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Image-Guided Spinal Navigation: Principles and Clinical Applications

  • Iain H. Kalfas
Chapter

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.

Keywords

Pedicle Screw Screw Placement Screw Insertion Drill Guide Pilot Hole 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 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.CrossRefPubMedGoogle Scholar
  2. 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.CrossRefPubMedGoogle Scholar
  3. 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.PubMedGoogle Scholar
  4. 4.
    Gertzbein SD, Robbins SE. Accuracy of pedicle screw placement in vivo. Spine. 1990;15:11–14.CrossRefPubMedGoogle Scholar
  5. 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.CrossRefPubMedGoogle Scholar
  6. 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.CrossRefPubMedGoogle Scholar
  7. 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.CrossRefPubMedGoogle Scholar
  8. 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.CrossRefPubMedGoogle Scholar
  9. 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.CrossRefPubMedGoogle Scholar
  10. 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.CrossRefPubMedGoogle Scholar
  11. 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. 12.
    Kalfas IH. Image-guided spinal navigation. Clin Neurosurg. 1999;46:70–88.Google Scholar
  13. 13.
    Foley KT, Smith MM. Image-guided spine surgery. Neurosurg Clin N Am. 1996;7(2):171–186.PubMedGoogle Scholar
  14. 14.
    Glossop ND, Hu RW, Randle JA. Computer-aided pedicle screw placement using frameless sterotaxis. Spine. 1996;21:2026–2034.CrossRefPubMedGoogle Scholar
  15. 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.CrossRefPubMedGoogle Scholar
  16. 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. 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. 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.CrossRefPubMedGoogle Scholar
  19. 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.CrossRefPubMedGoogle Scholar
  20. 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.CrossRefPubMedGoogle Scholar
  21. 21.
    Harms J, Melcher R. Posterior C1–C2 fusion with polyaxial screw and rod fixation. Spine. 2001;26:2467–2471.CrossRefPubMedGoogle Scholar
  22. 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.CrossRefPubMedGoogle Scholar
  23. 23.
    Foley KT, Simon DA, Rampersaud YR. Virtual fluoroscopy: computer-assisted fluoroscopic navigation. Spine. 2001;26(4):347–351.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of NeurosurgeryCleveland ClinicClevelandUSA

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