![]() The range of imaging, navigation, and robotics technologies available for spinal fusion surgery has significantly increased. Surgeons and hospital administrators do not have sufficient information to compare imaging, navigation, and robotics technologies when making purchasing decisions.Ĭontemporary assistive technology options demonstrate a high rate of accuracy for pedicle screw placement. Traditional open spine surgery using anatomical landmarks results in rates of free-hand pedicle screw misplacement as high as 40% according to post-operative CT imaging ( 1). Accuracy of screw placement improves to 86.6–94.9% with 2D fluoroscopy ( 2, 3). The evolution of minimally invasive spine (MIS) approaches introduced 2D fluoroscopy using K wires and EMG neuromonitoring to insert percutaneous pedicle screws and have higher accuracy rates of 90.2–97.5% ( 2, 4). However, these approaches require surgical teams to wear lead protection. Three-dimensional spinal navigation with intraoperative 3D fluoroscopy and bone-anchored (spinous process or iliac crest) tracking provides comparable accuracy without requiring lead protection ( 5). This approach also minimises radiation exposure by the surgical team and patient ( 6, 7). Renaissance (Mazor Robotics, Caesarea, Israel) was the first widely used spinal robotic platform. ![]() Combined with bone anchoring, Renaissance provides pedicle cannulation for K wires and yields high accuracy for screw placement with reduced exposure to radiation ( 8, 9). ![]() Use of a non-invasive, rectangular skin-adhesive stereotactic tracker (SpineMask, Stryker Navigation, Kalamazoo, MI, USA) maintains high accuracy for percutaneous screw placement without requiring bone-anchored tracking or the morbidity of K wires ( 10, 11). Contemporary technologies, including intraoperative CT and new 3D fluoroscopy, offer improved image quality but significantly increase radiation exposure ( 12, 13). Interested parties should, in the first instance, contact Shelley Bromfield (Practice Manager), on 03 6228 3777.New robotic platforms offer more versatility with integrated navigation and can be used without K wires. Recent graduates will be supported in a fellow-ship like environment as they commence their careers. Multidisciplinary meetings are held twice weekly, and clinicians are comprehensively supported by administrative and nursing staff within the clinic. The hospital has recently built 6 new operating theatres, and intraoperative facilities include CT (Airo), Stryker and Brainlab spinal navigation, surgeon and neurophysiologist controlled neuro monitoring, 3D II (Siemens) and a range of spinal operating tables.Ī full complement of neurosurgical instrumentation allows all cranial neurosurgical procedures to be performed. Neurosurgery Tasmania provides complete neurosurgical services to the Tasmanian community.įull imaging abilities (including 1.5 and 3T MRI, nuclear medicine, full standing spinal imaging, (the next step on from EOS), CT, and interventional radiology) are available on site. ![]() Tasmanian Spine Service is a multidisciplinary spinal clinic, with spine surgeons, pain specialists, rheumatologists, trained assessing doctors, and specialist spine physiotherapists, and is based at Calvary Hospital, Hobart.
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