar 

  45. Schlenzka, D., Laine, T., Lund, T.: Computer-assisted spine surgery. Eur Spine J 9(Suppl 1), S57–S64 (2000)

    Article  PubMed  Google Scholar 

  46. Skaf, G.S., Sabbagh, A.S., Hadi, U.: The advantages of submandibular gland resection in anterior retropharyngeal approach to the upper cervical spine. Eur Spine J 16, 469–477 (2007)

    Article  PubMed  Google Scholar 

  47. Stulik, J., Suchomel, P., Lukas, R., et al.: Primary osteosynthesis of the odontoid process: a multicenter study. Acta Chir Orthop Traumatol Cech 69, 141–148 (2002)

    CAS  PubMed  Google Scholar 

  48. Suchomel, P., Buchvald, P., Barsa, P., et al.: Pyogenic osteomyelitis of the odontoid process: single stage decompression and fusion. Spine (Phila Pa 1976) 28, E239–E244 (2003)

    Google Scholar 

  49. Suchomel, P., Buchvald, P., Barsa, P., et al.: Single-stage total C-2 intralesional spondylectomy for chordoma with three-column reconstruction. Technical note. J Neurosurg Spine 6, 611–618 (2007)

    Article  PubMed  Google Scholar 

  50. Suchomel, P., Buchvald, P., Barsa, P., et al.: Instability of craniovertebral junction and upper cervical spine. Abstract, 8th ESBS Congress Prague 2007, Skull Base 17 (2007)

    Google Scholar 

  51. Suchomel, P., Hradil, J., Barsa, P., et al.: Surgical treatment of fracture of the ring of axis – “hangman’s fracture”. Acta Chir Orthop Traumatol Cech 73, 321–328 (2006)

    CAS  PubMed  Google Scholar 

  52. Summers, L.E., Kouri, J.G., Yang, M., et al.: Odontoid screw placement using Isocentric 3-dimensional C-arm fluoroscopy. J Spinal Disord Tech 21, 45–48 (2008)

    Article  PubMed  Google Scholar 

  53. Takahashi, J., Shono, Y., Nakamura, I., et al.: Computer-assisted screw insertion for cervical disorders in rheumatoid arthritis. Eur Spine J 16, 485–494 (2007)

    Article  PubMed  Google Scholar 

  54. Taller, S., Suchomel, P., Lukas, R., et al.: CT-guided internal fixation of a hangman’s fracture. Eur Spine J 9, 393–397 (2000)

    Article  CAS  PubMed  Google Scholar 

  55. Ugur, H.C., Kahilogullari, G., Attar, A., et al.: Neuronavigation-assisted transoral-transpharyngeal approach for basilar invagination – two case reports. Neurol Med Chir (Tokyo) 46, 306–308 (2006)

    Article  Google Scholar 

  56. Van Cleynenbreugel, J., Schutyser, F., Goffin, J.: Image-based planning and validation of C1-C2 transarticular screw fixation using personalized drill guides. Comput Aided Surg 7, 41–48 (2002)

    Article  PubMed  Google Scholar 

  57. Veres, R., Bago, A., Fedorcsak, I.: Early experiences with image-guided transoral surgery for the pathologies of the upper cervical spine. Spine (Phila Pa 1976) 26, 1385–1388 (2001)

    CAS  Google Scholar 

  58. Vougioukas, V.I., Hubbe, U., Schipper, J.: Navigated transoral approach to the cranial base and the craniocervical junction: technical note. Neurosurgery 52, 247–250 (2003). discussion 251

    Article  PubMed  Google Scholar 

  59. Wang, M.Y.: C2 crossing laminar screws: cadaveric morphometric analysis. Neurosurgery 59, ONS84–ONS88 (2006). discussion ONS84-88

    Article  PubMed  Google Scholar 

  60. Woodard, E.J., Leon, S.P., Moriarty, T.M.: Initial experience with intraoperative magnetic resonance imaging in spine surgery. Spine (Phila Pa 1976) 26, 410–417 (2001)

    CAS  Google Scholar 

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Suchomel, P., Choutka, O. (2011). Virtual and Real Time Navigational Techniques. In: Reconstruction of Upper Cervical Spine and Craniovertebral Junction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13158-5_7

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  • DOI: https://doi.org/10.1007/978-3-642-13158-5_7

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