Tanaka, M.; Zygogiannnis, K.; Sake, N.; Arataki, S.; Fujiwara, Y.; Taoka, T.; de Moraes Modesto, T.H.; Chatzikomninos, I. A C-Arm-Free Minimally Invasive Technique for Spinal Surgery: Cervical and Thoracic Spine. Medicina2023, 59, 1779.
Tanaka, M.; Zygogiannnis, K.; Sake, N.; Arataki, S.; Fujiwara, Y.; Taoka, T.; de Moraes Modesto, T.H.; Chatzikomninos, I. A C-Arm-Free Minimally Invasive Technique for Spinal Surgery: Cervical and Thoracic Spine. Medicina 2023, 59, 1779.
Tanaka, M.; Zygogiannnis, K.; Sake, N.; Arataki, S.; Fujiwara, Y.; Taoka, T.; de Moraes Modesto, T.H.; Chatzikomninos, I. A C-Arm-Free Minimally Invasive Technique for Spinal Surgery: Cervical and Thoracic Spine. Medicina2023, 59, 1779.
Tanaka, M.; Zygogiannnis, K.; Sake, N.; Arataki, S.; Fujiwara, Y.; Taoka, T.; de Moraes Modesto, T.H.; Chatzikomninos, I. A C-Arm-Free Minimally Invasive Technique for Spinal Surgery: Cervical and Thoracic Spine. Medicina 2023, 59, 1779.
Abstract
Background and Objectives: C-arm free MIS techniques can offer significantly reduced rates of postoperative complications such as blood loss and hospitalization time. Another advantageous long-term aspect is the notably diminished exposure to radiation which is known to cause ma-lignant changes. This study emphasizes that, in some cases of spinal conditions which require a procedural intervention, C-arm free MIS techniques hold stronger indications than open surgeries guided by image intensifier.
Materials and Methods: In this research, a retrospective analysis and review of various cervical and thoracic spinal procedures, performed in our hospital, by applying C-arm free techniques. The course of the study explains the basic steps of the procedures and demonstrating postoperative or intra-operative results. For anterior cervical surgery, we performed OPLL resection, while for posterior cervical surgery, we performed posterior fossa decompression for Chiari malformation, minimally invasive cervi-cal pedicle screw fixation (MICEPS) and modified Goel technique with C1 lateral mass screw for atlantoaxial subluxation. Re-garding the thoracic spine, we performed anterior correction for Lenke type 5 scoliosis, and transdiscal screw fixation for DISH fractures.
Results: C-arm free techniques are safe procedures that offer precise and high-quality postoperative results by offering sufficient spine alignment and adequate decompression depending on the case. Blood loss, postoperative pain and wound infection are other important aspects of spine surgery that must be always taken into consideration.
Conclusions: Navigated C-arm free techniques are safe and precise procedures implemented in the treatment of surgically demanding conditions. They can significantly increase accuracy while decreasing the operative time. They represent the advancement in the field spine surgery and are hailed as the future of the same
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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