Intraoperative Computed Tomography Navigational Assistance for Transforaminal Endoscopic Decompression of Heterotopic Foraminal Bone Formation After Oblique Lumbar Interbody Fusion.

Abstract:

:Transforaminal endoscopic spine surgery is an emerging technique in spine surgery, but it offers 2 distinct challenges to spine surgeons looking to adopt it: 1) targeting spine pathology and 2) understanding the endoscopic anatomy visualized through the endoscope. Intraoperative computed tomography (CT)-guided navigation is also an emerging technique in spine surgery that is becoming widely adopted for its benefits in assisting surgeons in localizing pathology and guided spine instrumentation placement. In this technical note, we describe a technique that uses intraoperative CT-guided navigation concomitantly with a transforaminal endoscopic approach to decompress a L4-L5 foraminal heterotopic bone formation after an oblique lumbar interbody fusion. The addition of intraoperative CT-guided navigation proved beneficial in targeting the pathology during the procedure and ensuring that the pathology was resolved by offering postoperative CT visualization of the decompressed neural foramen.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Oyelese A,Telfeian AE,Gokaslan ZL,Kosztowski TA,Choi D,Fridley J,Galgano M

doi

10.1016/j.wneu.2018.03.188

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

29-34

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)30670-3

journal_volume

115

pub_type

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