Publication Type Academic Article
Authors Lian X, Navarro-Ramirez R, Berlin C, Jada A, Moriguchi Y, Zhang Q, Härtl R
Journal Biomed Res Int
Volume 2016
Pagination 5027340
Date Published 07/27/2016
ISSN 2314-6141
Keywords Imaging, Three-Dimensional, Lumbar Vertebrae, Minimally Invasive Surgical Procedures, Neuronavigation, Spinal Fusion
Abstract Introduction. A new generation of iCT scanner, Airo®, has been introduced. The purpose of this study is to describe how Airo facilitates minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Method. We used the latest generation of portable iCT in all cases without the assistance of K-wires. We recorded the operation time, number of scans, and pedicle screw accuracy. Results. From January 2015 to December 2015, 33 consecutive patients consisting of 17 men and 16 women underwent single-level or two-level MIS-TLIF operations in our institution. The ages ranged from 23 years to 86 years (mean, 66.6 years). We treated all the cases in MIS fashion. In four cases, a tubular laminectomy at L1/2 was performed at the same time. The average operation time was 192.8 minutes and average time of placement per screw was 2.6 minutes. No additional fluoroscopy was used. Our screw accuracy rate was 98.6%. No complications were encountered. Conclusions. Airo iCT MIS-TLIF can be used for initial planning of the skin incision, precise screw, and cage placement, without the need for fluoroscopy. "Total navigation" (complete intraoperative 3D navigation without fluoroscopy) can be achieved by combining Airo navigation with navigated guide tubes for screw placement.
DOI 10.1155/2016/5027340
PubMed ID 27529069
PubMed Central ID PMC4978816
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