High accuracy of 2D fluoroscopic based navigation of pedicle screw fixation in the lumbar spine utilizing cylinder pedicle design, innovative technique.

Slides:

Advertisements

Similar presentations

THORACO-LUMBAR PEDICLE SCREW FIXATION

Advertisements

GLATA 2010 EVALUATION OF THE SURGICAL BACK CANDIDATE Hank Feuer, MD, FACS Goodman Campbell Brain and Spine Methodist Sports Medicine Center Hank Feuer,

Intraoperative Iso-C C-arm navigation surgery for spinal and pelvic trauma Kobe Red Cross Hospital Yasuo Ito K. Koshimune, T. Takigawa, S. Nakahara, T.

Minimally Invasive Spine Surgery (MIS)

Do ATLS Instructor Courses Have an Impact on Teaching Skills and Attitude of Instructors? Mohammed Y. Al-Naami FRCSC, FACS, M Ed.

Daniel Boedeker, MD Spinal Hardware Extraction.  Spinal instrumentation has been utilized since the 1940s  Pedicle screws became increasingly popular.

How to Create an Educational Module Project Title V Annette Lόpez Martínez, MD, FAAP December 9, 2011.

Thoracic and Lumbar Spine Trauma

ORTHOPEDIC PRODUCT PORTFOLIO. KNEE NAVIGATION KNEE ARTHROPLASTY KNEE ARTHROPLASTY – THE CHALLENGES A lot of revisions need to be done in the first two.

Improved Patient Safety By Comprehensive Simulation-Based Training in Cardiac Surgery AHRQ 2012 Annual Conference September 10, 2012 Richard H. Feins,

Do ATLS Instructor Courses Have an Impact on Teaching Skills and Attitude of Instructors? By Dr. Mohammed Y. Al-Naami FRCSC, FACS, M Ed.

Insert name of presentation on Master Slide Professor Sue Lister Introducing quality improvement into the education of health and social care professionals.

LOUISIANA STATE UNIVERSITY MEDICAL CENTER School of Medicine in New Orleans LOUISIANA STATE UNIVERSITY MEDICAL CENTER School of Medicine in New Orleans.

Introduction to the Orthopaedic 452 course Dr.Abdulaziz Alomar, MBBS, MSc, FRCSC Assisstant professor of Orthopaedic surgery Sport Medicine & Arthroscopic.

1 Posterior Instrumentation for Thorocolumbar Spine Wayne Cheng, MD April 22, 2009.

Pelvic Fixation in Spine Surgery by Ali Moshirfar, Frank F. Rand, Paul D. Sponseller, Stephen J. Parazin, A. Jay Khanna, Khaled M. Kebaish, John T. Stinson,

RADIOLOGICAL ANATOMY OF THE VERTEBRA Dr. Sajjad Hussain Consultant Radiologist KKUH Assistant Professor of Radiology KSU Dr. Sajjad Hussain Consultant.

Surgical Approaches for Various Pathologies LevelsDisc HerniationApproaches SOFT DISC T1 to T4Central, centrolateralTranssternal Central, centrolateralMedial.

Copyright © 2015 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited Supplemental PowerPoint Slides Accuracy.

©2015 MFMER | slide-1 How Does Patient Radiation Exposure Compare with Low Dose O-Arm vs. Fluoroscopy for Pedicle Screw Placement? a,b Alvin W. Su, MD,

Lawrence Lau TJUH Emergency Medicine PGY-1. CVC Insertion with US Guidance  US procedural guidance has become standard of care in placing central venous.

John T. Wilkinson m. d. , Chad E. Songy m. d. , Frances l

by Robert W. Gaines J Bone Joint Surg Am Volume 82(10):

“Body Double”: The Concurrent Use of Anatomy Lab Cadavers for Resident Trauma Training Derek B. Wall, MD, FACS Michelle M. Olson, MD, MACM, FACS, FACRS.

Florence Nightingale Hospital

Image-Based 3-D Spinal Navigation Using Intra-Operative Fluoroscopic Registration R. Grzeszczuk, S. Chin, M. Murphy, R. Fahrig, H. Abbasi, D. Kim, J.R.

Northwestern University Department of Neurosurgery Paddle SCS Leads: Advantages and Limitations Joshua M. Rosenow, MD, FAANS, FACS Director, Functional.

Renaissance Advantages to Spinal Surgery Bonaventure B. Ngu MD.

RE-AIM Framework. RE-AIM: A Framework for Health Promotion Planning, Implementation and Evaluation Are we reaching the intended audience? Is the program.

Emerging Technologies in Spinal Surgery Presenter/author date.

Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden Preoperative simulation reduces surgical time and radiation exposure for.

INTRODUCTION A major limitation of C-arm fluoroscopy is the inability to capture radiographic images in more than one anatomical plane at a time. The G-arm.

[2014]. 2 References 1. Kosmopoulos V, Schizas C. Pedicle screw placement accuracy: a meta-analysis. Spine. 2007;32(3):E Gertzbein SB, Robbins.

RADIOLOGICAL ANATOMY OF THE VERTEBRAE Dr. Sajjad Hussain Consultant Radiologist KKUH Assistant Professor of Radiology KSU.

Improvement of Pedicle Screw Placement with First-time Use of Patient Specific Drill Guides by Novice Surgeon Kyle Walker, MD; Michael Silverstein, MD;

MAST® MIDLF™ Procedure with Cortical Bone Screws

Volume 65, Issue 2, Pages (February 2006)

Clearing the Pediatric Cervical Spine

Cervical Spine Trauma Odontoid fractures Anatomic pathology

Symptomatic progression of degenerative scoliosis after decompression and limited fusion surgery for lumbar spinal stenosis John K. Houten, Rani Nasser

FIGURE 1. Axial T2 (A, B) and T1 postgadolinium (D, E) spinal magnetic resonance imaging demonstrating a contrast-enhancing mass at T4 and T5 with significant.

Lumbar fusion with adjacent degenerative disc stress and disease

Florence Nightingale Hospital

Florence Nightingale Hospital

Early clinical experiences with spine electromagnetic navigation

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

MIS Techniques Applied to Deformity:

interactive knowledge centre

Jonathan A. Godin, M. D. , M. B. A. , Zaamin B. Hussain, B. A

Percutaneous Vertebroplasty—A Technique to Treat Refractory Spinal Pain in the Setting of Advanced Metastatic Cancer: A Case Series Allen W. Burton,

Volume 3, Issue 3, Pages (September 2017)

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

A Clinical Decision Rule for Thoracolumbar Spine Imaging in Blunt Trauma? Jeff Riddell, MD, Kenji Inaba, MD, FRCSC, FACS, Paul Jhun, MD, Mel Herbert,

Arthroscopic Glenohumeral Arthrodesis With O-Arm Navigation

Percutaneous Vertebroplasty—A Technique to Treat Refractory Spinal Pain in the Setting of Advanced Metastatic Cancer: A Case Series Allen W. Burton,

Case 1, a 76-year-old woman with low back pain

A. L. Jackson Slappy, MD, John A. Odell, MD, Ronald A. Hinder, MD, J

Endovascular treatment of an iatrogenic thoracic aortic injury after spinal instrumentation: case report Michael E Minor, MD, Nicholas J Morrissey, MD,

David E. Hartigan, M. D. , Mark A. McCarthy, M. D. , Aaron J. Krych, M

RADIOLOGICAL ANATOMY OF THE VERTEBRAE

(A) An 88-year-old woman with fracture of the L2 vertebral body (arrow) demonstrates diffusely decreased BMD with exception of the level of the compression.

Lateral listhesis correction is possible with minimally invasive multiple-level XLIF. Even with the L3 vertebra embedded within the superior end plate.

EM Navigation System The EM navigation system is the size and profile of a standard fluoroscopy C-arm, but has stereotactic capability (A). EM Navigation.

A 16-year-old boy with intractable epilepsy

Radiographic images in cadaver 1 obtained with fluoroscopic guidance

MISS Curriculum Introduction

Images from the case of a 79-year-old man who presented with a history of back pain of several months' duration. Images from the case of a 79-year-old.

(A) Lateral radiograph of the thoracic spine showing a crush fracture of the third thoracic vertebra. (A) Lateral radiograph of the thoracic spine showing.

Scoliosis surgery with hybrid system in osteogenesis imperfecta (OI)

ICEOS 2013 At What Levels Are Free-Hand Pedicle Screws More Frequently Malpositioned in Children? Mark Heidenreich, BS Yaser M.K. Baghdadi, MD Amy L. McIntosh,

Presentation transcript:

High accuracy of 2D fluoroscopic based navigation of pedicle screw fixation in the lumbar spine utilizing cylinder pedicle design, innovative technique By Dr. Salah Al-Akkad, MD, FRCSC, FACS, FAANS, DABNS Johns Hopkins / Aramco Health Care Dhahran, Saudi Arabia

Research Question Does 2D fluoroscopic based Navigation of lumbar spine provide sufficient information for Appropriate guidance to the placement of pedicle screws (safety) Reliable training tool with consistency

Method Adoption of the cylinder design, and evaluate the margins of radiographic anatomy cases done percutaneously using tubes techniques or wiltsee approach Including only instrumentation of L1 to S1 Excluding tumors scoliosis thoracic

All cases done with IOM Cases 37 consecutive adult cases with 196 pedicle screws 2trauma, 7 degenerative 28 with spondylolysthesis grade I, II All cases done with IOM

Adoption of the cylinder design, and evaluate the margins of radiographic anatomy using Navigation Original Design was presented by Professor Richard Assaker 2004 , Dubai

Results Misplacement rate was 2.6%, 5 screws 2 screws had cortical encroachment medially (both are L1) the other 3 had lateral minor breach(<2mm) to the pedicle (all were L4), None IOM alert none resulted in neurological symptoms None needed reoperations

Reproducibility for Training Supervising 3 Navigated workshops 10 sessions, percutaneous, lumbar, navigated tools “tippitap” method , ( controlled, but no tactile sensation) 60 participant ( residents, fellows, registrars, attending's) 18 screws Using O-Arm for creating 2 D image view with available CT cuts for demonstration, Verifying results using O-Arm CT scan for 3D evaluation One minimal breach on radiographic 3D evaluation No difference the level of training by applying this method.

Using 2D fluoroscopic based navigation for the lumbar spine utilizing pedicle cylinder design for targeting lumbar pedicle Safe Reliable teaching tool