Popis: |
Frameless stereotactic imaging is widely used in intracranial neurosurgical procedures to locate pathology precisely and decrease the morbidity of traditional open exploratory procedures. However, the clinical application of computer-assisted image-guided spinal surgery has not been widely accepted owing to the time-consuming and arduous nature of maintaining accurate registration coordinates. Frameless spinal stereotaxy is an evolving adjunct to the surgeon’s anatomical knowledge and skill. Newer technology involving intraoperative real-time image acquisition and user-friendly instruments will undoubtedly improve the popularity of this technology in complex spinal procedures. Currently, computer image-guided spinal surgery is used for the placement of pedicle screws; transarticular C1–C2 fixation; transoral odontoid resection; anterior cervical corpectomies; and, most recently, in endoscopic spinal surgery. |