Jasmine Heath Hearn, Katherine Anne Finlay, David Sheffield
OBJECTIVES: Work is beginning to explore the impact of mindfulness in managing the physical and psychological health of people with spinal cord injury (SCI). However, no previous work has sought to understand what drives people with such conditions to try mindfulness, and what barriers are experienced in accessing mindfulness. DESIGN: An exploratory, qualitative, interview design, utilizing interpretative phenomenological analysis. METHODS: Semi-structured interviews were conducted with 11 people with SCI who had experience of mindfulness since sustaining their injury...
August 4, 2020: British Journal of Health Psychology
Chao Zhang, Junlong Wu, Wenjie Zheng, Changing Li, Yue Zhou
Endoscopic spine surgery for the treatment of degenerative spinal diseases from lumbar to cervical spine has accelerated over the past 2 decades. Posterior endoscopic cervical discectomy (PECD) has been described as a safe, effective, and minimally invasive procedure for cervical radiculopathy or even part of the myelopathy. This procedure also has been validated with comparable outcomes to open and microscopic surgery. Radiculopathy due to foraminal disc herniation or foraminal stenosis should be the optimum indications of this procedure...
July 2020: Neurospine
Yogesh Shelke, Chinmay Chakraborty
This paper discusses a systematic review of the state of the art on Augmented Reality (AR) and Virtual Reality (VR) in spinal navigation where early clinical validations have shown promising outlook on accuracy and scalability parameters. The objective of this research is to evaluate clinical relevance for AR-VR enabled spinal surgical technologies and develop an economic feasibility model for stakeholders like a patient; hospitals and research organizations while technology adoption. From the influencing parameters, we identified the research gaps that can be explored going forward and a list of high priority research challenges that could provide attractive research and development investment case for industry players...
June 9, 2020: IEEE Computer Graphics and Applications
Javier Quillo-Olvera, Javier Quillo-Reséndiz, Diego Quillo-Olvera, Michelle Barrera-Arreola, Jin-Sung Kim
BACKGROUND: The principal advantage of intraoperative spinal navigation is the ease of screw placement. However, visualization and the integration of navigation can be explored with the use of navigation-guided full-endoscopic techniques. OBJECTIVE: To describe the stepwise intraoperative navigation-assisted unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) technique and to present our preliminary results in a Mexican population. METHODS: A 10-step summary of the UBE-TLIF operative technique was described, and the clinical and radiological results are presented and analyzed...
July 29, 2020: Operative Neurosurgery (Hagerstown, Md.)
Timothy Y Wang, Farah Hamouda, Vikram A Mehta, Eric W Sankey, Chester Yarbrough, Robert Lark, Muhammad M Abd-El-Barr
Introduction: As minimally invasive spine surgery gains popularity, a focused effort must be made to reduce intraoperative radiation exposure to levels as low as reasonably achievable. Here, we demonstrate the clinical efficacy of a novel technology to aid in instrument navigation that aims to reduce intraoperative radiation exposure, number of fluoroscopic images, and time required to perform the most radiation intensive portions of a multitude of spinal procedures. Methods: An internally randomized controlled study was performed over a 1-month period in order to clinically evaluate the effect of the C-arm assisted instrument tracking system, TrackX, on surgeon workflow, time, and radiation emitted...
June 2020: International Journal of Spine Surgery
Yu-Cheng Wang, Zhang-Zhe Zhou, Bin Wang, Kai Zhang, Hao Chen, Kang-Wu Chen, Hai-Qing Mao
OBJECTIVE: To describe the clinical outcomes of occipitocervical fusion (OCF) using cervical pedicle fixation with assistance of O-arm navigation and present its clinical feasibility. METHODS: From January 2015 to December 2016, eight patients with a variety of diagnoses were surgically treated with occipitocervical fusion using cervical pedicle screws under O-arm navigation. All patients received full workup consisting of clinical and radiological assessments. Perioperative parameters including operating time, intraoperative blood loss, postoperative complications, surgical outcomes were recorded...
July 22, 2020: Orthopaedic Surgery
Joseph S Domino, Kyle A Smith, Paul M Arnold
STUDY DESIGN: Retrospective review of prospectively collected single-institution database. OBJECTIVE: To analyze the clinical and radiographic outcomes of posterior thoracolumbar fusions using intraoperative computed tomography (CT)-guidance and stereotactic navigation in thoracolumbar spinal trauma. SUMMARY OF BACKGROUND DATA: Pedicle screw instrumentation is utilized for stabilization in thoracolumbar fusions. Suboptimal placement may lead to neurovascular complications, pseudarthrosis, postoperative pain, and the need for revision surgery...
July 17, 2020: Clinical Spine Surgery
Giuseppe Emmanuele Umana, Maurizio Passanisi, Marco Fricia, Salvatore Cicero, Alessandro Narducci, Giovanni Federico Nicoletti, Gianluca Scalia
No abstract text is available yet for this article.
July 2020: World Neurosurgery
Wei Tian, Bo Liu, Da He, Yajun Liu, Xiaoguang Han, Jingwei Zhao, Mingxing Fan
Spinal surgery is a technically demanding and challenging procedure because of the complicated anatomical structures of the spine and its proximity to several important tissues. Surgical landmarks and fluoroscopy have been used for pedicle screw insertion but are found to produce inaccuracies in placement. Improving the safety and accuracy of spinal surgery has increasingly become a clinical concern. Computerassisted navigation is an extension and application of precision medicine in orthopaedic surgery and has significantly improved the accuracy of spinal surgery...
July 17, 2020: Frontiers of Medicine
Julia Amann, Maddalena Fiordelli, Mirjam Brach, Sue Bertschy, Anke Scheel-Sailer, Sara Rubinelli
BACKGROUND: Spinal cord injury is a complex chronic health condition that requires individuals to actively self-manage. Therefore, an evidence-based, self-management app would be of value to support individuals with spinal cord injury in the prevention of pressure injuries. OBJECTIVE: The main objectives of this study were to (1) establish a co-design approach for developing a high-fidelity prototype app for the self-management of individuals with spinal cord injury, (2) design the prototype that resulted from this process, and (3) conduct the first usability assessment of the prototype app...
July 9, 2020: JMIR MHealth and UHealth
Houssem-Eddine Gueziri, Carlo Santaguida, D Louis Collins
During the last two decades, intra-operative ultrasound (iUS) imaging has been employed for various surgical procedures of the spine, including spinal fusion and needle injections. Accurate and efficient registration of pre-operative computed tomography or magnetic resonance images with iUS images are key elements in the success of iUS-based spine navigation. While widely investigated in research, iUS-based spine navigation has not yet been established in the clinic. This is due to several factors including the lack of a standard methodology for the assessment of accuracy, robustness, reliability, and usability of the registration method...
June 26, 2020: Medical Image Analysis
Peihai Zhang, Huiting Liu, Zhenxing Sun, James Wang, Guihuai Wang
OBJECTIVE: To study on the clinical efficacy of precise localization of O-arm and navigation system in spinal cord lesions. METHODS: From Augst 2015 to September 2019, 22 patients with spinal cord lesions were arranged in the group.The intraoperative cross-sectional images were acquired by O-arm image system, which were transferred to the Stealth navigation system, and fused with pre-opreative MRI images. The image fusion was completed by the Medtronic Synergy Cranial software...
May 15, 2020: Clinical Neurology and Neurosurgery
Arunit J S Chugh, Manish K Kasliwal
No abstract text is available yet for this article.
July 2, 2020: Operative Neurosurgery (Hagerstown, Md.)
Francesca Manni, Adrian Elmi-Terander, Gustav Burström, Oscar Persson, Erik Edström, Ronald Holthuizen, Caifeng Shan, Svitlana Zinger, Fons van der Sommen, Peter H N de With
Surgical navigation systems are increasingly used for complex spine procedures to avoid neurovascular injuries and minimize the risk for reoperations. Accurate patient tracking is one of the prerequisites for optimal motion compensation and navigation. Most current optical tracking systems use dynamic reference frames (DRFs) attached to the spine, for patient movement tracking. However, the spine itself is subject to intrinsic movements which can impact the accuracy of the navigation system. In this study, we aimed to detect the actual patient spine features in different image views captured by optical cameras, in an augmented reality surgical navigation (ARSN) system...
June 29, 2020: Sensors
Alexander A Iyer, Julie R Barzilay, Holly K Tabor
PURPOSE: Advances in gene therapy and precision medicine have led to a growing number of novel treatments for rare genetic diseases. Patients/families may lack access to up-to-date, accurate, and relevant information about these treatments. Social media offers one potentially important resource for these communities. Our goal was to understand how patients/families with spinal muscular atrophy (SMA)-a rare genetic condition-used social media to share, consume, and evaluate information about the novel treatment nusinersen (Spinraza) following the drug's approval...
June 30, 2020: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Guiroy Alfredo, Gagliardi Martín, Cabrera Juan Pablo, Coombes Nicolás, Arruda André, Taboada Néstor, Asdrúbal Falavigna
OBJECTIVE: To evaluate access to the technologies and education needed to perform minimally invasive spine surgery in Latin America. MATERIAL AND METHODS: We designed a questionnaire to evaluate surgeons' practice characteristics, access to different technologies, and training opportunities for minimally-invasive spinal surgery techniques. The survey was sent to members and registered users of AO Spine Latin from January 6th to 20th , 2020.The major variables studied were nationality, specialty (orthopedics or neurosurgery), level of hospital (primary, secondary, tertiary), number of surgeries performed per year by the spine surgeon, types of spinal pathologies commonly managed, and number of minimally invasive spine surgeries performed per year...
June 26, 2020: World Neurosurgery
Jacob Gibby, Steve Cvetko, Ramin Javan, Ryan Parr, Wendell Gibby
PURPOSE: Because of its ability to superimpose imaging data on a patient, while anchoring the user's view to the immediate surroundings, augmented reality (AR) has the potential to dramatically improve the accuracy and reduce the time required for preoperative planning and performance of minimally invasive spine surgeries and procedures. Described and reported herein is the direct clinical application of AR navigation on a series of common percutaneous image-guided spine procedures. MATERIALS AND METHODS: AR, including a "virtual needle" (VN) asset, was used to guide and navigate a total of 18 procedures performed on 10 patients...
June 26, 2020: European Spine Journal
Zhang-Zhe Zhou, Yi-Meng Wang, Xiao Liang, Xiao Ze, Hao Liu, Kang-Wu Chen, Xiao-Yu Zhu, Zhi-Yong Sun, Zhong-Lai Qian
OBJECTIVE: To evaluate the safety and efficacy of O-arm-guided minimally invasive pedicle screw fixation combined with percutaneous kyphoplasty for metastatic spinal tumors with posterior wall destruction. METHODS: Patients who underwent minimally invasive pedicle screw fixation combined with percutaneous kyphoplasty for pathological vertebral fractures with posterior wall defects from January 2015 to December 2017 were followed up for 1 year. Visual analogue scale (VAS), SF-36 scores, middle vertebral height, posterior vertebral height, and the accuracy of pedicle screws were assessed preoperatively, postoperatively, and 1 year after surgery...
June 23, 2020: Orthopaedic Surgery
Miki Katzir, Nguyen Hoang, Eric Bourekas, Ricardo Carrau, Ehud Mendel
BACKGROUND: Metastatic cervical spine disease can cause compression fractures, cervical spine instability, and pain. Vertebroplasty can stabilize a fracture, reduce the pain associated with a compression fracture, prevent or stop the progression of a fracture, thus avoiding cervical spine fixation, and decreased mobility. Transoral C2 vertebroplasty is less invasive than open fusion surgery, but it poses its own risk of infection and cement leak in this highly sensitive area. METHODS: The image guidance setup consisted of the Stryker NAV3i navigation system, Stryker CranialMask tracker, and the CranialMap 3...
June 23, 2020: Acta Neurochirurgica
Dominik F Vollherbst, René Chapot, Marta Wallocha, Isil Saatci, Saruhan Cekirge, Aymeric Rouchaud, Charbel Mounayer, Naci Kocer, Osman Kizilkilic, Nader A Sourour, Eimad Shotar, Marios N Psychogios, Alex Brehm, Martin Bendszus, Markus A Möhlenbruch
BACKGROUND: Balloon-assisted techniques can improve the endovascular treatment of cerebrospinal vascular malformations. The aim of this study was to report the first clinical multicenter experience with the new Scepter Mini dual-lumen microballoon catheter. METHODS: Patients with cerebral or spinal vascular malformations treated with the Scepter Mini at seven European neurovascular centers were retrospectively reviewed. Clinical data, angiographic features of the vascular malformations, procedural parameters including the type of application, navigability, technical failures, complications and embolization success were assessed...
June 16, 2020: Journal of Neurointerventional Surgery
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