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G.S. Sapkas 
1st Orthopaedic Department 
University Hospital 
“ATTIKON” 
Medical School 
Athens University
Introduction to Image-Guided Surgery 
 Since the mid-1970’s, 
image-guided surgery 
has emerged as an 
accepted and clinically 
appropriate alternative 
to traditional surgery.
SSuurrggiiccaall nnaavviiggaattiioonn 
hhaass:: 
 Revolutionized operating room 
procedures 
 Enhanced pre-operative 
planning 
 Improved intra-operative 
effectiveness and efficiency 
 Increased the speed of 
post-operative recovery, 
and 
 Improved clinical outcomes
 Modern image-guided surgery has 
been described in the clinical 
literature using a variety of terms 
such as: 
 “surgical navigation,” 
 “computer assisted surgery,” 
 “surgical stimulation,” 
 “3-D computer surgery,” 
 “surgical navigation”
Using surgical 
navigation methods, 
physicians may make 
more accurate 
diagnoses 
before and during 
surgery.
 Advanced technologies pr ovide 
 computerized, three-dimensional 
viewing 
 so physicians and surgical teams 
can precisely 
locate and position 
surgical instruments 
in the anatomic field 
and view the results 
on their visual displays
As a result, 
procedures are 
shorter and 
protocols are 
improved.
 Surgical navigation 
may also be less invasive 
than traditional surgery 
as surgeons may be 
more accurate 
using technologically 
advanced devices 
in place of (or in addition to) 
the traditional hand-guided, 
mechanical devices 
during surgery.
 This allows for 
an increased level 
of patient safety 
and 
an overall reduction 
in patient morbidity.
 In addition, 
recent enhancements 
to surgical 
navigation technology 
have enabled 
new and more 
minimally 
invasive procedures 
to be possible.
Current usage of 
Spinal Navigation 
and Intra-operative 
Imaging
Key spine procedures, challenges with 
traditional surgery 
 Posterior Cervical Fusion 
 C1-C2 fusion 
 Pedicle screws 
 Posterior Thoracic Fusion 
(upper thoracic spine) 
 Thoracolumbar spine
 Spinal trauma 
 Minimally invasive 
trauma 
(screws and rods 
percutaneously)
Pediatric and adult deformity
Posterior Lumbar Fusion 
 Degeneration of the 
lumbar spine 
 Minimally invasive lumbar 
fusion 
 Revision surgeries
IImmaaggee gguuiiddeedd ssppiinnee 
ssuurrggeerryy:: ssttaattee ooff tthhee aarrtt 
aanndd ffuuttuurree ddiirreeccttiioonnss 
Thorsten T. et al, Eur. Spine 2010 
Review article
 BBaasseedd oonn aa mmeeddlliinnee sseeaarrcchh ttoottaall 
ooff 11..446622 ppuubblliiccaattiioonnss ppuubblliisshheedd 
uunnttiill OOccttoobbeerr 22000088 wweerree 
rreettrriieevveedd 
 227766 ppaappeerrss wweerree iinncclluuddeedd iinn tthhee 
aannaallyyssiiss 
 OOnnllyy ttwwoo RRCCTTss aanndd oonnee 
mmeettaa--aannaallyyssiiss hhaavvee bbeeeenn 
rreettrriieevveedd
 CCoonncceerrnniinngg tthhee mmoosstt 
ppooppuullaarr aapppplliiccaattiioonn ooff 
iimmaaggee gguuiiddeedd aapppprrooaacchheess 
ppeeddiiccllee ssccrreeww iinnsseerrttiioonn,, 
tthhee eevviiddeennccee ooff cclliinniiccaall 
bbeenneeffiitt iinn tthhee mmoosstt 
ccrriittiiccaall aarreeaass ee..gg tthhee 
tthhoorraacciicc ssppiinnee iiss ssttiillll 
llaacckkiinngg
 IInn mmaannyy ootthheerr aarreeaass 
ooff ssppiinnee ssuurrggeerryy ee..gg.. 
vveennttrraall ssppiinnee ssuurrggeerryy 
oorr ttuummoorr ssuurrggeerryy,, 
iimmaaggee gguuiiddeedd 
aapppprrooaacchheess aarree ssttiillll 
iinn eexxppeerriimmeennttaall 
ssttaaggeess
 TThhee tteecchhnniiccaall 
ddeevveellooppmmeenntt ooff iimmaaggee 
gguuiiddeedd tteecchhnniiqquueess hhaass 
rreeaacchheedd aa hhiigghh lleevveell aass 
tthhee aaccccuurraacciieess tthhaatt ccaann 
bbee aacchhiieevveedd tteecchhnniiccaallllyy 
mmeeeett tthhee aannaattoommiiccaall 
ddeemmaannddss
HHoowweevveerr tthheerree iiss 
eevviiddeennccee tthhaatt tthhee 
iinntteerraaccttiioonn bbeettwweeeenn 
tthhee ssuurrggeeoonn 
((hhuummaann ffaaccttoorr)) 
aanndd tthhee nnaavviiggaattiioonn 
ssyysstteemm iiss aa ssoouurrccee ooff 
iinnaaccccuurraaccyy
““AATTTTIIKKOONN”” UUNNIIVVEERRSSIITTYY HHOOPPSSIITTAALL

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Navigation surgery

  • 1. G.S. Sapkas 1st Orthopaedic Department University Hospital “ATTIKON” Medical School Athens University
  • 2. Introduction to Image-Guided Surgery  Since the mid-1970’s, image-guided surgery has emerged as an accepted and clinically appropriate alternative to traditional surgery.
  • 3. SSuurrggiiccaall nnaavviiggaattiioonn hhaass::  Revolutionized operating room procedures  Enhanced pre-operative planning  Improved intra-operative effectiveness and efficiency  Increased the speed of post-operative recovery, and  Improved clinical outcomes
  • 4.  Modern image-guided surgery has been described in the clinical literature using a variety of terms such as:  “surgical navigation,”  “computer assisted surgery,”  “surgical stimulation,”  “3-D computer surgery,”  “surgical navigation”
  • 5. Using surgical navigation methods, physicians may make more accurate diagnoses before and during surgery.
  • 6.  Advanced technologies pr ovide  computerized, three-dimensional viewing  so physicians and surgical teams can precisely locate and position surgical instruments in the anatomic field and view the results on their visual displays
  • 7. As a result, procedures are shorter and protocols are improved.
  • 8.  Surgical navigation may also be less invasive than traditional surgery as surgeons may be more accurate using technologically advanced devices in place of (or in addition to) the traditional hand-guided, mechanical devices during surgery.
  • 9.  This allows for an increased level of patient safety and an overall reduction in patient morbidity.
  • 10.  In addition, recent enhancements to surgical navigation technology have enabled new and more minimally invasive procedures to be possible.
  • 11. Current usage of Spinal Navigation and Intra-operative Imaging
  • 12. Key spine procedures, challenges with traditional surgery  Posterior Cervical Fusion  C1-C2 fusion  Pedicle screws  Posterior Thoracic Fusion (upper thoracic spine)  Thoracolumbar spine
  • 13.  Spinal trauma  Minimally invasive trauma (screws and rods percutaneously)
  • 14. Pediatric and adult deformity
  • 15. Posterior Lumbar Fusion  Degeneration of the lumbar spine  Minimally invasive lumbar fusion  Revision surgeries
  • 16. IImmaaggee gguuiiddeedd ssppiinnee ssuurrggeerryy:: ssttaattee ooff tthhee aarrtt aanndd ffuuttuurree ddiirreeccttiioonnss Thorsten T. et al, Eur. Spine 2010 Review article
  • 17.  BBaasseedd oonn aa mmeeddlliinnee sseeaarrcchh ttoottaall ooff 11..446622 ppuubblliiccaattiioonnss ppuubblliisshheedd uunnttiill OOccttoobbeerr 22000088 wweerree rreettrriieevveedd  227766 ppaappeerrss wweerree iinncclluuddeedd iinn tthhee aannaallyyssiiss  OOnnllyy ttwwoo RRCCTTss aanndd oonnee mmeettaa--aannaallyyssiiss hhaavvee bbeeeenn rreettrriieevveedd
  • 18.  CCoonncceerrnniinngg tthhee mmoosstt ppooppuullaarr aapppplliiccaattiioonn ooff iimmaaggee gguuiiddeedd aapppprrooaacchheess ppeeddiiccllee ssccrreeww iinnsseerrttiioonn,, tthhee eevviiddeennccee ooff cclliinniiccaall bbeenneeffiitt iinn tthhee mmoosstt ccrriittiiccaall aarreeaass ee..gg tthhee tthhoorraacciicc ssppiinnee iiss ssttiillll llaacckkiinngg
  • 19.  IInn mmaannyy ootthheerr aarreeaass ooff ssppiinnee ssuurrggeerryy ee..gg.. vveennttrraall ssppiinnee ssuurrggeerryy oorr ttuummoorr ssuurrggeerryy,, iimmaaggee gguuiiddeedd aapppprrooaacchheess aarree ssttiillll iinn eexxppeerriimmeennttaall ssttaaggeess
  • 20.  TThhee tteecchhnniiccaall ddeevveellooppmmeenntt ooff iimmaaggee gguuiiddeedd tteecchhnniiqquueess hhaass rreeaacchheedd aa hhiigghh lleevveell aass tthhee aaccccuurraacciieess tthhaatt ccaann bbee aacchhiieevveedd tteecchhnniiccaallllyy mmeeeett tthhee aannaattoommiiccaall ddeemmaannddss
  • 21. HHoowweevveerr tthheerree iiss eevviiddeennccee tthhaatt tthhee iinntteerraaccttiioonn bbeettwweeeenn tthhee ssuurrggeeoonn ((hhuummaann ffaaccttoorr)) aanndd tthhee nnaavviiggaattiioonn ssyysstteemm iiss aa ssoouurrccee ooff iinnaaccccuurraaccyy