Spatial Computing for preoperative planning and postoperative evaluation of single-position lateral approaches in spinal revision surgery

Galal A Elsayed, Raj Swaroop Lavadi, Sangami Pugazenthi, Vinay Jaikumar, Rida Mitha, Daniel M Hafez, John O Ogunlade, Nitin AgarwalJournal of Craniovertebral Junction and Spine 2023 14(2):208-211 Spatial computing (SC) in a surgical context offers reconstructed interactive four-dimensional models of radiological imaging. Preoperative and postoperative assessment with SC can offer more insight into personalized surgical approaches. Spine surgery has benefitted from the use of perioperative SC assessment. Herein, we describe the use of SC to perform a perioperative assessment of a revision spinal deformity surgery. A 79-year-old wheelchair-bound male presented to the neurosurgery clinic with a history of chronic lumbar pain associated with bilateral lower extremity weakness. His surgical history is significant for an L2-L5 lumbar decompression with posterior fixation 1 year prior. On examination, there were signs of thoracic myelopathy. Imaging revealed his previous instrumentation, pseudoarthrosis, and cord compression. We perform a two-staged operation to address the thoracic spinal cord compression and myelopathy, pseudoarthrosis, and malalignment with a lack of global spinal harmony. His imaging is driven by a spatial computing and SC environment and offers support for the diagnosis of his L2-3 and L4-5 pseudoarthrosis on the reconstructed SC-based computed tomography scan. SC enabled the assessment of the configuration of the psoas muscle and course of critical neurovascu...
Source: Journal of Craniovertebral Junction and Spine - Category: Orthopaedics Authors: Source Type: research