Abstract

The number of spine surgeries using instrumentation has been increasing with recent advances in surgical techniques and spinal implants. Navigation systems have been attracting attention since the 1990s in order to perform spine surgeries safely and effectively, and they enable us to perform complex spine surgeries that have been difficult to perform in the past. Navigation systems are also contributing to the improvement of minimally invasive spine stabilization (MISt) surgery, which is becoming popular due to aging populations. Conventional navigation systems were based on reconstructions obtained by preoperative computed tomography (CT) images and did not always accurately reproduce the intraoperative patient positioning, which could lead to problems involving inaccurate positional information and time loss associated with registration. Since 2006, an intraoperative CT-based navigation system has been introduced as a solution to these problems, and it is now becoming the mainstay of navigated spine surgery. Here, we highlighted the use of intraoperative CT-based navigation systems in current spine surgery, as well as future issues and prospects.

Highlights

  • Publisher’s Note: MDPI stays neutralSpinal instrumentation surgery has continued to make extraordinary progress with the development of surgical techniques and spinal implants

  • Medicina 2022, 58, 241 article, we report on the current status and application of computer-assisted navigation (CAN) in the field of spine surgery status and application of CAN in the field of spine surgery based on previous literature, in based on previous literature, in addition to discussing future challenges and prospects

  • We summarize the current status of CAN in the field of of spine surgery

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Summary

Introduction

Spinal instrumentation surgery has continued to make extraordinary progress with the development of surgical techniques and spinal implants. CAN provides surgeons with more confidence by providing a three-dimensional (3D) visualization of the skeletal anatomy not clearly evident through surgical exposure alone, especially in complex spine surgery [2]. It is useful for making the implant placement in the MISt procedure safer and easier without exposing anatomical landmarks [3]. Medicina 2022, 58, 241 article, we report on the current status and application of CAN in the field of spine surgery status and application of CAN in the field of spine surgery based on previous literature, in based on previous literature, in addition to discussing future challenges and prospects.

3.3.Discussion
Application of Navigation Systems in Cervical Spine Surgery
Application of Navigation
Application of Navigation System in MISt Procedures
Procedures
Robotics-Assisted Surgery
Stealth ance System
Limitations of Navigation Systems
Findings
Future Perspective and Challenges
Conclusions
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