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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

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Front. Med.    2020, Vol. 14 Issue (4) : 518-527    https://doi.org/10.1007/s11684-020-0775-8
GUIDELINE
Guidelines for navigation-assisted spine surgery
Wei Tian1,2(), Bo Liu1, Da He1,2, Yajun Liu1,2, Xiaoguang Han1,2, Jingwei Zhao1,2, Mingxing Fan1,2, International Society for Computer Assisted Orthopaedic Surgery
1. Department of Spine Surgery, Beijing Jishuitan Hospital, Beijing 100035, China
2. Beijing Key Laboratory of Robotic Orthopaedics, Beijing 100035, China
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Abstract

Spinal surgery is a technically demanding and challenging procedure because of the complicated anatomical structures of the spine and its proximity to several important tissues. Surgical landmarks and fluoroscopy have been used for pedicle screw insertion but are found to produce inaccuracies in placement. Improving the safety and accuracy of spinal surgery has increasingly become a clinical concern. Computer-assisted navigation is an extension and application of precision medicine in orthopaedic surgery and has significantly improved the accuracy of spinal surgery. However, no clinical guidelines have been published for this relatively new and fast-growing technique, thus potentially limiting its adoption. In accordance with the consensus of consultant specialists, literature reviews, and our local experience, these guidelines include the basic concepts of the navigation system, workflow of navigation-assisted spinal surgery, some common pitfalls, and recommended solutions. This work helps to standardize navigation-assisted spinal surgery, improve its clinical efficiency and precision, and shorten the clinical learning curve.
Keywords guidelines      spine surgery      computer-assisted navigation     
Corresponding Author(s): Wei Tian   
Just Accepted Date: 28 June 2020   Online First Date: 20 July 2020    Issue Date: 26 August 2020
 Cite this article:   
Wei Tian,Bo Liu,Da He, et al. Guidelines for navigation-assisted spine surgery[J]. Front. Med., 2020, 14(4): 518-527.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-020-0775-8
https://academic.hep.com.cn/fmd/EN/Y2020/V14/I4/518
Types of surgery Clinical accuracy (%)
Conventional surgery 49.7–1.7
2D fluoroscopy-based navigation 73.7–95.0
3D fluoroscopy-based navigation 81.9–100
Preoperative CT-based navigation 90.8–94.4
Tab.1  Clinical accuracy of conventional surgery and different types of navigated spinal surgeries
Fig.1  Position sketch for the positions of the participant and navigation equipment.
Fig.2  Representative flow diagram of computer-assisted navigated spine surgery.
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