Intraoperative image-guided spinal navigation: Technical pitfalls and their avoidance

Neurosurgical Focus

Volumn 36, Issue 3, 2014, Pages

  Rahmathulla, Gazanfar ^a   Nottmeier, Eric W ^a,b   Pirris, Stephen M ^a   Gordon Deen, H ^a   Pichelmann, Mark A ^a  

^a MAYO CLINIC   (United States)

^b St Vincent's Brain and Spine Institute   (United States)

Author keywords

Avoidance; Image guidance; Intraoperative spinal navigation; Pitfall

Indexed keywords

BONE SCREW; COMPUTER ASSISTED SURGERY; COMPUTER ASSISTED TOMOGRAPHY; HUMAN; METHODOLOGY; NEURONAVIGATION; PATIENT MONITORING; REVIEW; SPINE; SPINE FUSION; THREE DIMENSIONAL IMAGING;

BONE SCREWS; HUMANS; IMAGING, THREE-DIMENSIONAL; MONITORING, INTRAOPERATIVE; NEURONAVIGATION; SPINAL FUSION; SPINE; SURGERY, COMPUTER-ASSISTED; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84897618397     PISSN: None     EISSN: 10920684     Source Type: Journal    
DOI: 10.3171/2014.1.FOCUS13516     Document Type: Article

References (75)

1. Abul-Kasim K, Overgaard A, Maly P, Ohlin A, Gunnarsson M, Sundgren PC: Low-dose helical computed tomography (CT) in the perioperative workup of adolescent idiopathic scoliosis. Eur Radiol 19:610-618, 2009
2. Abul-Kasim K, Söderberg M, Selariu E, Gunnarsson M, Kherad M, Ohlin A: Optimization of radiation exposure and image quality of the cone-beam O-arm intraoperative imaging system in spinal surgery. J Spinal Disord Tech 25:52-58, 2012
3. Abul-Kasim K, Strömbeck A, Ohlin A, Maly P, Sundgren PC: Reliability of low-radiation dose CT in the assessment of screw placement after posterior scoliosis surgery, evaluated with a new grading system. Spine (Phila Pa 1976) 34:941-948, 2009
4. Abumi K, Shono Y, Ito M, Taneichi H, Kotani Y, Kaneda K: Complications of pedicle screw fixation in reconstructive sur-gery of the cervical spine. Spine (Phila Pa 1976) 25:962-969, 2000
5. Amiot LP, Lang K, Putzier M, Zippel H, Labelle H: Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar, and sacral spine. Spine (Phila Pa 1976) 25:606-614, 2000
6. Bai YS, Zhang Y, Chen ZQ, Wang CF, Zhao YC, Shi ZC, et al: Learning curve of computer-assisted navigation system in spine surgery. Chin Med J (Engl) 123:2989-2994, 2010
7. Bandela JR, Jacob RP, Arreola M, Griglock TM, Bova F, Yang M: Use of CT-based intraoperative spinal navigation: management of radiation exposure to operator, staff, and patients. World Neurosurg 79:390-394, 2013
8. Brodwater BK, Roberts DW, Nakajima T, Friets EM, Strohbehn JW: Extracranial application of the frameless stereotactic operating microscope: experience with lumbar spine. Neurosurgery 32:209-213, 1993
9. Costa F, Cardia A, Ortolina A, Fabio G, Zerbi A, Fornari M: Spinal navigation: standard preoperative versus intraoperative computed tomography data set acquisition for computer-guidance system: radiological and clinical study in 100 consecutive patients. Spine (Phila Pa 1976) 36:2094-2098, 2011
10. Ebmeier K, Giest K, Kalff R: Intraoperative computerized tomography for improved accuracy of spinal navigation in pedicle screw placement of the thoracic spine. Acta Neurochir Suppl 85:105-113, 2003
11. Gebhard F, Weidner A, Liener UC, Stöckle U, Arand M: Navigation at the spine. Injury 35 (Suppl 1):35-45, 2004
12. Gelalis ID, Paschos NK, Pakos EE, Politis AN, Arnaoutoglou CM, Karageorgos AC, et al: Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques. Eur Spine J 21:247-255, 2012
13. Girardi FP, Cammisa FP Jr, Sandhu HS, Alvarez L: The placement of lumbar pedicle screws using computerised stereotactic guidance. J Bone Joint Surg Br 81:825-829, 1999
14. Glossop ND, Hu RW, Randle JA: Computer-aided pedicle screw placement using frameless stereotaxis. Spine (Phila Pa 1976) 21:2026-2034, 1996
15. Härtl R, Lam KS, Wang J, Korge A, Kandziora F, Audigé L: Worldwide survey on the use of navigation in spine surgery. World Neurosurg 79:162-172, 2013
16. Heary RF, Bono CM, Black M: Thoracic pedicle screws: postoperative computerized tomography scanning assessment. J Neurosurg 100 (4 Suppl Spine):325-331, 2004
17. Helm PA, Eckel TS: Accuracy of registration methods in frameless stereotaxis. Comput Aided Surg 3:51-56, 1998
18. Holly LT, Bloch O, Johnson JP: Evaluation of registration techniques for spinal image guidance. J Neurosurg Spine 4: 323-328, 2006
19. Holly LT, Foley KT: Image guidance in spine surgery. Orthop Clin North Am 38:451-461, 2007
20. Holly LT, Foley KT: Intraoperative spinal navigation. Spine (Phila Pa 1976) 28 (15 Suppl):S54-S61, 2003
21. Hott JS, Deshmukh VR, Klopfenstein JD, Sonntag VKH, Dickman CA, Spetzler RF, et al: Intraoperative Iso-C C-arm navigation in craniospinal surgery: the first 60 cases. Neurosurgery 54:1131-1137, 2004
22. Ito Y, Sugimoto Y, Tomioka M, Hasegawa Y, Nakago K, Yagata Y: Clinical accuracy of 3D fluoroscopy-assisted cervical pedicle screw insertion. Clinical article. J Neurosurg Spine 9:450-453, 2008
23. Kalfas IH, Kormos DW, Murphy MA, McKenzie RL, Barnett GH, Bell GR, et al: Application of frameless stereotaxy to pedicle screw fixation of the spine. J Neurosurg 83:641-647, 1995
24. Kast E, Mohr K, Richter HP, Börm W: Complications of transpedicular screw fixation in the cervical spine. Eur Spine J 15:327-334, 2006
25. Kim CW, Lee YP, Taylor W, Oygar A, Kim WK: Use of navigation-assisted fluoroscopy to decrease radiation exposure during minimally invasive spine surgery. Spine J 8:584-590, 2008
26. Kim YJ, Lenke LG, Cho SK, Bridwell KH, Sides B, Blanke K: Comparative analysis of pedicle screw versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 29:2040-2048, 2004
27. Kosmopoulos V, Schizas C: Pedicle screw placement accuracy: a meta-analysis. Spine (Phila Pa 1976) 32:E111-E120, 2007
28. Laine T, Lund T, Ylikoski M, Lohikoski J, Schlenzka D : Accuracy of pedicle screw insertion with and without computer assistance: a randomised controlled clinical study in 100 consecutive patients. Eur Spine J 9:235-240, 2000
29. Laine T, Mäkitalo K, Schlenzka D, Tallroth K, Poussa M, Alho A: Accuracy of pedicle screw insertion: a prospective CT study in 30 low back patients. Eur Spine J 6:402-405, 1997
30. Laine T, Schlenzka D, Mäkitalo K, Tallroth K, Nolte LP, Visarius H: Improved accuracy of pedicle screw insertion with computer-assisted surgery. A prospective clinical trial of 30 patients. Spine (Phila Pa 1976) 22:1254-1258, 1997
31. Langlotz F: Potential pitfalls of computer aided orthopedic surgery. Injury 35 (Suppl 1):17-23, 2004
32. Liljenqvist UR, Halm HF, Link TM: Pedicle screw instrumentation of the thoracic spine in idiopathic scoliosis. Spine (Phila Pa 1976) 22:2239-2245, 1997
33. Linhardt O, Perlick L, Lüring C, Stern U, Plitz W, Grifka J: [Extracorporeal single dose and radiographic dosage in imagecontrolled and fluoroscopic navigated pedicle screw implantation.] Z Orthop Ihre Grenzgeb 143:175-179, 2005 (Ger)
34. Mayer EK, Winkler MH, Aggarwal R, Karim O, Ogden C, Hrouda D, et al: Robotic prostatectomy: the first UK experience. Int J Med Robot 2:321-328, 2006
35. Merloz P, Tonetti J, Cinquin P, Lavallée S, Troccaz J, Pittet L: [Computer-assisted surgery: automated screw placement in the vertebral pedicle.] Chirurgie 123:482-490, 1998 (Fr)
36. National Heart, Lung, and Blood Institute, National Institute of Diabetes and Digestive and Kidney Diseases: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Institutes of Health, 1998
37. Neo EL, Zingg U, Devitt PG, Jamieson GG, Watson DI: Learning curve for laparoscopic repair of very large hiatal hernia. Surg Endosc 25:1775-1782, 2011
38. Nolte L, Zamorano L, Arm E, Visarius H, Jiang Z, Berlerman U, et al.: Image-guided computer-assisted spine surgery: a pilot study on pedicle screw fixation. Stereotact Funct Neurosurg 66:108-117, 1996
39. Nottmeier EW: A review of image-guided spinal surgery. J Neurosurg Sci 56:35-47, 2012
40. Nottmeier EW, Bowman C, Nelson KL: Surgeon radiation exposure in cone beam computed tomography-based, imageguided spinal surgery. Int J Med Robot 8:196-200, 2012
41. Nottmeier EW, Crosby T: Timing of vertebral registration in three-dimensional, fluoroscopy-based, image-guided spinal surgery. J Spinal Disord Tech 22:358-360, 2009
42. Nottmeier EW, Pirris SM, Edwards S, Kimes S, Bowman C, Nelson KL : Operating room radiation exposure in cone beam computed tomography-based, image-guided spinal surgery. Clinical article. J Neurosurg Spine 19:226-231, 2013
43. Nottmeier EW, Seemer W, Young PM: Placement of thoracolumbar pedicle screws using three-dimensional image guidance: experience in a large patient cohort. Clinical article. J Neurosurg Spine 10:33-39, 2009
44. Nottmeier EW, Young PM: Image-guided placement of occipitocervical instrumentation using a reference arc attached to the headholder. Neurosurgery 66 (3 Suppl Operative):138-142, 2010
45. Perisinakis K, Theocharopoulos N, Damilakis J, Katonis P, Papadokostakis G, Hadjipavlou A, et al: Estimation of patient dose and associated radiogenic risks from fluoroscopically guided pedicle screw insertion. Spine (Phila Pa 1976) 29: 1555-1560, 2004
46. Pirris SM, Nottmeier EW : A case series on the technical use of three-dimensional image guidance in subaxial anterior cervical surgery. Int J Med Robotics Comput Assist Surg [in press], 2014
47. Quiñones-Hinojosa A, Robert Kolen E, Jun P, Rosenberg WS, Weinstein PR : Accuracy over space and time of computerassisted fluoroscopic navigation in the lumbar spine in vivo. J Spinal Disord Tech 19:109-113, 2006
48. Rahmathulla G, Recinos PF, Traul DE, Avitsian R, Yunak M, Harper NT, et al: Surgical briefings, checklists, and the creation of an environment of safety in the neurosurgical intraoperative magnetic resonance imaging suite. Neurosurg Focus 33(5):E12, 2012
49. Rajasekaran S, Vidyadhara S, Ramesh P, Shetty AP: Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries. Spine (Phila Pa 1976) 32:E56-E64, 2007
50. Rampersaud YR, Foley KT, Shen AC, Williams S, Solomito M: Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion. Spine (Phila Pa 1976) 25:2637-2645, 2000
51. Rampersaud YR, Simon DA, Foley KT: Accuracy requirements for image-guided spinal pedicle screw placement. Spine (Phila Pa 1976) 26:352-359, 2001
52. Ravi B, Zahrai A, Rampersaud R: Clinical accuracy of computer-assisted two-dimensional fluoroscopy for the percutaneous placement of lumbosacral pedicle screws. Spine (Phila Pa 1976) 36:84-91, 2011
53. Richter M, Cakir B, Schmidt R: Cervical pedicle screws: conventional versus computer-assisted placement of cannulated screws. Spine (Phila Pa 1976) 30:2280-2287, 2005
54. Rose PS, Lenke LG, Bridwell KH, Mulconrey DS, Cronen GA, Buchowski JM, et al: Pedicle screw instrumentation for adult idiopathic scoliosis: an improvement over hook/hybrid fixation. Spine (Phila Pa 1976) 34:852-858, 2009
55. Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R: The impact of video games on training surgeons in the 21st century. Arch Surg 142:181-186, 2007
56. Sasso RC, Garrido BJ: Computer-assisted spinal navigation versus serial radiography and operative time for posterior spinal fusion at L5-S1. J Spinal Disord Tech 20:118-122, 2007
57. Scheufler KM, Cyron D, Dohmen H, Eckardt A: Less invasive surgical correction of adult degenerative scoliosis, part I: technique and radiographic results. Neurosurgery 67:696- 710, 2010
58. Scheufler KM, Franke J, Eckardt A, Dohmen H: Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing, Part I: cervicothoracic spine. Neurosurgery 69:782-795, 2011
59. Scheufler KM, Franke J, Eckardt A, Dohmen H: Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing. Part II: thoracolumbar spine. Neurosurgery 69:1307-1316, 2011
60. Shin BJ, James AR, Njoku IU, Härtl R: Pedicle screw navigation: a systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion. A review. J Neurosurg Spine 17:113-122, 2012
61. Shin MH, Ryu KS, Park CK: Accuracy and safety in pedicle screw placement in the thoracic and lumbar spines: comparison study between conventional C-arm fluoroscopy and navigation coupled with O-arm® guided methods. J Korean Neurosurg Soc 52:204-209, 2012
62. Silbermann J, Riese F, Allam Y, Reichert T, Koeppert H, Gutberlet M: Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques. Eur Spine J 20:875-881, 2011
63. Simon DA, Lavallée S: Medical imaging and registration in computer assisted surgery. Clin Orthop Relat Res (354):17- 27, 1998
64. Tian NF, Huang QS, Zhou P, Zhou Y, Wu RK, Lou Y, et al: Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies. Eur Spine J 20:846-859, 2011
65. Tian NF, Xu HZ: Image-guided pedicle screw insertion accuracy: a meta-analysis. Int Orthop 33:895-903, 2009
66. Tian W, Lang Z, Liu YJ, Liu B, Li Q, Hu L, et al: [Study of pedicle screw placement assisted by intraoperative three-dimensional navigation in lumbar vertebrae with axial rotation.] Zhonghua Wai Ke Za Zhi 48:838-841, 2010 (Chinese)
67. Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen ES, et al: Image-guided spine surgery: state of the art and future directions. Eur Spine J 19:25-45, 2010
68. Tormenti MJ, Kostov DB, Gardner PA, Kanter AS, Spiro RM, Okonkwo DO: Intraoperative computed tomography imageguided navigation for posterior thoracolumbar spinal instrumentation in spinal deformity surgery. Neurosurg Focus 28(3):E11, 2010
69. Tow BP, Yue WM, Srivastava A, Lai JM, Guo CM, Peng BC, et al: Does navigation improve accuracy of placement of pedicle screws in single level lumbar degenerative spondylolisthesis? - A comparison between free-hand and 3D O-arm navigation techniques. J Spinal Disord Tech [epub ahead of print], 2013
70. Ul Haque M, Shufflebarger HL, O'Brien M, Macagno A: Radiation exposure during pedicle screw placement in adolescent idiopathic scoliosis: is fluoroscopy safe? Spine (Phila Pa 1976) 31:2516-2520, 2006
71. Vaccaro AR, Rizzolo SJ, Balderston RA, Allardyce TJ, Garfin SR, Dolinskas C, et al: Placement of pedicle screws in the thoracic spine. Part II: an anatomical and radiographic assessment. J Bone Joint Surg Am 77:1200-1206, 1995
72. Vaidya R, Carp J, Bartol S, Ouellette N, Lee S, Sethi A: Lumbar spine fusion in obese and morbidly obese patients. Spine (Phila Pa 1976) 34:495-500, 2009
73. Weinstein JN, Spratt KF, Spengler D, Brick C, Reid S: Spinal pedicle fixation: reliability and validity of roentgenogrambased assessment and surgical factors on successful screw placement. Spine (Phila Pa 1976) 13:1012-1018, 1988
74. Zwingmann J, Konrad G, Mehlhorn AT, Südkamp NP, Oberst M: Percutaneous iliosacral screw insertion: malpositioning and revision rate of screws with regards to application technique (navigated vs. conventional). J Trauma 69:1501-1506, 2010
75. Zwingmann J, Südkamp NP, König B, Culemann U, Pohlemann T, Aghayev E, et al: Intra- and postoperative complications of navigated and conventional techniques in percutaneous iliosacral screw fixation after pelvic fractures: results from the German Pelvic Trauma Registry. Injury 44:1765- 1772, 2013