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Minimally Invasive Spine Surgery pp 55–60Cite as

Image Guidance

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Abstract

Image guidance (IG) can serve as a very important adjunct to the surgeon during MISS. There is robust data showing that IG decreases the incidence of suboptimal screw placement. The ability of IG to decrease the incidence of neurological complications or need for reoperations following thoracolumbar instrumentation remains unclear. IG offers particular advantages in cases of severe deformity or other altered anatomy as well as for the intraoperative training of residents and fellows. IG offers the further benefit of minimizing occupational exposures to ionizing radiation for the surgeon and OR staff. Future studies will help to modify imaging protocols in IG to also minimize patients’ radiation exposure.

How widespread IG ultimately becomes in spine surgery will be based on balancing improvements in surgical accuracy (and resultant improvements in clinical outcomes) with concerns over cost, efficiency, and radiation exposures. Our personal experience has shown the technology to be both efficient and cost-effective by reducing screw revision rates and reducing occupational radiation exposures. Further research is needed to clarify the answers to these questions and better define the true role of IG in spine surgery.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Hartford Healthcare Medical Group, New Britain, CT, USA

    Hussein Alahmadi MD

  2. Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA

    John E. O’Toole MD, MS

Authors
  1. Hussein Alahmadi MD
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  2. John E. O’Toole MD, MS
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Corresponding author

Correspondence to John E. O’Toole MD, MS .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Frank Phillips

  2. Scoliosis and Spine Tumor Center, Texas Back Institutes, Texas Health Presbyterian Hospital Plano, Plano, Texas, USA

    Isador Lieberman

  3. Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

    David Polly

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Alahmadi, H., O’Toole, J.E. (2014). Image Guidance. In: Phillips, F., Lieberman, I., Polly, D. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5674-2_6

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  • DOI: https://doi.org/10.1007/978-1-4614-5674-2_6

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5673-5

  • Online ISBN: 978-1-4614-5674-2

  • eBook Packages: MedicineMedicine (R0)

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