Explore the cutting-edge fusion of technology and surgery in our deep dive into multilevel corpectomy for subaxial cervical spondylodiscitis, where navigation, intraoperative imaging, and augmented reality are revolutionizing patient outcomes.
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Multilevel Corpectomy for Subaxial Cervical Spondylodiscitis: Literature Review and Role of Navigation, Intraoperative Imaging and Augmented Reality.
Umana et al., Acta Neurochir Suppl 2023
DOI: 10.1007/978-3-031-36084-8_50
Key Findings:
- The literature review focused on the management of subaxial cervical spondylodiscitis, particularly in cases requiring ≥three-level cervical corpectomies.
- Out of 13 papers selected, only 5 met the inclusion criteria, highlighting the scarcity of literature on this topic.
- An emblematic case of a 71-year-old patient was presented, who underwent a four-level cervicothoracic corpectomy with advanced surgical techniques including augmented reality and neuronavigation.
- The systematic review included 28 patients with a mean age of 55.9 years, treated with three to six-level corpectomies, mostly via a combined anterior and posterior approach.
- Postoperative recovery was generally successful, with one mortality due to nosocomial pneumonia and no major intraoperative complications reported.
- The mean follow-up time was 31.9 months, indicating long-term data availability.
Importance:
This study contributes to the limited literature on the management of advanced subaxial cervical spine infections requiring extensive surgery. It demonstrates that multilevel corpectomies, even up to six levels, can be safe and effective when using multimodal navigation techniques.
Contribution to Literature:
The use of augmented reality and neuronavigation in these complex procedures is a novel approach that may improve surgical outcomes by aiding in implant positioning and anatomical assessment.