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Image guidance in spine tumor surgery

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Abstract

Beginning with basic stereotactic operative methods in neurosurgery, intraoperative navigation and image guidance systems have since become the norm in that field. Following the introduction of image guidance into spinal surgery, there has been a dramatic increase in its utilization across disciplines and pathologies. Spine tumor surgery encompasses a wide range of complex surgical techniques and treatment strategies. Similarly to deformity correction and trauma surgery, spine navigation holds potential to improve outcomes and optimize surgical technique for spinal tumors. Recent data demonstrate the applicability of neuro-navigation in the field of spinal oncology, particularly for spinal stabilization, maximizing extent of resection and integration of minimally invasive therapies. The rapid introduction of new, less invasive, and ablative surgical techniques in spine oncology coupled with the rising incidence of spinal metastatic disease make it imperative for spine surgeons to be familiar with the indications for and limitations of imaging guidance. Herein, we provide a practical, current concepts narrative review on the use of spinal navigation in three areas of spinal oncology: (a) extent of tumor resection, (b) spinal column stabilization, and (c) focal ablation techniques.

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Funding

This research was funded in part through the NIH/NCI Cancer Center Support Grant P30 CA008748 and NIH/NCI Training Grant T32 CA106183.

Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Vanderbilt University Medical Center, T-4224 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37232, USA

    Patrick D. Kelly & Scott L. Zuckerman

  2. Department of Radiation Oncology, Memorial Sloan–Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Yoshiya Yamada

  3. Department of Radiology, Memorial Sloan–Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Eric Lis

  4. Department of Neurological Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Mark H. Bilsky, Ilya Laufer & Ori Barzilai

  5. Department of Neurological Surgery, New York-Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68 Street, Box 99, New York, NY, 10065, USA

    Mark H. Bilsky, Ilya Laufer & Ori Barzilai

Authors
  1. Patrick D. Kelly
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  2. Scott L. Zuckerman
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  3. Yoshiya Yamada
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  4. Eric Lis
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  5. Mark H. Bilsky
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  6. Ilya Laufer
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  7. Ori Barzilai
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Corresponding author

Correspondence to Ori Barzilai.

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Conflict of interest

PK, SZ, and OB have no conflicts of interest or competing interests to disclose. EL reports being a consultant for Medtronic. YY reports being a consultant to Vision RT and Varian Medical Systems, and being a speaker for the Chordoma Foundation and the Institute for Medical Education. IL reports being a consultant to Globus, SpineWave, DePuy/Synthes, Medtronic, and Brainlab outside of the current study, MB reports being a member of the Speaker’s Bureau for Varian Medical Systems and Brainlab, has received royalties from DePuy Synthes, and has received royalties/fellowship support from Globus Spine for work performed outside of the current study.

Ethical approval

The article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was not obtained as part of this study as it did not involve human or animal participants.

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Kelly, P.D., Zuckerman, S.L., Yamada, Y. et al. Image guidance in spine tumor surgery. Neurosurg Rev 43, 1007–1017 (2020). https://doi.org/10.1007/s10143-019-01123-2

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  • DOI: https://doi.org/10.1007/s10143-019-01123-2

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