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Total 3D Airo® Navigation for Minimally Invasive Transforaminal Lumbar Interbody Fusion.

TitleTotal 3D Airo® Navigation for Minimally Invasive Transforaminal Lumbar Interbody Fusion.
Publication TypeJournal Article
Year of Publication2016
AuthorsLian X, Navarro-Ramirez R, Berlin C, Jada A, Moriguchi Y, Zhang Q, Härtl R
JournalBiomed Res Int
Volume2016
Pagination5027340
Date Published2016
ISSN2314-6141
KeywordsAdult, Aged, Aged, 80 and over, Female, Humans, Imaging, Three-Dimensional, Intraoperative Care, Lumbar Vertebrae, Male, Middle Aged, Minimally Invasive Surgical Procedures, Neuronavigation, Spinal Fusion, Tomography, X-Ray Computed, Young Adult
Abstract

Introduction. A new generation of iCT scanner, Airo®, has been introduced. The purpose of this study is to describe how Airo facilitates minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). Method. We used the latest generation of portable iCT in all cases without the assistance of K-wires. We recorded the operation time, number of scans, and pedicle screw accuracy. Results. From January 2015 to December 2015, 33 consecutive patients consisting of 17 men and 16 women underwent single-level or two-level MIS-TLIF operations in our institution. The ages ranged from 23 years to 86 years (mean, 66.6 years). We treated all the cases in MIS fashion. In four cases, a tubular laminectomy at L1/2 was performed at the same time. The average operation time was 192.8 minutes and average time of placement per screw was 2.6 minutes. No additional fluoroscopy was used. Our screw accuracy rate was 98.6%. No complications were encountered. Conclusions. Airo iCT MIS-TLIF can be used for initial planning of the skin incision, precise screw, and cage placement, without the need for fluoroscopy. "Total navigation" (complete intraoperative 3D navigation without fluoroscopy) can be achieved by combining Airo navigation with navigated guide tubes for screw placement.

DOI10.1155/2016/5027340
Alternate JournalBiomed Res Int
PubMed ID27529069
PubMed Central IDPMC4978816