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Research ArticleMinimally Invasive Surgery

Multimodal Applications of 3D-Navigation in Single-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: Impacts on Precision, Accuracy, Complications, and Radiation Exposure

Arvind G. Kulkarni, Pritem A. Rajamani, Sandeep Tapashetti and Tushar Sathish Kunder
International Journal of Spine Surgery August 2022, 16 (4) 585-594; DOI: https://doi.org/10.14444/8294
Arvind G. Kulkarni
1 Mumbai Spine Scoliosis and Disc Replacement Centre, Saifee Hospital, Mumbai, India
MS
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Pritem A. Rajamani
1 Mumbai Spine Scoliosis and Disc Replacement Centre, Saifee Hospital, Mumbai, India
MS
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Sandeep Tapashetti
1 Mumbai Spine Scoliosis and Disc Replacement Centre, Saifee Hospital, Mumbai, India
MS
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Tushar Sathish Kunder
1 Mumbai Spine Scoliosis and Disc Replacement Centre, Saifee Hospital, Mumbai, India
MS
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  • Figure 1
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    Figure 1

    Contralateral posterior quadrant where yellow margin indicates intact annulus fibrosis with remnant nucleus pulposus and blue navigation probe restricts beyond the annulus fibrosis.

  • Figure 2
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    Figure 2

    Contralateral anterior area where nucleus pulposus is removed and rechecked with the navigation array probe.

  • Figure 3
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    Figure 3

    Overall removal of the nucleus pulposus area with intact marginal annulus fibrosis.

  • Figure 4
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    Figure 4

    Final position of all the pedicle screws in the navigation screen.

  • Figure 5
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    Figure 5

    Percentage of disc space removed for cage placement by quadrant.

  • Figure 6
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    Figure 6

    Position of cage placement.

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    Figure 7

    Assessment of cage placement with navigated array probe.

Tables

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    Table 1

    Indications for surgery.

    Preoperative DiagnosisValue
    Degenerative spondylolisthesis57%
    Spondylolytic spondylolisthesis18%
    Degenerative scoliosis4%
    Degenerative disc disease with radiclopathy21%
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    Table 2

    Incidence of pedicle screw breach among the patients.

    LevelGrade 0Grade 1Grade 2
    L2510
    L33510
    L413590
    L516251
    S15220
    Total389 (95.3%)18 (4.4%)1 (0.2%)
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    Table 3

    Incidence of cranial facet-joint violation among the patients.

    LevelGrade 0Grade 1
    L260
    L3342
    L41377
    L515810
    S1513
    Total386 (94.6%)22 (5.4%)
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International Journal of Spine Surgery
Vol. 16, Issue 4
1 Aug 2022
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Multimodal Applications of 3D-Navigation in Single-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: Impacts on Precision, Accuracy, Complications, and Radiation Exposure
Arvind G. Kulkarni, Pritem A. Rajamani, Sandeep Tapashetti, Tushar Sathish Kunder
International Journal of Spine Surgery Aug 2022, 16 (4) 585-594; DOI: 10.14444/8294

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Multimodal Applications of 3D-Navigation in Single-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: Impacts on Precision, Accuracy, Complications, and Radiation Exposure
Arvind G. Kulkarni, Pritem A. Rajamani, Sandeep Tapashetti, Tushar Sathish Kunder
International Journal of Spine Surgery Aug 2022, 16 (4) 585-594; DOI: 10.14444/8294
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More in this TOC Section

  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
Show more Minimally Invasive Surgery

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Keywords

  • lumbar spine
  • minimally invasive spine surgery
  • transforaminal lumbar interbody fusion
  • 3D-navigation
  • spinal navigation

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