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Using Augmented Reality Technology to Optimize Transfacet Lumbar Interbody Fusion: A Case Report – Lumbar Fusion

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In the article, the authors discuss the use of the transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) as a novel approach for treating lumbar spondylolisthesis. This approach allows surgeons to avoid manipulating nerve roots by staying within the bony boundaries of the spine. The case study presented a 36-year-old male with grade 2 L4/5 spondylolisthesis, where the authors opted for the transfacet MIS-TLIF due to its wider corridor. They used preoperative trajectory planning, level segmentation, intraoperative navigation, and image merging to create an augmented reality (AR) model to guide the surgery. The authors suggest that using AR technology can improve surgical outcomes for spine pathologies but recommend further high-quality studies to evaluate its impact

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative day surgery spinal centre in London

Published article

The transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a novel approach available for the management of lumbar spondylolisthesis. It avoids the need to manipulate either of the exiting or traversing nerve roots, both protected by the bony boundaries of the approach. With the advancement in operative technologies such as navigation, mapping, segmentation, and augmented reality (AR), surgeons are prompted to utilize these technologies to enhance their surgical…

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J Clin Med. 2024 Mar 6;13(5):1513. doi: 10.3390/jcm13051513. ABSTRACT The transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a novel approach available for the management of lumbar spondylolisthesis. It avoids the need to manipulate either of the exiting or traversing nerve roots, both protected by the bony boundaries of the approach. With the advancement,

J Clin Med. 2024 Mar 6;13(5):1513. doi:10.3390/jcm13051513.

ABSTRACT

The transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a novel approach available for the management of lumbar spondylolisthesis. It avoids the need to manipulate either of the exiting or traversing nerve roots, both protected by the bony boundaries of the approach. With the advancement in operative technologies such as navigation, mapping, segmentation, and augmented reality (AR), surgeons are prompted to utilize these technologies to enhance their surgical outcomes. A 36-year-old male patient was complaining of chronic progressive lower back pain. He was found to have grade 2 L4/5 spondylolisthesis. We studied the feasibility of a trans-Kambin or a transfacet MIS-TLIF, and decided to proceed with the latter given the wider corridor it provides. Preoperative trajectory planning and level segmentation in addition to intraoperative navigation and image merging were all utilized to provide an AR model to guide us through the surgery. The use of AR can build on the safety and learning of novel surgical approaches to spine pathologies. However, larger high-quality studies are needed to further objectively analyze its impact on surgical outcomes and to expand on its application.

PMID:38592365 | DOI:10.3390/jcm13051513

The London Spine Unit : innovative day surgery spinal centre in London

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Using Augmented Reality Technology to Optimize Transfacet Lumbar Interbody Fusion: A Case Report

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J Clin Med. 2024 Mar 6;13(5):1513. doi: 10.3390/jcm13051513. ABSTRACT The transfacet minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a novel approach available for the management of lumbar spondylolisthesis. It avoids the need to manipulate either of the exiting or traversing nerve roots, both protected by the bony boundaries of the approach. With the advancement

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