Fluoroscopy-based navigation system in spine surgery

Current Navigation Modalities in Spine Surgery With a Focus on the Use of the O-arm in Deformity Surgery

2 Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA Image guidance in spine surgery has evolved from static modalities such as the plain radiograph to navigation systems such as the O-arm. Commonly used modalities include CT scan based navigation systems, 3D fluoroscopy, and most recently the O-arm. Each of these navigation systems improved on the capabi...

Total navigation in spine surgery; a concise guide to eliminate fluoroscopy using a portable intraoperative-CT 3D navigation system

Accuracy of Pedicle Screw Insertion Using Fluoroscopy-Based Navigation-Assisted Surgery : Computed Tomography Postoperative Assessment in 96 Consecutive Patients

OBJECTIVE Two-dimensional fluoroscopy-based computerized navigation for the placement of pedicle screws offers the advantage of using stored patient-specific imaging data in providing real-time guidance during screw placement. The study aimed to describe the accuracy and reliability of a fluoroscopy-based navigation system for pedicle screw insertion. METHODS A total of 477 pedicle screws wer...

Accuracy and Safety in Pedicle Screw Placement in the Thoracic and Lumbar Spines : Comparison Study between Conventional C-Arm Fluoroscopy and Navigation Coupled with O-Arm® Guided Methods

OBJECTIVE The authors performed a retrospective study to assess the accuracy and clinical benefits of a navigation coupled with O-arm® system guided method in the thoracic and lumbar spines by comparing with a C-arm fluoroscopy-guided method. METHODS Under the navigation guidance, 106 pedicle screws inserted from T7 to S1 in 24 patients, and using the fluoroscopy guidance, 204 pedicle screws ...

Intra-operative Iso-C3D navigation for pedicle screw instrumentation of hangman's fracture: a case report.

Pedicle screw instrumentation of the upper cervical spine is rarely performed in trauma surgery because of the risk of damaging neurovascular structures. We report successful treatment of an unstable hangman's fracture with posterior pedicle screw fixation using Iso-C3D fluoroscopy-based computer navigation guidance. Postoperative computed tomographic images confirmed accurate placement of the ...

Clinical experience with a fluoroscopy-based guidance system in orthopaedic surgery

Computer assisted systems are being used in orthopaedic surgery for many years. Different advantages were described in the literature, among these the most important are an improvement in accuracy of implant positioning and a reduction of ionising radiation [1]. However, most published works describe the use of such systems in spine and pelvis surgery. Its use in general orthopaedic surgery and...