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增强现实可视化引导下的显微镜脊柱手术：经椎间隙前路颈椎椎间孔切开术和后路椎间孔切开术。

Augmented Reality Visualization-guided Microscopic Spine Surgery: Transvertebral Anterior Cervical Foraminotomy and Posterior Foraminotomy.

作者信息

Umebayashi Daisuke, Yamamoto Yu, Nakajima Yasuhiro, Fukaya Nobuhisa, Hara Masahito

机构信息

Department of Neurosurgery, Inazawa Municipal Hospital, Aichi, Japan (Dr. Umebayashi, Dr. Yamamoto, Dr. Nakajima, Dr. Fukaya, and Dr. Hara), and the Department of Neurosurgery, Kyoto Prefectural University of Medicine, Kyoto, Japan (Dr. Umebayashi).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2018 Apr 13;2(4):e008. doi: 10.5435/JAAOSGlobal-D-17-00008. eCollection 2018 Apr.

DOI:10.5435/JAAOSGlobal-D-17-00008
PMID:30211385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132325/
Abstract

OBJECTIVE

We describe intraoperative augmented reality (AR) imaging to obtain a microscopic view in spine keyhole surgery.

BACKGROUND

Minimally invasive keyhole surgery has been developed even for spine surgery, including transvertebral anterior cervical foraminotomy and posterior cervical laminoforaminotomy. These methods are complex and require a skillful technique. Therefore, inexperienced surgeons hesitate to perform keyhole surgeries. The technology used in surgery is rapidly advancing, including intraoperative imaging devices that have enabled AR imaging and facilitated complicated surgeries in many fields. However, data are not currently available on the use of AR imaging in spine surgery. The purpose of this article was to introduce the utility of AR for spine surgery.

METHODS

We performed O-arm intraoperative imaging to create an augmented imaging model in navigation systems. Navigation data were linked to a microscope to merge the live view and AR. Augmented reality imaging shows the model plan in the real-world surgical field. We used this novel method in patients who underwent both keyhole surgeries.

RESULTS

We successfully performed both surgeries using the AR visualization guide.

CONCLUSIONS

The AR navigation system facilitates complicated keyhole surgeries in patients who undergo spine surgery.

STUDY DESIGN

Technical report.

摘要

目的

我们描述了术中增强现实（AR）成像技术，以在脊柱锁孔手术中获得微观视野。

背景

即使是脊柱手术，包括经椎体前路颈椎椎间孔切开术和后路颈椎椎板间孔切开术，也已发展出微创锁孔手术。这些方法操作复杂，需要熟练的技术。因此，经验不足的外科医生对进行锁孔手术犹豫不决。手术中使用的技术正在迅速发展，包括术中成像设备，这些设备已实现AR成像，并在许多领域促进了复杂手术的开展。然而，目前尚无关于AR成像在脊柱手术中应用的数据。本文的目的是介绍AR在脊柱手术中的实用性。

方法

我们进行了O型臂术中成像，以在导航系统中创建增强成像模型。将导航数据与显微镜相连，以融合实时视野和AR。增强现实成像在真实的手术视野中显示模型规划。我们在接受两种锁孔手术的患者中使用了这种新方法。

结果

我们使用AR可视化引导成功完成了两种手术。

结论

AR导航系统有助于为接受脊柱手术的患者进行复杂的锁孔手术。

研究设计

技术报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/48a97648d104/jagrr-2-e008-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/71041231bc31/jagrr-2-e008-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/b86b6cf60616/jagrr-2-e008-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/d34fc24fff7e/jagrr-2-e008-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/92068cbf282b/jagrr-2-e008-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/48a97648d104/jagrr-2-e008-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/71041231bc31/jagrr-2-e008-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/b86b6cf60616/jagrr-2-e008-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/d34fc24fff7e/jagrr-2-e008-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/92068cbf282b/jagrr-2-e008-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3260/6132325/48a97648d104/jagrr-2-e008-g005.jpg

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