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Konovalov N.A.

Burdenko Neurosurgical Center

Nazarenko A.G.

Burdenko Neurosurgical Center

Brinyuk E.S.

Burdenko Neurosurgical Center

Kaprovoy S.V.

Burdenko Neurosurgical Center

Asyutin D.S.

Burdenko Neurosurgical Center

Schultz M.A.

Burdenko Center of Neurosurgery

Onoprienko R.A.

Burdenko Center of Neurosurgery

Solenkova A.V.

Burdenko Center of Neurosurgery

Intraoperative computed tomography and modern navigation in surgical treatment of spine and spinal cord diseases

Authors:

Konovalov N.A., Nazarenko A.G., Brinyuk E.S., Kaprovoy S.V., Asyutin D.S., Schultz M.A., Onoprienko R.A., Solenkova A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(3): 15‑28

DOI: 10.17116/neiro20218503115

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To cite this article:

Konovalov NA, Nazarenko AG, Brinyuk ES, et al. . Intraoperative computed tomography and modern navigation in surgical treatment of spine and spinal cord diseases. Burdenko's Journal of Neurosurgery. 2021;85(3):15‑28. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20218503115

 
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Surgical treatment of spine and spinal cord diseases is one of important objectives in modern neurosurgery. Patient safety is a priority in spine and spinal cord surgery. Intraoperative imaging ensures efficacy and safe surgery with and without stabilization, preoperative marking, control of decompression and correct implant placement. Surgical C-arms and intraoperative cone-beam CT scanners are the most widespread in everyday practice. The latest achievement was intraoperative spiral computed tomography. C-arms and CT scanners with intraoperative navigation increase the efficiency and safety of surgical interventions.

Keywords:

C-arm
intraoperative CT
surgical navigation system
surgical safety
quality of surgical treatment
spine and spinal cord diseases

Authors:

Konovalov N.A.

Burdenko Neurosurgical Center

Nazarenko A.G.

Burdenko Neurosurgical Center

Brinyuk E.S.

Burdenko Neurosurgical Center

Kaprovoy S.V.

Burdenko Neurosurgical Center

Asyutin D.S.

Burdenko Neurosurgical Center

Schultz M.A.

Burdenko Center of Neurosurgery

Onoprienko R.A.

Burdenko Center of Neurosurgery

Solenkova A.V.

Burdenko Center of Neurosurgery

Received:

07.05.2020

Accepted:

05.02.2021

List of references:

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  2. Malham GM, Wells-Quinn T. What should my hospital buy next? — Guidelines for the acquisition and application of imaging, navigation, and robotics for spine surgery. Journal of Spine Surgery. 2019;5(1):155-165.  https://doi.org/10.21037/jss.2019.02.04
  3. Vaccaro AR, Rizzolo SJ, Balderston RA, Allardyce TJ, Garfin SR, Dolinskas C, An HS. Placement of pedicle screws in the thoracic spine. Part II: An anatomical and radiographic assessment. The Journal of Bone and Joint Surgery. American Volume. 1995;77(8):1200-1206. https://doi.org/10.2106/00004623-199508000-00009
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  9. Ishikawa Y, Kanemura T, Yoshida G, Matsumoto A, Ito Z, Tauchi R, Muramoto A, Ohno S, Nishimura Y. Intraoperative, full-rotation, three-dimensional image (O-arm)-based navigation system for cervical pedicle screw insertion. Journal of Neurosurgery. Spine. 2011;15(5):472-478.  https://doi.org/10.3171/2011.6.SPINE10809
  10. Rampersaud YR, Simon DA, Foley KT. Accuracy requirements for image-guided spinal pedicle screw placement. Spine (Phila Pa 1976). 2001;26(4):352-359. 
  11. Holly LT, Foley KT. Three-dimensional fluoroscopy-guided percutaneous thoracolumbar pedicle screw placement. Technical note. Journal of Neurosurgery. 2003;99(3 suppl):324-329.  https://doi.org/10.3171/spi.2003.99.3.0324
  12. Navarro-Ramirez R, Lang G, Lian X, Berlin C, Janssen I, Jada A, Alimi M, Härtl R. Total Navigation in Spine Surgery; A Concise Guide to Eliminate Fluoroscopy Using a Portable Intraoperative Computed Tomography 3-Dimensional Navigation System. World Neurosurgery. 2017;100:325-335.  https://doi.org/10.1016/j.wneu.2017.01.025

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