Navigation as progressive methods. Prospects of usage in case of polytrauma


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Abstract

Over the past few years, successes have been achieved in spinal surgery in the field of surgical technique, implant placement and the use of new high-tech equipment, such as navigation, which makes it possible to work in real time with images, as well as translate this data into an interactive three-dimensional «map» of the spine, the consequence of which is an increase in the quality of surgical interventions. The results of its use demonstrate superiority over traditional methods. The scope of intraoperative navigation with visual control in spinal surgery expanded to arthrodesis, revision procedures, cases of deformities with distorted anatomy, in other areas - intradural tumors, intracerebral hematomas. The technology can, with minimally invasive operations, mitigate most of the radiation exposure to which the patient, surgeon, and operating support staff are exposed. The article evaluates the data of special literature, options for the possible use of navigation in spinal and head surgery in patients with polytrauma.

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About the authors

I. M Samokhvalov

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

Email: igor-samokhvalov@mail.ru
St. Petersburg, Russian Federation

V. I Badalov

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

Email: vadim_badalov@mail.ru
St. Petersburg, Russian Federation

K. E Korostelev

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

St. Petersburg, Russian Federation

M. I Spitsyn

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

Email: dr.spicynm2@mail.ru
St. Petersburg, Russian Federation

K. V Tyulikov

The I.I.Dzhanelidze St. Petersburg Scientific Research Institute

St. Petersburg, Russian Federation

P. Yu Shevelev

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

St. Petersburg, Russian Federation

E. G Antonov

The S.M.Kirov Military Medical Academy MD RF, St. Petersburg

St. Petersburg, Russian Federation

References

  1. Спицын М.И. Коннектор фиксации трекеров для нейронавигации // Патент на изобретение № 2690103, Российская Федерация. Дата регистрации: 30 мая 2019 г., № заявки 2018113061.
  2. Шаклунов А.Н. Безрамная нейронавигация в неотложной нейрохирургии внутримозговых кровоизлияний: Дис.. канд. мед. наук. - М., 2013. - 134 с.
  3. Amiot L., Lang K., Putzier M.T. et al. Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar, and sacral spine // Spine. - 2000. - Vol. 25, N 5. - P. 606-614.
  4. Carl A., Khanuja H., Gatto C.A. et al. In vivo pedicle screw placement: imageguided virtual vision // J. Spinal Disord. - 2000. - Vol. 13. - P. 225-229.
  5. Castro W., Halm H., Jerosch J.H. et al. Accuracy of pedicle screw placement in lumbar vertebrae // Spine. - 1996. - Vol. 21. - P. 1320-1324.
  6. Cohen D., Lustarten J., Miller E.N. et al. Effects of coregistration of MR to CT images on MR stereotactic accuracy // J. Neurosurg. - 1995. - Vol. 82, N 5. - P. 772-779.
  7. Fu T., Chen L., Wong C. et al. Computer-assisted fluoroscopic navigation of pedicle screw insertion: an in vivo feasibility study // Acta Orthop. Scand. - 2004. - Vol. 75. - P. 730-735.
  8. Gelalis I., Pachos N., Pakos E.E. et al. Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques // Eur. Spine J. - 2012. - Vol. 21. - P. 247-255.
  9. Gertzbein S., Robbins S.E. Accuracy of pedicular screw placement in vivo // Spine. - 1990. - Vol. 15. - P. 11-14.
  10. Girardi F., Cammisa F., Sandhu H.A. et al. The placement of lumbar pedicle screws using computerised stereotactic guidance // J. Bone Joint Surg. Br. - 1999. - Vol. 81. - P. 825-829.
  11. Han W., Gao Z.L., Wang J.C. et al. Pedicle screw placement in the thoracic spine: a comparison study of computer-assisted navigation and conventional techniques // Orthopedics. - 2010. - Vol. 34. - P. 136-149.
  12. Jones E., Heller J., Silcox D.H. et al. Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison // Spine. - 1997. - Vol. 22. - P. 977-982.
  13. Kamogawa J., Katagi R., Kodama K.S. et al. The 3DMRI/MRA/CT Fusion Imaging in spine and spinal cord disorders focusing on upper cervical spine: report of two cases // Spine Spinal Cord. - 2009. - Vol. 22, N 8. - P. 979-982.
  14. Kelly P.J. Neurosurgical robotics // Clin. Neurosurg. - 2002. - Vol. 49. - P. 136-158.
  15. Kim C.W. Use of navigation-assisted fluoroscopy to decrease radiation exposure during minimally invasive spine surgery // Spine J. - 2008. - Vol. 8, N 4. - P. 584-590.
  16. Kotani Y., Abumi K., Ito M. et al. Improved accuracy of computer-assisted cervical pedicle screw insertion // J. Neurosurg. - 2003. - Vol. 99 (3 suppl). - P. 257-263.
  17. Kotani Y., Cunningham B., McAfee P.C. et al. Biomechanical analysis of cervical stabilization systems. An assessment of transpedicular screw fixation in the cervical spine // Spine. - 1994. - Vol. 19. - P. 2529-2539.
  18. Kraus M., Krischak G., Keppler P. et al. Can computer-assisted surgery reduce the effective dose for spinal fusion and sacroiliac screw insertion? // Clin. Orthop. Relat Res. - 2010. - Vol. 468, N 9. - P. 2419-2429.
  19. Laine T., Makitalo K., Schlenzka D. et al. Accuracy of pedicle screw insertion: a prospective CT study in 30 low back patients // Eur. Spine J. - 1997. - Vol. 6. - P. 402-405.
  20. Leksell L., Leksell D., Schwebel J. Stereotaxis and nuclear magnetic resonance. A technical note // J. Neurol. Neurosurg. Psychiatry. - 1985. - Vol. 48. - P. 14-18; 113-122.
  21. Louw D., Fielding T., McBeth P. et al. Surgical robotics: a review and neurosurgical prototype development // Neurosurgery. - 2004. - Vol. 54, N 3. - P. 525-536; discussion 536-537.
  22. Marcus H., Cundy T., Nandi D. et al. Robot-assisted and fluoroscopy-guided pedicle screw placement: a systematic review // Eur. Spine J. - 2014. - Vol. 23. - P. 291-297.
  23. Mountford M., Temperton D.H. Recommendations of the International Commission on Radiological Protection (ICRP) 1990 // Eur. J. Nucl. Med. - 1992. - Vol. 19. - P. 77-79.
  24. Mroz T., Abdullah K., Steinmetz M.P. et al. Radiation exposure to the surgeon during percutaneous pedicle screw placement // J. Spinal. Disord. Tech. - 2011. - Vol. 24. - P. 264-267.
  25. Rampersaud Y., Pik J., Salonen D. et al. Clinical accuracy of fluoroscopic computer-assisted pedicle screw fixation: a CT analysis // Spine. - 2005. - Vol. 30. - P. 183-190.
  26. Rampersaud Y., Foley K., Shen A. et al. Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion // Spine. - 2000. - Vol. 25, N 20. - P. 2637-2645.
  27. Schwarzenbach O., Berlemann U., Jost B. et al. Accuracy of computer-assisted pedicle screw placement. An in vivo computed tomography analysis // Spine. - 1997. - Vol. 22. - P. 452-458.
  28. Shin B., James A., Njoku I. et al. Pedicle screw navigation: a systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion // J. Neurosurg. Spine. - 2012. - Vol. 17, N 2. - P. 1
  29. Tang J., Zhu Z., Tao S. et al. Position and complications of pedicle screw insertion with or without image-navigation techniques in the thoracolumbar spine: a metaanalysis of comparative studies // J. Biomed. Res. - 2014. - Vol. 28, N 3. - P. 228-239.
  30. Theocharopoulos N., Perisinakis K., Damilakis J. et al. Occupational exposure from common fluoroscopic projections used in orthopaedic surgery // J. Bone Joint Surg. Am. - 2003. - Vol. 85. - P. 1698-1703.
  31. Verma R., Krishan S., Haendlmayer K. et al. Functional outcome of computer-assisted spinal pedicle screw placement: a systematic review and meta-analysis of 23 studies including 5992 pedicle screws // Eur. Spine J. - 2010. - Vol. 19. - P. 370-375.
  32. Yu X., Xu L., Bi L.Y. Spinal navigation with intra-operative 3D imaging modality in lumbar pedicle screw fixation // Zhonghua Yi Xue Za Zhi. - 2008. - Vol. 88. - P. 1905-1908 (Chinese).

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Copyright (c) 2019 Samokhvalov I.M., Badalov V.I., Korostelev K.E., Spitsyn M.I., Tyulikov K.V., Shevelev P.Y., Antonov E.G.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.

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