title: Computer-assisted spine surgery: a technique for accurate transpedicular screw fixation using CT data and a 3-D optical localizer.
abstract: The computer-assisted spine surgery system presented in this paper follows the basic ideas which have been developed for computer-assisted medical interventions (CAMI) in our lab since 1985. There are three steps to insert a linear tool inside vertebral pedicles. First, the surgeon defines an optimal trajectory on pre-operative computed tomography. Second, this trajectory is reported in the operating room coordinate system using an intra-operative sensor and a registration algorithm. Third, a guiding system helps the surgeon follow the selected trajectory. In this paper, we present an implementation of this method that uses only a 3-dimensional optical localizer. Results on cadaver specimens and on the first seven patients are presented.
authors.affiliation: TIMC-AB, Faculté de Médecine, La Tronche, France. stephane.lavallee@imag.fr
authors.forename: S
authors.initials: S
authors.lastname: Lavallée
authors.forename: P
authors.initials: P
authors.lastname: Sautot
authors.forename: J
authors.initials: J
authors.lastname: Troccaz
authors.forename: P
authors.initials: P
authors.lastname: Cinquin
authors.forename: P
authors.initials: P
authors.lastname: Merloz
mesh_terms: D001863:Bone Screws; D003196:Computer Graphics; D003198:Computer Simulation; D006801:Humans; D007091:Image Processing, Computer-Assisted; D066298:In Vitro Techniques; D013131:Spine / Q000000981:diagnostic imaging / Q000601:surgery*; D013525:Surgical Instruments; D013813:Therapy, Computer-Assisted; D014057:Tomography, X-Ray Computed