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Synthes hong kong

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Synthes hong kong

  1. 1. Complex Deformity Surgery New technology helps usOkayama University, Dept. of Orthopaedics Yoshihisa Sugimoto, M.D.
  2. 2. Spinal Navigation System 3D models
  3. 3. 12 y.o. congenital scoliosis
  4. 4. Complex DeformityScrew insertion ?? Osteotomy??
  5. 5. Why is this surgery difficult?
  6. 6. First point: Abnormal SpineDuring PS insertion we can not look insideInsert screw into spine based on normalanatomy imagesBut this is abnormal spine……
  7. 7. We can recognize anatomywith mental reconstruction of multiple imagessuch as Xp, CT, MRIIf we treat complex deformity…….mental reconstruction of multiple images is difficult
  8. 8. 3D model helps us to recognizeanatomy without mental reconstruction
  9. 9. Tactile 3D display Rotate by ownMental reconstruction of images is easy Surgical planning Support tool during surgery
  10. 10. Case 1. 00 y.o. female Kyphoscoliosis
  11. 11. Surgical planning
  12. 12. Pedicle screw insertion narrow pedicle
  13. 13. Osteotomy cut line
  14. 14. Figure 4.
  15. 15. 2D-Display 3D-Display
  16. 16. DisplayX-rayCT FilmsMRI
  17. 17. Is this 3D-CT ?? DICOM data have 3D data 2D image on 2D monitorShadow is expressive of concavity and convexity.
  18. 18. 3D model (A tactile 3D display) recognize anatomic relations between ant. and postelements without mental reconstruction of multiple images✓Surgical planning about PS insertion and bony resection. ✓Rotate 3D model by own.
  19. 19.   Navigation system recognize anatomy which is invisible in operative field✓Determine PS entry point, direction ✓Confirm range of vertebral body or disc resection.
  20. 20.   Navigation system recognize anatomy which is invisible in operative field✓Determine PS entry point, direction ✓Confirm range of vertebral body or disc resection.
  21. 21. Musashi was a master of two swords. First sword: Navigation Second sword: 3D modelThank you for your attention

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