+1 (629)348-3199Instrumentation through Interrupted Trajectory in Complex Cervical Spine cases
Joint Event on 3rd International Conference on Spine and Spine Disorders & International Conference on Addiction Research and Therapy
November 26-27, 2018 | Dubai, UAE
Walid Attia and Khalid Al Musrea
National Neuroscience Institute, Saudi Arabia
Scientific Tracks Abstracts : J Neurol Neurorehabil Res
Abstract:
Purpose: Surgical challenges in complex spine cases include
yet not limited and exposure, decompression near vital or
neural structures, decompression at a blind angle, and difficult
trajectories for instrumentation. Displaced bone pieces across
the desired trajectory is a major challenge when it is the only
available trajectory to use. The type and extent of image guidedsurgery
for spine disorders still lacks evidence-based medicine
proof. It is up to the health care providers sound judgement
and expertise to do what is needed for the patient. The use of
intraoperative CT-quality O-arm, and neuronavigational are still
tested as aiding tools in such operative modalities.
Methods: We selected 2 Cervical Spine cases that were operated
upon during the years 2009-2016 in our institute by the first
author to be included in this study. Both represent complex
traumatic spinal fractures. Both a major technical challenge
in the trajectory jeopardizing the safety of instrumentation. In
both cases the Medtronic O-arm and Medtronic Stealth Station
were used as intraoperative mapping tools.
Results: Intraoperative navigation tools were so useful in
securing neural and vascular tissue safety, surpassing the
trajectory difficulty, together with tough bony purchases of
the hardware from the first and only trial of application when
needed. Intraoperative CT taken by the o-arm was a useful
confirmatory intraoperative test of proper hardware placement.
Conclusion: The intraoperative use of the O-arm and stealth
station is very useful in this modality of Spine Surgeries.
Biography:
Walid Attia was born on November 8, 1969, and right now he is consultant Neurosurgery/Spine surgery Director and Spine Fellowship Program Departments of Neurosurgery/Spine Surgery National Neuroscience Institute King Fahad Medical City. He is a recipient of the outstanding graduation grant (top 30 graduates) in the Republic High School Diploma examination, the Egyptian Ministry of Education. 1986 recipient of the outstanding graduation honour at Tanta University Faculty of Medicine (fourth on the class of 320 graduates).
E-mail: attwali@hotmail.com
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