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Research ArticleNew Technology

Elastic Image Fusion Software to Coregister Preoperatively Planned Pedicle Screws With Intraoperative Computed Tomography Data for Image-Guided Spinal Surgery

Franziska A. Schmidt, Mary Mullally, Martin Lohmann, Patrick Hiepe, Sertac Kirnaz, Swathi Chidambaram, Christoph Wipplinger and Roger Härtl
International Journal of Spine Surgery April 2021, 15 (2) 295-301; DOI: https://doi.org/10.14444/8039
Franziska A. Schmidt
1Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
MD
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Mary Mullally
2BrainLAB AG, Munich, Germany
BS
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Martin Lohmann
2BrainLAB AG, Munich, Germany
MS
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Patrick Hiepe
2BrainLAB AG, Munich, Germany
PHD
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Sertac Kirnaz
1Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
MD
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Swathi Chidambaram
1Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
MD
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Christoph Wipplinger
1Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
MD
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Roger Härtl
1Weill Cornell Brain and Spine Center, Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
MD
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  • Figure 1
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    Figure 1

    Flowchart describing our technique in comparing rigid and elastic fusion. First, screws are planned using a preoperative computed tomography (CT) scan, then the planned screws are transferred to the intraoperative AIRO CT scan with rigid fusion and with elastic fusion. There is a 71% accuracy rate of preoperative planned screws in rigid fusion and a 100% accuracy rate of preoperative planned screws in elastic fusion.

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    Figure 2

    Figure showing coregistration of planned screws to intraoperative computed tomography (CT) scan for navigation with rigid fusion. Accuracy is not shown in every level.

  • Figure 3
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    Figure 3

    Figure showing coregistration of planned screws to intraoperative computed tomography (CT) scan for navigation with elastic fusion. Accuracy is shown throughout all levels.

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    Figure 4

    Flowchart illustrating the workflow of preoperative screw position planning with elastic fusion. Step 1: preoperative computed tomography (CT) acquisition in supine. Step 2: preoperative screw planning on CT on office computer. Step 3: intraoperative AIRO CT in prone. Step 4: coregistration/transfer of planned screws to intraoperative AIRO CT scan for navigation.

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International Journal of Spine Surgery
Vol. 15, Issue 2
1 Apr 2021
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Elastic Image Fusion Software to Coregister Preoperatively Planned Pedicle Screws With Intraoperative Computed Tomography Data for Image-Guided Spinal Surgery
Franziska A. Schmidt, Mary Mullally, Martin Lohmann, Patrick Hiepe, Sertac Kirnaz, Swathi Chidambaram, Christoph Wipplinger, Roger Härtl
International Journal of Spine Surgery Apr 2021, 15 (2) 295-301; DOI: 10.14444/8039

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Elastic Image Fusion Software to Coregister Preoperatively Planned Pedicle Screws With Intraoperative Computed Tomography Data for Image-Guided Spinal Surgery
Franziska A. Schmidt, Mary Mullally, Martin Lohmann, Patrick Hiepe, Sertac Kirnaz, Swathi Chidambaram, Christoph Wipplinger, Roger Härtl
International Journal of Spine Surgery Apr 2021, 15 (2) 295-301; DOI: 10.14444/8039
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More in this TOC Section

  • High Uptake Detection for Spinal Degenerative Changes: A Comparison Between Bone Scintigraphy and Single Photon Emission Computed Tomography Combined With High-Resolution Computed Tomography
  • Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws
  • A Network Meta-Analysis Comparing the Efficacy and Safety of Pedicle Screw Placement Techniques Using Intraoperative Conventional, Navigation, Robot-Assisted, and Augmented Reality Guiding Systems
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Keywords

  • screw placement
  • 3D-NAV
  • pedicle screw
  • AIRO
  • intraoperative CT
  • navigated spine surgery
  • image-guided surgery

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