title: Computer-assisted anterior spinal surgery for a case of recurrent giant cell tumor.
abstract: A computer-assisted image guidance system has recently been used for posterior spinal surgery. We applied this system to anterior revision surgery of the cervicothoracic junction for a patient with recurrent thoracic spinal giant cell tumor. Anterior computer-assisted spinal surgery was achieved by attaching reference markers to threaded pins inserted into a vertebral body. The locations of anatomic structures in the surgical field of this patient were difficult to identify because of previous surgery. Both accurate resection of the tumor and anterior fusion with iliac bone autograft between C6 and T3 were successfully performed using a computer-assisted image guidance system. This system is useful for anterior spinal surgery because it enables a surgeon to perform safe and accurate surgery.
authors.affiliation: Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Shoda
authors.forename: Susumu
authors.initials: S
authors.lastname: Nakajima
authors.forename: Atsushi
authors.initials: A
authors.lastname: Seichi
authors.forename: Akinori
authors.initials: A
authors.lastname: Kan
authors.forename: Motoshige
authors.initials: M
authors.lastname: Iwasaki
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Kitagawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawaguchi
authors.forename: Kozo
authors.initials: K
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation; D002574:Cervical Vertebrae; D019299:Decompression, Surgical; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D013125:Spinal Neoplasms / Q000601:surgery*; D025321:Surgery, Computer-Assisted