title: Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation.
abstract: We present our perioperative minimally invasive spine surgery technique using intraoperative computed tomography image-guided navigation for the treatment of various lumbar spine pathologies. We present an illustrative case of a patient undergoing minimally invasive percutaneous posterior spinal fusion assisted by the O-arm system with navigation. We discuss the literature and the advantages of the technique over fluoroscopic imaging methods: lower occupational radiation exposure for operative room personnel, reduced need for postoperative imaging, and decreased revision rates. Most importantly, we demonstrate that use of intraoperative cone beam CT image-guided navigation has been reported to increase accuracy.
authors.affiliation: Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
authors.forename: Terrence T
authors.initials: TT
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA; Department of Neurosurgery, University of California Davis Medical Center, Sacramento, CA, USA.
authors.forename: J Patrick
authors.initials: JP
authors.lastname: Johnson
authors.affiliation: Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Pashman
authors.affiliation: Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
authors.forename: Doniel
authors.initials: D
authors.lastname: Drazin
mesh_terms: D054893:Cone-Beam Computed Tomography / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013123:Spinal Fusion / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome