Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jan;48(1):59-68.
doi: 10.1007/s00132-018-03671-9.

[Navigation in lumbar spinal surgery: When is it useful?]

[Article in German]
K Schöller  1 , F Jablawi  2
Affiliations
Review

[Navigation in lumbar spinal surgery: When is it useful?]

[Article in German]
K Schöller et al. Orthopade. 2019 Jan.

Abstract

Background: Spinal navigation has evolved greatly since its implementation in the mid-1990s and is now widely used in lumbar spine surgery. However, navigation is not yet accepted as a standard technique.

Applications: In addition to the classic use in lumbar pedicle screw instrumentation, navigation technology, especially in combination with intraoperative 3D imaging, can be applied in a wide range of indications and in all lumbar approaches. The technology is particularly helpful in minimally invasive operations. The concept of "total navigation" stands for an efficient use of the technique from skin incision on and aims at complete elimination of radiation exposure for the surgical team.

Advantages and pitfalls: High accuracy and low radiation exposure of the OR team are indisputable advantages of navigated operations, while time savings and economic benefits are yet to be demonstrated. Regular use and standardized workflow are essential for the safe and effective application of lumbar navigation. Currently, lumbar navigation technology is already of great importance, yet the complex technology requires intensive training. With improved user comfort and image quality, spinal navigation will continue to spread in the future.

Keywords: 3D-imaging; Accuracy; Lumbar vertebrae; Pedicle screws; Surgery, computer assisted.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Spine J. 2009 Dec;9(12):967-71 - PubMed
    1. Spine (Phila Pa 1976). 2009 Dec 15;34(26):2919-26 - PubMed
    1. J Neurosurg Spine. 2011 Apr;14(4):532-6 - PubMed
    1. J Neurosurg Spine. 2012 Aug;17(2):113-22 - PubMed
    1. Spine (Phila Pa 1976). 2012 Nov 15;37(24):2055-60 - PubMed

LinkOut - more resources