According to two meta-analyses, the authors indicated no significant difference in operative time found between MIS-TLIF and O-TLIF. However, some authors reported more radiation exposure and longer operative times in MIS-TLIF. MIS-TLIF is associated with minimal tissue disruption, due to its utilization of percutaneous or transfascial screw/rods, sequential dilation, and tubular retraction, which results in less tissue damage, reduced blood loss, lowered costs, and less hospitalization while maintaining similar clinical and radiographical outcomes compared to an O-TLIF. To overcome these flaws of open TLIF (O-TLIF), an alternative procedure of minimally invasive TLIF (MIS-TLIF) was developed and has become popular in the treatment of lumbar spinal disorders. However, as a conventional open surgery, there are still concerns regarding more disruptive muscle detachment, extensive blood loss, long hospital stays, and more postoperative complications. Due to its inherent far lateral approach to the spine, the incidence of the intraoperative durotomy and postoperative radiculitis was decreased compared with PLIF. Transforaminal lumbar interbody fusion (TLIF), as a modification of posterior lumbar interbody fusion (PLIF), was widely adopted to treat various lumbar disorders such as spondylolisthesis, stenosis, and instability. “Total navigation” (complete intraoperative 3D navigation without fluoroscopy) can be achieved by combining Airo navigation with navigated guide tubes for screw placement.
#Airo ct setup for anesthesia skin#
Airo iCT MIS-TLIF can be used for initial planning of the skin incision, precise screw, and cage placement, without the need for fluoroscopy. The average operation time was 192.8 minutes and average time of placement per screw was 2.6 minutes. In four cases, a tubular laminectomy at L1/2 was performed at the same time. The ages ranged from 23 years to 86 years (mean, 66.6 years). From January 2015 to December 2015, 33 consecutive patients consisting of 17 men and 16 women underwent single-level or two-level MIS-TLIF operations in our institution. We recorded the operation time, number of scans, and pedicle screw accuracy.
#Airo ct setup for anesthesia portable#
We used the latest generation of portable iCT in all cases without the assistance of K-wires. The purpose of this study is to describe how Airo facilitates minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF). A new generation of iCT scanner, Airo®, has been introduced.
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