Augmented Reality to Improve Surgical Workflow in Minimally Invasive Transforaminal Lumbar Interbody Fusion
By Admin | January 06, 2023
Augmented Reality to Improve Surgical Workflow in Minimally Invasive Transforaminal Lumbar Interbody Fusion – A Feasibility Study With Case Series
Fabian Sommer
, Ibrahim Hussain, Sertac Kirnaz, Jacob L. Goldberg, Rodrigo Navarro-Ramirez, Lynn B. McGrath Jr, Franziska A. Schmidt, Branden Medary, Pravesh Shankar Gadjradj, Roger Härtl
, Ibrahim Hussain, Sertac Kirnaz, Jacob L. Goldberg, Rodrigo Navarro-Ramirez, Lynn B. McGrath Jr, Franziska A. Schmidt, Branden Medary, Pravesh Shankar Gadjradj, Roger HärtlDepartment of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian Hospital/Och Spine, New York, NY, USA
Corresponding Author Roger Härtl Department of Neurological Surgery, New York-Presbyterian Hospital, 525 E 68th Street, Box 99, New York, New York 10065, USA Email: roh9005@med.cornell.edu
Received February 15, 2022 Revised June 11, 2022 Accepted June 28, 2022
Copyright © 2022 by the Korean Spinal Neurosurgery Society
This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective
Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a highly reproducible procedure for the fusion of spinal segments. We recently introduced the concept of “total navigation” to improve workflow and eliminate fluoroscopy. Image-guided surgery incorporating augmented reality (AR) may further facilitate workflow. In this study, we developed and evaluated a protocol to integrate AR into the workflow of MIS-TLIF.
Methods
A case series of 10 patients was the basis for the evaluation of a protocol to facilitate tubular MIS-TLIF by the application of AR. Surgical TLIF landmarks were marked on a preoperative computed tomography (CT)-scan using dedicated software. This marked CT scan was fused intraoperatively with the low-dose navigation CT scan using elastic image fusion, and the markers were transferred to the intraoperative scan. Our experience with this workflow and the surgical outcomes were collected.
Results
Our AR protocol was safely implemented in all cases. The TLIF landmarks could be preoperatively planned and transferred to the intraoperative imaging. Of the 10 cases, 1 case had...(More)
For more info please read, Augmented Reality to Improve Surgical Workflow in Minimally Invasive Transforaminal Lumbar Interbody Fusion, by Neurospine
