3D Computer Navigation: Latest in spinal surgery

Spine surgery has experienced much technological innovation over the past several decades. The field has seen advancements in operative techniques and equipment such as computer-assisted navigation and surgical robotics. With the arrival of real-time image guidance and navigation capabilities along with the computing ability to process and reconstruct these data into an interactive three-dimensional spine map.

The applications for intraoperative navigation using O arm or 3 dc arm and image-guided robotics have expanded to surgical resection of spinal column and intradural tumors, revision procedures on arthrodesed spines, and deformity cases with distorted anatomy. Additionally, these platforms may mitigate much of the harmful radiation exposure in minimally invasive surgery to which the patient, surgeon, and operating room staff are subjected.

Spine surgery relies upon meticulous fine motor skills to manipulate neural elements and a steady hand while doing so, often exploiting small working corridors utilizing exposures that minimize collateral damage. Additionally, the procedures may be long and arduous, predisposing the surgeon to both mental and physical fatigue. In light of these characteristics, spine surgery may actually be an ideal candidate for the integration of navigation and robotic-assisted procedures.

Dr Rajesh Verma, spine surgeon at  W Pratiksha Hospital Gurugram is using these latest technology to help patients recover faster and safer.

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