Intraoperative navigation assisted placement of percutaneous pedicle screws

Neurosurg Focus. 2013 Jul;35(2 Suppl):Video 16. doi: 10.3171/2013.V2.FOCUS13220.

Abstract

Minimally invasive surgical (MIS) approaches are gaining popularity in many surgical fields. Potential advantages include reduced blood loss, shorter length of stay, and less soft-tissue trauma. Potential disadvantages include inadequate deformity correction, increased fluoroscopy, longer operative times, and decreased posterolateral fusion surface area exposure. This video demonstrates the key steps in our mini-open transforaminal lumbar interbody fusion (TLIF) using an expandable tubular retractor, placement of cannulated pedicle instrumentation, and subsequent deformity correction. The video demonstrates positioning, surgical opening through a midline incision, a bilateral Wiltse plane tubular approach for the TLIF, placement of bilateral cannulated pedicle screws, and deformity correction. The video can be found here: http://youtu.be/Jj7w4i2DTMQ.

Publication types

  • Video-Audio Media

MeSH terms

  • Bone Screws*
  • Humans
  • Lumbar Vertebrae / pathology
  • Lumbar Vertebrae / surgery*
  • Minimally Invasive Surgical Procedures / methods*
  • Monitoring, Intraoperative / methods*
  • Spinal Cord / abnormalities
  • Spinal Cord / pathology
  • Spinal Cord / surgery
  • Spinal Fusion / methods*
  • Surgery, Computer-Assisted / methods
  • Video Recording / methods