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Use of navigation for anterior and posterior instrumentation in the surgical management of pediatric pathologic lumbosacral deformity – Lumbar Fusion

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The article discusses the successful use of computerized tomography (CT)-guided navigation for complex spinal deformity correction in an 8-year-old patient with neurofibromatosis. The patient had dystrophic pedicles, dural ectasia, and extensive vertebral scalloping, which posed challenges for surgical intervention. The patient underwent anterior lumbar interbody fusion and posterior instrumented fusion using CT-guided navigation, with no perioperative or postoperative complications reported at the 2-year follow-up. The study highlights the benefits of intraoperative CT-guided navigation in safely placing interbody spacers and pedicle screws in patients with complex spinal deformities

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Published article

We report the use of computerized tomography (CT)-guided navigation for complex spinal deformity correction (anterior and posterior) in an 8-year-old patient with neurofibromatosis complicated by dystrophic pedicles, dural ectasia, and extensive vertebral scalloping. A retrospective review was conducted of the patient’s medical records for the past 3 years, including the patient’s office visit notes, operative reports, pre- and 2-year postoperative imaging studies. The patient successfully…

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J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):114-117. doi: 10.4103/jcvjs.jcvjs_144_23. Epub 2024 Mar 13. ABSTRACT We report the use of computerized tomography (CT)-guided navigation for complex spinal deformity correction (anterior and posterior) in an 8-year-old patient with neurofibromatosis complicated by dystrophic pedicles, dural ectasia, and extensive vertebral scalloping. A retrospective review was conducted of the patient’s medical,

J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):114-117. doi: 10.4103/jcvjs.jcvjs_144_23. Epub 2024 Mar 13.

ABSTRACT

We report the use of computerized tomography (CT)-guided navigation for complex spinal deformity correction (anterior and posterior) in an 8-year-old patient with neurofibromatosis complicated by dystrophic pedicles, dural ectasia, and extensive vertebral scalloping. A retrospective review was conducted of the patient’s medical records for the past 3 years, including the patient’s office visit notes, operative reports, pre- and 2-year postoperative imaging studies. The patient successfully underwent anterior lumbar interbody fusion from L3-S1 using CT-guided navigation to negotiate the challenges posed by dural ectasia and vertebral body scalloping. One week after the anterior procedure, she underwent navigation-guided T10-to-pelvis posterior instrumented fusion. There were no perioperative or postoperative complications at 2 years. In patients with complex deformities of the spine, including dural ectasia, scalloped vertebral bodies, and decreased pedicle integrity, the use of intraoperative CT-guided navigation can benefit surgeons by facilitating the safe placement of interbody spacers and pedicle screws.

PMID:38644920 | PMC:PMC11029110 | DOI:10.4103/jcvjs.jcvjs_144_23

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Use of navigation for anterior and posterior instrumentation in the surgical management of pediatric pathologic lumbosacral deformity

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J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):114-117. doi: 10.4103/jcvjs.jcvjs_144_23. Epub 2024 Mar 13. ABSTRACT We report the use of computerized tomography (CT)-guided navigation for complex spinal deformity correction (anterior and posterior) in an 8-year-old patient with neurofibromatosis complicated by dystrophic pedicles, dural ectasia, and extensive vertebral scalloping. A retrospective review was conducted of the patient's medical
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