Seminars in Spine Surgery
Volume 19, Issue 2 , Pages 78-86 , June 2007

Intraoperative Imaging Techniques in Spine Surgery

  • Jaehon M. Kim, MD

      Affiliations

    • Weill Medical College of Cornell University, New York, NY.
    • ,
  • Andrea L. Bowers, MD

      Affiliations

    • Department of Orthopaedic Surgery, The University of Pennsylvania, Philadelphia, PA.
    • ,
  • Kingsley R. Chin, MD

      Affiliations

    • Department of Orthopaedic Surgery, The University of Pennsylvania, Philadelphia, PA.
    • Corresponding Author InformationAddress reprint requests to Kingsley R. Chin, MD, Assistant Professor of Orthopaedics, Department of Orthopaedic Surgery, University of Pennsylvania, 3400 Spruce Street, 2 Silverstein, Philadelphia, PA 19104.

References 

  1. Schlondorff G. Computer-assisted surgery: historical remarks. Comput Aided Surg. 1998;3:150–152
  2. Cinotti C, Gumina S, Ripani M, et al. Pedicle instrumentation in the thoracic spine: a morphometric and cadaveric study for placement of screws. Spine. 1999;24:114–119
  3. Abumi K, Shono Y, Ito M, et al. Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine. 2000;25:963–969
  4. Karaikovic EE, Yingsakmongkol W, Gaines RW. Accuracy of cervical pedicle screw placement using the funnel technique. Spine. 2001;26:2456–2462
  5. Ludwig SC, Kramer DL, Balderston RA, et al. Placement of pedicle screws in the human cadaveric cervical spine (Comparative accuracy of three techniques). Spine. 2000;25:1655–1667
  6. Miller RM, Ebraheim NA, Xu R, et al. Anatomic consideration of transpedicular screw placement in the cervical spine: an analysis of two approaches. Spine. 1996;21:2317–2322
  7. Neo M, Sakamoto T, Fujibayashi S, et al. The clinical risk of vertebral artery injury from cervical pedicle screws inserted in degenerative vertebrae. Spine. 2005;30:2800–2805
  8. Abumi K, Itoh H, Taneichi H, et al. Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: description of the techniques and preliminary report. J Spinal Disord. 1994;7:19–28
  9. Jeanneret B, Gebhard JS, Magerl F. Transpedicular screw fixation of articular mass fracture-separation: results of an anatomical study and operative techniques. J Spinal Disord. 1994;7:222–229
  10. McCormack BM, Benzel EC, Adams MS, et al. Anatomy of the thoracic pedicle. Neurosurgery. 1995;37:303–308
  11. Holly LT, Foley KT. Three-dimensional fluoroscopy-guided percutaneous thoracolumbar pedicle screw placement (Technical note). J Neurosurg. 2003;99:324–329
  12. Mirza SK, Wiggins GC, Kuntz CIV. Accuracy of thoracic vertebral body screw placement using standard fluoroscopy, fluoroscopic image guidance, and computed tomographic image guidance: a cadaveric study. Spine. 2003;28:402–413
  13. Rampersaud YR, Simon DA, Foley KT. Accuracy requirement for image-guided spinal pedicle screw placement. Spine. 2001;26:352–359
  14. Liljenqvist UR, Halm HF, Link TM. Pedicle screw instrumentation of the thoracic spine in idiopathic scoliosis. Spine. 1997;22:2239–2245
  15. Vaccaro AR, Rizzolo SJ, Balderston RA, et al. Placement of pedicle screws in the thoracic spine: part II (An anatomical and radiographic assessment). J Bone Joint Surg Am. 1995;77:1200–1206
  16. Weinstein JN, Spratt KF, Spengeler D, et al. Spinal pedicle fixation: reliability and validity of roentgenogram based assessment and surgical factors on successful screw placement. Spine. 1988;13:1013–1018
  17. Laine T, Lund T, Ylikoski M, et al. Accuracy of pedicle screw insertion with and without computer assistance: a randomized controlled clinical study in 100 consecutive patients. Eur Spine J. 2000;9:235–240
  18. Belmont PJ, Klemme WR, Dhawan A, et al. In vivo accuracy of pedicle screws. Spine. 2001;26:2340–2346
  19. Castro WHM, Halm H, Jerosch J, et al. Accuracy of pedicle screw placement in lumbar vertebrae. Spine. 1996;21:1320–1324
  20. Merloz P, Tonetti J, Pittet L, et al. Pedicle screw placement using image-guided techniques. Clin Orthop Relat Res. 1998;354:39–48
  21. Amiot LP, Lang K, Putzier M, et al. Comparative results between conventional and computer-assisted pedicle screw installation in the thoracic, lumbar and sacral spine. Spine. 2000;25:606–614
  22. Gertzbein SD, Robbins SE. Accuracy of pedicular screw placement in vivo. Spine. 1990;15:11–14
  23. Wang MY, Kim KA, Liu CY, et al. Reliability of three-dimensional fluoroscopy for detecting pedicle screw violations in the thoracic and lumbar spine. Neurosurgery. 2004;54:1138–1143
  24. Laine T, Makitalo K, Schlenzka D, et al. Accuracy of pedicle screw insertion: a prospective CT study in 10 low back patients. Eur Spine J. 1997;6:402–405
  25. Youkilis AS, Quint DJ, McGillicuddy JE, et al. Stereotactic navigation for placement of pedicle screws in the thoracic spine. Neurosurgery. 2001;48:771–781
  26. Assaker R, Reyns N, Vinchon M, et al. Transpedicular screw placement: image-guided versus lateral-view fluoroscopy: in vitro simulation. Spine. 2001;26:2160–2164
  27. Schwend RM, Dewire PJ, Kowalski TM. Accuracy of fluoroscopically assisted laser targeting of the cadaveric thoracic and lumbar spine to place transpedicular screws. J Spinal Disord. 2000;13:412–418
  28. Hott JS, Deshmukh VR, Klopfenstein JD, et al. Intraoperative Iso-C C-arm navigation in craniospinal surgery: the first 60 cases. Neurosurgery. 2004;54:1131–1137
  29. Holly LT, Foley KT. Intraoperative spinal navigation. Spine. 2003;15S:S54–S61
  30. Tamura Y, Sugano N, Sasama T, et al. Surface-based registration accuracy of CT-based image-guided spine surgery. Eur Spine J. 2005;14:291–297
  31. Kozak J, Nesper M, Fischer M, et al. Semiautomated registration using new markers for assessing the accurancy of a navigation system. Comput Aided Surg. 2002;7:11–24
  32. Winkler D, Vitzthum H-E, Seifert V. Spinal markers: a new method for increasing accuracy in spinal navigation. Comput Aided Surg. 1999;4:101–104
  33. Amiot LP, Poulin F. Computed tomography-based navigation for hip, knee and spine surgery. Clin Orthop Relat Res. 2004;421:77–86
  34. Schwarzenbach O, Berleman U, Jost B, et al. Accuracy of computer-assisted pedicle screw placement (An in vivo computed tomography analysis). Spine. 1997;22:452–458
  35. Kalfas IH, Kormos DW, Murphy MA, et al. Application of frameless stereotaxy to pedicle fixation of the spine. J Neurosurg. 1995;83:641–647
  36. Takahashi J, Shono Y, Nakamura I, et al. Computer-assisted screw insertion for cervical disorder in rheumatoid arthritis. Eur Spine J Epub ahead of print. 2006;
  37. Lim MR, Girardi FP, Yoon SC. Accuracy of computerized frameless stereotactic image-guided pedicle screw placement into previously fused lumbar spine. Spine. 2005;30:1793–1798
  38. Abumi K, Kaneda K. Pedicle screw fixation for nontraumatic lesions of the cervical spine. Spine. 1997;22:1853–1863
  39. Jones EL, Heller JG, Silcox DH, et al. Cervical pedicle screws versus lateral mass screws (Anatomic feasibility and biomechanical comparison). Spine. 1997;22:977–982
  40. Kotani Y, Abumi K, Ito M, et al. Improved accuracy of computer-assisted cervical pedicle screw insertion. J Neurosurg. 2003;99:257–263
  41. Richter M, Cakir B, Schmidt R. Cervical pedicle screws: conventional versus computer-assisted placement of cannulated screws. Spine. 2005;30:2280–2287
  42. Euler E, Wirth S, Pfeifer J, et al. 3-D imaging with an isocentric mobile C-arm. Electromedica. 2000;68:1;22-26
  43. Hott JS, Papadopoulos SM, Theodore N, et al. Intraoperative Iso-C C-arm navigation in cervical spinal surgery. Spine. 2004;29:2856–2860
  44. Villavicencio AT, Burneikiene S, Bulsara KR, et al. Utility of computerized isocentric fluoroscopy for minimally invasive spinal surgical technique. J Spinal Disord Tech. 2005;18:369–375
  45. Rao G, Brodke DS, Rondina M, Dailey AT. Comparison of computerized tomography and direct visualization in thoracic pedicle screw placement. J Neurosurg. 2002;97:223–226
  46. Pavlov PW. Anterior decompression for cervical spondylotic myelopathy. Eur Spine J. 2003;12:S188–S194
  47. Freidberg SR, Pfeifer BA, Dempsey PK, et al. Intraoperative computerized tomography scanning to assess the adequacy of decompression anterior cervical spine surgery. J Neurosurg Spine. 2001;94:8–11
  48. Abe H, Tsuru M, Ito T. Anterior decompression for ossification of the posterior longitudinal ligament of the cervical spine. J Neurosurg. 1981;55:108–116
  49. Eleraky MA, Llanos C, Sonntag VK. Cervical corpectomy: report of 185 cases and review of the literature. J Neurosurg Spine. 1999;90:35–41
  50. Hejazi N, Witzmann A, Hassler W. Intraoperative cervical epidurography: a simple modality for assessing the adequacy of decompression during anterior cervical procedure. J Neurosurg Spine. 2003;98:96–99
  51. Deinsberger R, Regatschnig R, Ungersbock K. Intraoperative evaluation of bone decompression in anterior cervical spine surgery by three-dimensional fluoroscopy. Eur Spine J. 2005;14:671–676
  52. Holly LT, Foley KT. Percutaneous placement of posterior cervical screws using three-dimensional fluoroscopy. Spine. 2006;31:536–540
  53. Linsenmaier U, Rock C, Euler E, et al. Three-dimensional CT with a modified C-arm image intensifier: feasibility. Radiology. 2002;224:286–292
  54. Foley KT, Simon DA, Rampersaud R. Virtual fluoroscopy: computer-assisted fluoroscopic navigation. Spine. 2001;26:347–351
  55. Quiñones-Hinojosa A, Koen ER, Jun P, et al. Accuracy over space and time of computer-assisted fluoroscopic navigation in the lumbar spine in vivo. J Spinal Disord Tech. 2006;19:109–113
  56. Fritsch E, Duchow J, Seil R, et al. Accuracy of fluoroscopic navigation of pedicle screws (CT-based evaluation of bone screw placement). Orthopade. 2002;31:385–391

 No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

PII: S1040-7383(07)00034-2

doi: 10.1053/j.semss.2007.04.003

Seminars in Spine Surgery
Volume 19, Issue 2 , Pages 78-86 , June 2007

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