OVERVIEW OF FRAMELESS STEREOTACTIC TECHNIQUES FOR LUMBAR SPINE SURGERY

Mark R. McLaughlin; Regis W. Haid Jr; Gerald E. Rodts Jr; Brian R. Subach

doi:10.1055/s-2000-13229

Seminars in Neurosurgery, Table of Contents

Seminars in Neurosurgery 2000; 11(2): 165-176
DOI: 10.1055/s-2000-13229

OVERVIEW OF FRAMELESS STEREOTACTIC TECHNIQUES FOR LUMBAR SPINE SURGERY

Mark R. McLaughlin¹ , Regis W. Haid² Jr. , Gerald E. Rodts² Jr. , Brian R. Subach²

¹Neurosurgical and Neurological Group, Inc., Springfield, Massachusetts
²Department of Neurosurgery, Emory University, School of Medicine, Atlanta, Georgia

Abstract

ABSTRACT

Frameless stereotactic techniques for lumbar spine surgery have evolved because of the greater need for accurate placement of lumbar instrumentation. Although plain radiography and fluoroscopy guided surgeons for years, stereotaxis, a three-dimensional technology, allows for improved bony purchase to optimize fixation. More precise instrumentation decreases the risk of vascular or neurologic complications, shortens operating time, and decreases both the patient's and the surgeon's exposure to ionizing radiation. The currently available techniques of frameless stereotactic lumbar spine surgery are described. The newest development in intraoperative guidance, virtual fluoroscopy, is also discussed. Benefits and limitations of these technologies are reviewed. The history, technical aspects, and nuances of these technologies are reviewed.

KEYWORD

Frameless stereotaxis - neuronavigation - spine surgery

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