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Surgical tips for the implantation of BDYNTM dynamic stabilization system: combining spinal navigation with motion preservation for low-grade lumbar degenerative spondylolisthesis

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Abstract

Background

As required in every dynamic stabilization system, the implantation of the BDYNTM device implies a perfect positioning of the screws and rods to benefit from its biomechanical properties. To achieve this goal, intra-operative imaging seems mandatory.

Method

Through a case report of a patient with symptomatic grade I lumbar degenerative spondylolisthesis, we present the surgical tips for the implantation of BDYNTM dynamic stabilization system under the assistance of spinal navigation Surgivisio® 2D/3D.

Conclusion

The pedicular screw convergence, their placement in the pedicles, and the proper alignment of the BDYNTM system placed in neutral position are important steps of the surgery. Intra-operative spinal navigation helps achieving precise and safe positioning of the dynamic stabilization BDYNTM device taking optimal advantages of its biomechanical characteristics.

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Abbreviations

2D:

Two dimensions

3D:

Three dimensions

ASD:

Adjacent segment degeneration

CT:

Computerized tomography

LDS:

Lumbar degenerative spondylolisthesis

MRI:

Magnetic resonance imagery

cm2 :

Square centimeter

Gy:

Gray

mm:

Millimeter

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Authors and Affiliations

  1. ICVNS-CMC Bizet, Paris, France

    Nicolas Serratrice, Bilal Tarabay, Joe Faddoul & Georges Naïm Abi Lahoud

  2. Centre Hospitalier de la Côte Basque, Bayonne, France

    Joe Faddoul

  3. Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon

    Georges Naïm Abi Lahoud

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  1. Nicolas Serratrice
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  2. Bilal Tarabay
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  3. Joe Faddoul
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  4. Georges Naïm Abi Lahoud
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Correspondence to Nicolas Serratrice.

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Supplementary information

Video 1 Pedicle screw trajectory under the Surgivisio® 3D navigation guidance (WMV 8580 kb)

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Serratrice, N., Tarabay, B., Faddoul, J. et al. Surgical tips for the implantation of BDYNTM dynamic stabilization system: combining spinal navigation with motion preservation for low-grade lumbar degenerative spondylolisthesis. Acta Neurochir 165, 2717–2721 (2023). https://doi.org/10.1007/s00701-023-05716-1

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