Surgical Workflow and Technical Tips for the Use of Intraoperative 3D Image and Navigation in Spine Surgery

Abstract

Navigated spinal surgery and intraoperative computed tomography (CT) scans are part of the modern armamentarium of spinal surgeons, improving the safety and accuracy of the procedures, facilitating from the correct implant insertion to the access of the degree of decompression. It is especially useful for minimally invasive spinal procedures, increasing precision and minimizing patient and surgeon exposure to continuous fluoroscopic radiation. However, little is known about the most appropriate workflow when using these technologies. In this paper, we presented a suggested, illustrated step-by-step, surgical workflow for using intraoperative CT scans and navigated spine surgery at different spinal segments. In our opinion, the implementation of the proposed routine in our institution has provided a smooth workflow, ultimately reduced procedure duration and increasing productivity.

Resumo

A cirurgia de coluna com navegação e a tomografia computadorizada (TC) intraoperatória são parte do armamentário moderno dos cirurgiões de coluna, melhorando a segurança e a acurácia dos procedimentos, facilitando desde o posicionamento correto dos implantes até a avaliação do grau de descompressão. É especialmente útil em cirurgias de coluna minimamente invasivas, aumentando a precisão e minimizando a exposição do paciente e do cirurgião à radiação contínua da fluoroscopia. Entretanto, pouco se sabe sobre o melhor fluxo de trabalho no uso dessas tecnologias. Neste trabalho, apresentamos uma sugestão de fluxo de trabalho, ilustrado passo a passo, para o uso de TC intraoperatória e cirurgia de coluna com navegação em diferentes segmentos da coluna. Em nossa percepção, a implementação dessa rotina proposta em nossa instituição tem promovido um fluxo de trabalho suave, reduzindo, ultimamente, a duração e aumentando a produtividade.

Keywords

intraoperative navigation - CT scan - spine surgery - workflow

Palavras-chave

navegação intraoperatória - TC - cirurgia de coluna - fluxo de trabalho

Publication History

Received: 09 September 2024

Accepted: 20 March 2025

Article published online:
16 July 2025

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