Mahroq Omar A, Ganiyu Shakirat, Nimmagadda Rithish, Priyatha Vemparala, Shaik Bushra Firdous, Ernest-Okonofua Excel O, Khan Safeera
Orthopedic Surgery, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Cureus. 2024 Sep 5;16(9):e68760. doi: 10.7759/cureus.68760. eCollection 2024 Sep.
Neuronavigation, a computer-assisted surgical technique, enhances the accuracy of spinal surgery by using medical imaging to guide the surgeon's instruments. This method mitigates the serious complications of screw misplacement, such as dural tears, nerve damage, vascular injuries, and internal organ damage, by integrating pre-operative imaging data with real-time intraoperative sensor readings. Because of this integration, it is possible to visualize the spine in three dimensions, guaranteeing accurate instrument placement and greatly lowering the risk of complications. Despite its growing popularity, the benefits of neuronavigation in spinal instrumentation are debated. While some studies report improved accuracy in pedicle screw placement, others find no significant difference compared to conventional freehand techniques. Further research is required to determine the long-term benefits of neuronavigation, including its impact on patient outcomes, like reduced pain and improved function. This systematic review will evaluate the evidence on the risks and benefits of neuronavigation in spinal instrumentation surgery, compared to conventional techniques.
神经导航是一种计算机辅助手术技术，通过使用医学成像来引导外科医生的器械，提高脊柱手术的准确性。这种方法通过将术前成像数据与实时术中传感器读数相结合，减轻了螺钉误置的严重并发症，如硬脑膜撕裂、神经损伤、血管损伤和内脏损伤。由于这种整合，可以在三维空间中可视化脊柱，确保器械放置准确，并大大降低并发症风险。尽管神经导航越来越受欢迎，但在脊柱内固定中其益处仍存在争议。虽然一些研究报告称椎弓根螺钉置入的准确性有所提高，但另一些研究发现与传统徒手技术相比没有显著差异。需要进一步研究以确定神经导航的长期益处，包括其对患者预后的影响，如减轻疼痛和改善功能。本系统评价将评估与传统技术相比，神经导航在脊柱内固定手术中的风险和益处的证据。
