Ensuring the safety of surgical correction of scoliosis in children using neuromonitoring and O-arm navigation

Abstract

Severe multiplanar spinal deformities of various etiologies are accompanied by disorders of the organ systems, causing early disability and reduced life expectancy of patients, which, in turn, dictates the need for surgical correction. The method of choice for the surgical correction of scoliosis is the technology of three-dimensional polysegmental fixation according to Cotrel–Dubousset. Despite the advantages of this spinal stabilization technology, it has its own specific difficulties and risks of various complications, most often associated with malposition of the supporting elements. To reduce the number of complications associated with the surgical correction of scoliosis, methods have been developed, including intraoperative neuromonitoring and O-arm navigation, the effectiveness of which will be discussed in this article.