Computer-assisted anterior spinal surgery for a case of recurrent giant cell tumor.
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.
Shoda
Naoki
N
Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
Nakajima
Susumu
S
Seichi
Atsushi
A
Kan
Akinori
A
Iwasaki
Motoshige
M
Kitagawa
Tomoaki
T
Kawaguchi
Hiroshi
H
Nakamura
Kozo
K
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