J Neurol Surg A Cent Eur Neurosurg 2021; 82(02): 176-181
DOI: 10.1055/s-0040-1718409
Surgical Technique

Pedicle Screw Instrumentation of the Cervicothoracic Junction in the Sitting Position using CT-guided Navigation: Application and Technical Aspects

Nirjhar Hore
1  Department of Neurosurgery, University of Erlangen, Erlangen, Germany
,
Hannes Lücking
2  Department of Neuroradiology, University of Erlangen, Erlangen, Germany
,
Hubert Schmitt
3  Department of Anesthesiology, University of Erlangen, Erlangen, Germany
,
Michael Buchfelder
1  Department of Neurosurgery, University of Erlangen, Erlangen, Germany
,
Sebastian Brandner
1  Department of Neurosurgery, University of Erlangen, Erlangen, Germany
› Author Affiliations

Abstract

Background We evaluate the feasibility and potential advantages of spinal CT navigation in the placement of pedicle screws at the cervicothoracic junction in the sitting position to counteract the anatomy-related limitations of 2D fluoroscopy.

Methods We retrospectively analyze the data from 15 patients who underwent CT-based navigation-guided placement of a total of 36 pedicle screws at the cervicothoracic junction in the sitting position.

Results CT-based spinal navigation is a useful method in increasing accuracy of pedicle screw instrumentation in the sitting position, successfully counteracting the anatomy-related limitations of 2D fluoroscopy at the cervicothoracic junction.

Conclusion CT-based navigation-guided placement of pedicle screws at the cervicothoracic junction in the sitting position proved to be an accurate, safe, and user-friendly method.



Publication History

Received: 22 November 2019

Accepted: 07 April 2020

Publication Date:
04 February 2021 (online)

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