A case series on the technical use of three‐dimensional image guidance in subaxial anterior cervical surgery. Issue 1 (13th February 2014)

• Record Type: Journal Article
• Authors: Pirris, Stephen M.; Nottmeier, Eric W.
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 11:Issue 1(2015)
• Page Start: 44
• Page End: 51
• Publication Date: 2014-02-13
• Subjects: Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1571
• Languages: English
• ISSNs: 1478-5951

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="rcs1571-sec-0001" sec-type="section"> <title>Background</title> <p>Three dimensional (3D) image guidance has been used to improve the safety of complex spine surgeries, but its use has been limited in anterior cervical spine approaches.</p> </sec> <sec id="rcs1571-sec-0002" sec-type="section"> <title>Methods</title> <p>Twenty‐two patients underwent complex anterior cervical spine surgeries in which 3D image guidance provided intraoperative assistance with the dissection, decompression and implant placement. One of two paired systems, the BrainLAB (BrainLAB, Westchester, Illinois) system, or Stealth (Medtronic Inc., Littleton, Massachusetts) system was used for 3D image guidance in this study.</p> </sec> <sec id="rcs1571-sec-0003" sec-type="section"> <title>Results</title> <p>Image guidance was able to reliably locate pertinent anatomical structures in complex anterior cervical spine surgery involving re‐exploration, dissection around vertebral arteries or deformity correction. No complications occurred, and no patients required a revision anterior surgery.</p> </sec> <sec id="rcs1571-sec-0004" sec-type="section"> <title>Conclusion</title> <p>This technical note describes the setup and technique for the use of cone beam computed tomography (cbCT)‐based, 3D image guidance in subaxial anterior cervical surgery. The authors have found this technique to be a useful adjunct in revision anterior cervical procedures, as well as anterior cervical procedures involving corpectomy or tumor removal. Copyright © 2014 John Wiley & Sons, Ltd.</p> </sec> </abstract>