Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Navigation surgery

653 views

Published on

ΝΕΕΣ ΧΕΙΡΟΥΡΓΙΚΕΣ ΤΕΧΝΙΚΕΣ (NEW OPERATIVE TECHNIQUES)

Published in: Health & Medicine
  • Be the first to comment

Navigation surgery

  1. 1. G.S. Sapkas 1st Orthopaedic Department University Hospital “ATTIKON” Medical School Athens University
  2. 2. Introduction to Image-Guided Surgery  Since the mid-1970’s, image-guided surgery has emerged as an accepted and clinically appropriate alternative to traditional surgery.
  3. 3. SSuurrggiiccaall nnaavviiggaattiioonn hhaass::  Revolutionized operating room procedures  Enhanced pre-operative planning  Improved intra-operative effectiveness and efficiency  Increased the speed of post-operative recovery, and  Improved clinical outcomes
  4. 4.  Modern image-guided surgery has been described in the clinical literature using a variety of terms such as:  “surgical navigation,”  “computer assisted surgery,”  “surgical stimulation,”  “3-D computer surgery,”  “surgical navigation”
  5. 5. Using surgical navigation methods, physicians may make more accurate diagnoses before and during surgery.
  6. 6.  Advanced technologies pr ovide  computerized, three-dimensional viewing  so physicians and surgical teams can precisely locate and position surgical instruments in the anatomic field and view the results on their visual displays
  7. 7. As a result, procedures are shorter and protocols are improved.
  8. 8.  Surgical navigation may also be less invasive than traditional surgery as surgeons may be more accurate using technologically advanced devices in place of (or in addition to) the traditional hand-guided, mechanical devices during surgery.
  9. 9.  This allows for an increased level of patient safety and an overall reduction in patient morbidity.
  10. 10.  In addition, recent enhancements to surgical navigation technology have enabled new and more minimally invasive procedures to be possible.
  11. 11. Current usage of Spinal Navigation and Intra-operative Imaging
  12. 12. Key spine procedures, challenges with traditional surgery  Posterior Cervical Fusion  C1-C2 fusion  Pedicle screws  Posterior Thoracic Fusion (upper thoracic spine)  Thoracolumbar spine
  13. 13.  Spinal trauma  Minimally invasive trauma (screws and rods percutaneously)
  14. 14. Pediatric and adult deformity
  15. 15. Posterior Lumbar Fusion  Degeneration of the lumbar spine  Minimally invasive lumbar fusion  Revision surgeries
  16. 16. IImmaaggee gguuiiddeedd ssppiinnee ssuurrggeerryy:: ssttaattee ooff tthhee aarrtt aanndd ffuuttuurree ddiirreeccttiioonnss Thorsten T. et al, Eur. Spine 2010 Review article
  17. 17.  BBaasseedd oonn aa mmeeddlliinnee sseeaarrcchh ttoottaall ooff 11..446622 ppuubblliiccaattiioonnss ppuubblliisshheedd uunnttiill OOccttoobbeerr 22000088 wweerree rreettrriieevveedd  227766 ppaappeerrss wweerree iinncclluuddeedd iinn tthhee aannaallyyssiiss  OOnnllyy ttwwoo RRCCTTss aanndd oonnee mmeettaa--aannaallyyssiiss hhaavvee bbeeeenn rreettrriieevveedd
  18. 18.  CCoonncceerrnniinngg tthhee mmoosstt ppooppuullaarr aapppplliiccaattiioonn ooff iimmaaggee gguuiiddeedd aapppprrooaacchheess ppeeddiiccllee ssccrreeww iinnsseerrttiioonn,, tthhee eevviiddeennccee ooff cclliinniiccaall bbeenneeffiitt iinn tthhee mmoosstt ccrriittiiccaall aarreeaass ee..gg tthhee tthhoorraacciicc ssppiinnee iiss ssttiillll llaacckkiinngg
  19. 19.  IInn mmaannyy ootthheerr aarreeaass ooff ssppiinnee ssuurrggeerryy ee..gg.. vveennttrraall ssppiinnee ssuurrggeerryy oorr ttuummoorr ssuurrggeerryy,, iimmaaggee gguuiiddeedd aapppprrooaacchheess aarree ssttiillll iinn eexxppeerriimmeennttaall ssttaaggeess
  20. 20.  TThhee tteecchhnniiccaall ddeevveellooppmmeenntt ooff iimmaaggee gguuiiddeedd tteecchhnniiqquueess hhaass rreeaacchheedd aa hhiigghh lleevveell aass tthhee aaccccuurraacciieess tthhaatt ccaann bbee aacchhiieevveedd tteecchhnniiccaallllyy mmeeeett tthhee aannaattoommiiccaall ddeemmaannddss
  21. 21. HHoowweevveerr tthheerree iiss eevviiddeennccee tthhaatt tthhee iinntteerraaccttiioonn bbeettwweeeenn tthhee ssuurrggeeoonn ((hhuummaann ffaaccttoorr)) aanndd tthhee nnaavviiggaattiioonn ssyysstteemm iiss aa ssoouurrccee ooff iinnaaccccuurraaccyy
  22. 22. ““AATTTTIIKKOONN”” UUNNIIVVEERRSSIITTYY HHOOPPSSIITTAALL

×