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Image-Guided Spinal Navigation: Principles and Clinical Applications

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Minimally Invasive Spine Surgery

Image-guided spinal navigation is a computer-based surgical technology that was developed to improve the intraoperative orientation to the unexposed anatomy during complex spinal procedures [1, 2]. It evolved from the principles of stereotaxy, which neurosurgeons have used for several decades to help localize intracranial lesions. Stereotaxy is defined as the localization of a specific point in space using three-dimensional coordinates. The application of stereotaxy to intracranial surgery initially involved the use of an external frame attached to the patient’s head. However, the evolution of computer-based technologies has eliminated the need for this frame and has allowed for the expansion of stereotactic technology into other surgical fields, in particular, spinal surgery.

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References

  1. Kalfas IH, Kormos DW, Murphy MA, et al. Application of frameless stereotaxy to pedicle screw fixation of the spine. J Neurosurg. 1995;83:641–647.

    Article  CAS  PubMed  Google Scholar 

  2. Murphy MA, McKenzie RL, Kormos DW, Kalfas IH. Frameless stereotaxis for the insertion of lumbar pedicle screws: a technical note. J Clin Neurosci. 1994;1(4):257–260.

    Article  CAS  PubMed  Google Scholar 

  3. George DC, Krag MH, Johnson CC, Van Hal ME, Haugh LD, Grobler LJ. Hole preparation technique for transpedicle screws: effect on pull-out strength from human cadaveric vertebrae. Spine. 1991;16:181–184.

    CAS  PubMed  Google Scholar 

  4. Gertzbein SD, Robbins SE. Accuracy of pedicle screw placement in vivo. Spine. 1990;15:11–14.

    Article  CAS  PubMed  Google Scholar 

  5. Weinstein JN, Spratt KF, Spengler D, Brick C, Reid S. Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine. 1988;13:1012–1018.

    Article  CAS  PubMed  Google Scholar 

  6. Steinmann JC, Herkowitz HO, El-Kommos H, Wesolowski DP. Spinal pedicle fixation: confirmation of an image-based technique for screw placement. Spine. 1993;18:1856–1861.

    Article  CAS  PubMed  Google Scholar 

  7. Barnett GH, Kormos DW, Steiner CP, Weisenberger J. Use of a frameless, armless stereotactic wand for brain tumor localization with two-dimensional and three-dimensional neuroimaging. Neurosurgery. 1993;33:674–678.

    Article  CAS  PubMed  Google Scholar 

  8. Barnett GH, Kormos DW, Steiner CP, Weisenberger J. Intraoperative localization using an armless, frameless stereotactic wand. Technical note. J Neurosurg. 1993;78:510–514.

    Article  CAS  PubMed  Google Scholar 

  9. Brodwater BK, Roberts DW, Nakajima T, Friets EM, Strohbehn JW. Extracranial application of the frameless stereotactic operating microscope: experience with lumbar spine. Neurosurgery. 1993;32:209–213.

    Article  CAS  PubMed  Google Scholar 

  10. Bryant JT, Reid JG, Smith BL, Stevenson JM. A method for determining vertebral body positions in the sagittal plane using skin markers. Spine. 1989;14:258–265.

    Article  CAS  PubMed  Google Scholar 

  11. Pellizzari CA, Levin DN, Chen GTY, Chen CT. Image registration based on anatomic surface matching. In: Maciunas RJ, editor. Interactive Image-Guided Neurosurgery. Park Ridge, IL: American Association of Neurological Surgeons; 1993. pp. 47–62.

    Google Scholar 

  12. Kalfas IH. Image-guided spinal navigation. Clin Neurosurg. 1999;46:70–88.

    Google Scholar 

  13. Foley KT, Smith MM. Image-guided spine surgery. Neurosurg Clin N Am. 1996;7(2):171–186.

    CAS  PubMed  Google Scholar 

  14. Glossop ND, Hu RW, Randle JA. Computer-aided pedicle screw placement using frameless sterotaxis. Spine. 1996;21:2026–2034.

    Article  CAS  PubMed  Google Scholar 

  15. Assaker R, Reyns N, Vinchon M, Demondion X, Louis E. Transpedicular screw placement: image-guided versus lateral-view fluoroscopy: in vitro simulation. Spine. 2001;26(19):2160–2164.

    Article  CAS  PubMed  Google Scholar 

  16. Kalfas IH. Image-guided spinal navigation: application to spinal metastasis. In: Maciunas RJ, editor. Advanced Techniques in Central Nervous System Metastasis. Lebanon, NH: AANS Publications; 1998. pp. 245–254.

    Google Scholar 

  17. Kalfas IH. Frameless stereotaxy assisted spinal surgery. In: Renganchary SS, editor. Neurosurgery Operative Color Atlas. Lebanon, NH: AANS Publications; 2000. pp. 123–134.

    Google Scholar 

  18. Laine T, Lund T, Ylikoski M, Lohikoski J, Schlenzka D. Accuracy of pedicle screw insertion with and without computer assistance: a randomised controlled clinical study in 100 consecutive patients. Eur Spine J. 2000;9(3):235–240.

    Article  CAS  PubMed  Google Scholar 

  19. Welch WC, Subach BR, Pollack IF, Jacobs GB. Frameless stereotactic guidance for surgery of the upper cervical spine. Neurosurgery. 1997;40(5):958–964.

    Article  CAS  PubMed  Google Scholar 

  20. Youkilis AS, Quint DJ, McGillicuddy JE, Papadopoulos SM. Stereotactic navigation for placement of pedicle screws in the thoracic spine. Neurosurgery. 2001;48(4):771–778.

    Article  CAS  PubMed  Google Scholar 

  21. Harms J, Melcher R. Posterior C1–C2 fusion with polyaxial screw and rod fixation. Spine. 2001;26:2467–2471.

    Article  CAS  PubMed  Google Scholar 

  22. Welch WC, Subach BR, Pollack IF, Jacobs GB. Frameless stereotactic guidance for surgery of the upper cervical spine. Neurosurgery. 1997;40(5):958–964.

    Article  CAS  PubMed  Google Scholar 

  23. Foley KT, Simon DA, Rampersaud YR. Virtual fluoroscopy: computer-assisted fluoroscopic navigation. Spine. 2001;26(4):347–351.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Cleveland Clinic, 44195, Cleveland, OH, USA

    Iain H. Kalfas

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  1. Iain H. Kalfas
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Correspondence to Iain H. Kalfas .

Editor information

Editors and Affiliations

  1. Medical Center, University of California at San Diego, West Arbor Drive 200, San Diego, 92103-8893, U.S.A.

    Burak Ozgur

  2. Euclid Avenue 9500, Cleveland, 44195, U.S.A.

    Edward Benzel

  3. Dept. Orthopedics, University of California, San Diego, Regents Park Row 4150, La Jolla, 92037, U.S.A.

    Steven Garfin

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Kalfas, I.H. (2009). Image-Guided Spinal Navigation: Principles and Clinical Applications. In: Ozgur, B., Benzel, E., Garfin, S. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89831-5_2

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  • DOI: https://doi.org/10.1007/978-0-387-89831-5_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-89830-8

  • Online ISBN: 978-0-387-89831-5

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