Experience in using intraoperative navigation in surgical treatment of patients with metastatic spine tumors
https://doi.org/10.56618/2071-2693_2024_16_3_53
EDN: JXLOKK
Abstract
INTRODUCTION. Interest in the use of navigation systems in surgery is steadily growing. The use of the Gertzbein – Robbins scale is convenient for assessing the accuracy of various navigation systems in the laboratory and comparing navigable and fluoroscopically controlled pedicle fixation techniques in the clinic.
AIM. Analysis of the results of using intraoperative image-guided navigation for transpedicular fixation in the surgical treatment of patients with metastatic lesions of the spine.
MATERIALS AND METHODS. The study included 60 patients with metastatic lesions of the spine, operated on from January 1, 2018 to December 31, 2023. All patients underwent palliative surgical treatment, including transpedicular fixation using BrainLab intraoperative image-guided navigation (nTPF group, n=30) or under C-arm control and the «free-hand» technique (TPF group, n=30).
RESULTS. The Mann – Whitney test revealed a significant difference in the mean strength between the groups according to the degree of malposition of the installed pedicle screws (p=0.005); malpositioned screws predominated in the TPF group. There were no statistically significant differences between the nTPF and TPF groups in the duration of surgical interventions, intraoperative blood loss and length of hospitalization.
CONCLUSION. The use of image-guided navigation in the surgical treatment of metastatic tumors can significantly improve the quality of spinal stabilization and reduce the risk of postoperative complications, eliminating malposition of pedicle screws of more than 4 mm, and also reduce radiation exposure to the patient.
About the Authors
O. I. Kit
National Medical Researh Centre for Oncology
Russian Federation
Russian Federation
Oleg I. Kit – Dr. of Sci. (Med.), Full Professor, Member of the Russian Academy of Sciences, General Director
63 14 Line, Rostov-on-Don, 344037
D. E. Zakondyrin
National Medical Researh Centre for Oncology
Russian Federation
Russian Federation
Dmitry E. Zakondyrin – Cand. of Sci. (Med.), Research Fellow at the Department of Neurooncology
63 14 Line, Rostov-on-Don, 344037
A. A. Grin
Sklifosovsky Research Institute for Emergency Medicine ; N. I. Pirogov Russian National Researсh Medical University
Russian Federation
Russian Federation
Andrey A. Grin – Dr. of Sci. (Med.), Associate Professor, Corresponding Member of the Russian Academy of Sciences, Head at the Scientific Department of Emergency Neurosurgery; Professor at the Department of Fundamental Neurosurgery; Chief Freelance Neurosurgeon Specialist
3 Bolshaya Sukharevskaya square, Moscow, 129090
1 Ostrovityanova street, Moscow, 117513
E. E. Rostorguev
National Medical Researh Centre for Oncology
Russian Federation
Russian Federation
Eduard E. Rostorguev – Dr. of Sci. (Med.), Associate Professor, Head at the Department of Neurooncology
63 14 Line, Rostov-on-Don, 344037
B. V. Matevosyan
National Medical Researh Centre for Oncology
Russian Federation
Russian Federation
Boris V. Matevosyan – Neurosurgeon at the Department of Neurooncology
63 14 Line, Rostov-on-Don, 344037
V. E. Rostorguev
Rostov State Medical University
Russian Federation
Russian Federation
Vladimir E. Rostorguev – Orthopedic Traumatologist, Postgraduate Student at the Department of Traumatology and Orthopedics, Physical Therapy and Sports Medicine
29 Nachikhevansky Lane, Rostov-on-Don, 344022
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Review
For citations:
Kit O.I., Zakondyrin D.E., Grin A.A., Rostorguev E.E., Matevosyan B.V., Rostorguev V.E. Experience in using intraoperative navigation in surgical treatment of patients with metastatic spine tumors. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(3):53-61. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_3_53. EDN: JXLOKK
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