Abstract
BackgroundMinimally invasive spine surgery requires placement of the skin incision at an ideal location in the patient's back by the surgeon. However, numerous fluoroscopic x-ray images are sometimes required to find the site of entry, thereby exposing patients and Operating Room personnel to additional radiation. To minimize this exposure, a radiopaque localizer grid was devised to increase planning efficiency and reduce radiation exposure.ResultsThe radiopaque localizer grid was utilized to plan the point of entry for minimally invasive spine surgery. Use of the grid allowed the surgeon to accurately pinpoint the ideal entry point for the procedure with just one or two fluoroscopic X-ray images.ConclusionsThe reusable localizer grid is a simple and practical device that may be utilized to more efficiently plan an entry site on the skin, thus reducing radiation exposure. This device or a modified version may be utilized for any procedure involving the spine.
Highlights
Decreased soft tissue trauma and quicker patient recovery time have garnered wider support and popularity for minimally invasive spine surgery [1]
Demarcating the ideal entry point on the skin is a critical step for the success of the minimally invasive procedure
Minimally invasive spine procedures depend on the use of fluoroscopic X-rays for the accurate localization of the incision site
Summary
Decreased soft tissue trauma and quicker patient recovery time have garnered wider support and popularity for minimally invasive spine surgery [1]. A suboptimal entry point leads to inadequate exposure of the surgical site. This is associated with increased operative time, complications or possible inability to perform the procedure [1,2,3,4,5,6]. Numerous fluoroscopic x-ray images are sometimes required to find the site of entry, thereby exposing patients and Operating Room personnel to additional radiation. To minimize this exposure, a radiopaque localizer grid was devised to increase planning efficiency and reduce radiation exposure
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