Navigational technologies in injury surgery

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Abstract

The introduction of new technologies will improve the results and outcomes of treatment of severe concomitant craniocerebral and spinal trauma, increase the accuracy of manipulations, and reduce the number of errors in the treatment of victims. One such technology may be surgical navigation, which has already established itself as a high - precision procedure, the use of which demonstrates convincing results in the treatment of isolated injuries and when used in elective surgery. The expediency of using surgical navigation for traumatic intracranial hematomas is shown, which allows access and install drainage or an endoscope into the hematoma cavity as accurately as possible in a safe area. This method has shown high efficiency when installing ventricular drainage to assess the dynamics of changes in intracranial pressure. The advantages of using the navigation in the surgical treatment of concomitant spinal injuries have been demonstrated. Surgical navigation due to excellent visualization and high positioning accuracy of instruments and screws of metal structures have a significant advantage over three - dimensional fluoroscopy. The use of navigation can significantly reduce the number of errors and complications, as well as maximize the accuracy of screw insertion during stabilizing operations on the spine while reducing the operation time by 20%.

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About the authors

V. I Badalov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vadim_badalov@mail.ru
St. Petersburg, Russia

M. I Spitsyn

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: dr.spicynm2@mail.ru
St. Petersburg, Russia

K. E Korostelev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

R. V Yarmoshuk

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

P. Yu Shevelev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

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Copyright (c) 2021 Badalov V.I., Spitsyn M.I., Korostelev K.E., Yarmoshuk R.V., Shevelev P.Y.



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