Abstract
Since the description of transpedicle fixation of posterior spinal implants by Roy-Camille et al. [18], this procedure has gained general acceptance for rigid segmental fixation. Correct implantation of the screws without perforation of the pedicle is difficult and requires detailed anatomic knowledge and good surgical skills. The identification of the correct entry point for the pedicle screw and the correct angle of inclination in the sagittal and transverse planes are crucial. A standard technique for pedicle screw insertion is done with an image intensifier in the lateral and anteroposterior (a.p.) views. In osteolytic tumors identification of anatomical landmarks is difficult and intraoperative imaging can be impossible due to increased radio translucent vertebrae.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Amiot LP, Bellefleur C, Labelle H (1997) In vitro evaluation of computer-assisted pedicle screw system. Ann Chir 51:854–860.
Amiot LP, Lang K, Putzier M, Zippel H, Labelle H (2000) Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar, and sacral spine. Spine 25:606–614.
Bauer HC (1997) Posterior decompression and stabilization for spinal metastases: Analysis of sixty-seven consecutive patients. J Bone Joint Surg 79A: 514–522.
Carl AL, Khanuja HS, Sachs BL et al. (1997) In vitro simulation: Early results of stereotaxy for pedicle screw placement. Spine 22:1160–1164.
Castro WH, Halm H, Jerosch J et al. (1996) Accuracy of pedicle screw placement in lumbar vertebrae. Spine 21:1320–1324.
Esses SI, Sachs BL, Dreyzin V (1993) Complications associated with the technique of pedicle screw fixation: A selected survey of ABS members. Spine 18:2231–2238.
Frankel HL, Hancock DO, Hyslop G et al. (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Paraplegia 7:179–192.
Gertzbein SD, Robbins SE (1990) Accuracy of pedicular screw placement in vivo. Spine 15:11–14.
Girardi FP, Cammisa FP, Sandhu HS, Alvarez L (1999) The placement of lumbar pedicle screws using computerised stereotactic guidance. J Bone Joint Surg 81B: 825–829.
Jerosch J, Malms J, Castro WH, Wagner R, Wiesner L (1992) Lagekontrolle von Pedikelschrauben nach instrumentierter dorsaler Fusion der Lendenwirbelsäule.Z Orthop 130:479–483.
Kamimura M, Ebara S, Itoh H. et al. (1999) Accurate pedicle screw insertion under the control of a computer-assisted image guiding system: Laboratory test and clinical study. J Orthop Sci 4:197–206.
Laine T, Schlenzka D, Makitalo K etal. (1997) Improved accuracy of pedicle screw insertion with computer-assisted surgery: A prospective clinical trial of 30 patients. Spine 22:1254–1258.
Merloz P, Tonetti J, Pittet L et al. (1998) Pedicle screw placement using image guided techniques. Clin Orthop 354:39–48.
Merloz P, Tonetti J, Pittet L, et al: Computer-assisted spine surgery.Comput Aided Surg 3:297–305,1998.
Nolte LP, Visarius H, Arm E et al. (1995) Computer-aided fixation of spinal implants. J Image Guid Surg 1:88–93.
Nolte LP, Zamorano LJ, Jiang Z et al. (1995) Image-guided insertion of transpedicular screws: A laboratory set-up. Spine 20:497–500.
Roessler K, Ungersboeck K, Dietrich W et al. (1997) Frameless stereotactic guided neurosurgery: Clinical experience with an infrared based pointer device navigation system. Acta Neurochir 139:551–559.
Roy-Camille R, Roy-Camille M, Demeulenaere C (1970) Osteosynthesis of dorsal, lumbar, and lumbosacral spine with metallic plates screwed into vertebral pedicles and articular apophyses. Presse Med 78: 1447–1448.
Saillant G (1995) Complications de la visee pediculaire, echecs et complications de la chirurgie du rachis. Sauramps, Montpellier.
Schwarzenbach O, Berlemann U, Jost B et al. (1997) Accuracy of computer-assisted pedicle screw placement: An in vivo computed tomography analysis. Spine 22:452–458.
Sim E (1993) Location of transpedicular screws fixation of the lower thoracic and lumbar spine. Acta Orthop Scand 64:28–32.
Vaccaro AR, Rizzolo SJ, Balderston RA et al. (1995) Placement of pedicle screws in the thoracic spine. Part II: An anatomical and radiographic assessment. J Bone Joint Surg 77A: 1200–1206.
Vinas FC, Holdener H, Zamorano L et al. (1998) Use of interactive-intraoperative guidance during vertebrectomy and anterior spinal fusion with instrumental fixation: Technical note. Minim Invasive Neurosurg 41:166–171.
Visarius H, Gong J, Scheer C, Haralamb S, Nolte LP (1997) Man-machine interfaces in computer assisted surgery. Comput Aided Surg 2:102–107.
Weinstein JN, Spratt KF, Spengler D, Brick C, Reid S (1988) Spinal pedicle fixation: Reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine 13:1012–1018.
West JL, Bradford DS, Ogilvie JW (1991) Results of spinal arthrodesis with pedicle screw-plate fixation. J Bone Joint Surg 73A: 1179–1184.
Wise JJ, Fischgrund JS, Herkowitz HN, Montgomery D, Kurz LT (1999) Complication, survival rates, and risk factors of surgery for metastatic disease of the spine. Spine 24:1943–1951.
Zindrick MR, Wiltse LL, Doornik A et al. (1987) Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 12:160–166.
Zippel H, Putzier M, Lang K (2000) Computerassistierte Wirbelsäulenchirurgie. ln: Reichel H, Zwipp H, Hein W(Hrsg). Wirbelsäulenchirurgie. Standortbestimmung und Trends. Steinkopff, Darmstadt, S 174–201.
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Gebhard, F., Arand, M. (2004). Navigation of Tumor and Metastatic Lesions in the Thoracolumbar Spine. In: Navigation and Robotics in Total Joint and Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59290-4_69
Download citation
DOI: https://doi.org/10.1007/978-3-642-59290-4_69
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63922-7
Online ISBN: 978-3-642-59290-4
eBook Packages: Springer Book Archive