Our Summary

This research paper discusses the increasing use of image guidance systems, also known as navigation systems, in spinal surgeries, particularly in the treatment of spinal tumors. Navigation systems provide real-time images that help surgeons perform complex surgical procedures more precisely. The paper suggests that these systems can potentially improve patient outcomes by aiding in the complete removal of tumors, stabilizing the spine, and assisting in minimally invasive procedures. However, it also emphasizes the need for surgeons to understand the benefits and limitations of these technologies. The paper reviews the use of spinal navigation in three specific areas of spinal tumor treatment.

FAQs

  1. What is the role of navigation systems in spinal surgeries?
  2. How do navigation systems potentially improve patient outcomes in spinal tumor treatments?
  3. What is the importance of surgeons understanding the benefits and limitations of navigation systems in spinal surgeries?

Doctor’s Tip

One helpful tip a doctor might give a patient about spinal surgery is to follow all post-operative instructions carefully, including physical therapy exercises, medication schedules, and restrictions on activities. It is important to give your body time to heal properly and to avoid putting unnecessary strain on your spine. By following these guidelines, you can help ensure a successful recovery and minimize the risk of complications.

Suitable For

Patients who are typically recommended for spinal surgery include those with spinal tumors, degenerative spinal conditions such as spondylolisthesis or spinal stenosis, spinal fractures, spinal deformities such as scoliosis, and spinal infections. Patients who have not responded to conservative treatments such as physical therapy, medication, or injections may also be candidates for spinal surgery. Additionally, patients with severe and debilitating symptoms such as severe pain, weakness, numbness, or loss of bladder or bowel control may also be recommended for surgical intervention. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if spinal surgery is the best course of action for their specific condition.

Timeline

Before spinal surgery:

  1. Patient presents with symptoms such as back pain, leg pain, numbness, or weakness.
  2. Patient undergoes diagnostic tests such as X-rays, MRI, or CT scans to determine the cause of their symptoms.
  3. After consultation with a spine specialist, a decision is made to proceed with spinal surgery.
  4. Pre-operative preparations such as blood tests and medication adjustments are made.

During spinal surgery:

  1. Patient is placed under general anesthesia.
  2. Surgeon uses navigation system to guide the placement of instruments and implants during the procedure.
  3. Tumor is removed or spine is stabilized using the navigation system to ensure precision and accuracy.
  4. Surgery is completed and patient is monitored in the recovery room before being transferred to a hospital room.

After spinal surgery:

  1. Patient undergoes post-operative care including pain management and physical therapy.
  2. Patient is monitored for any complications or signs of infection.
  3. Follow-up appointments are scheduled to monitor recovery progress and address any concerns.
  4. Patient gradually resumes normal activities under the guidance of their healthcare team.

What to Ask Your Doctor

  1. What type of spinal surgery do I need and why is it necessary?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the success rate of this type of surgery for my condition?
  4. What are the alternatives to surgery and why is surgery the best option for me?
  5. How long is the recovery process and what can I expect in terms of pain and mobility?
  6. Will I need physical therapy or other follow-up treatments after the surgery?
  7. How experienced are you in performing this type of surgery?
  8. Will a navigation system be used during my surgery and how will it benefit me?
  9. What are the potential limitations or drawbacks of using a navigation system in my case?
  10. Are there any specific precautions or lifestyle changes I should make before and after the surgery?

Reference

Authors: Kelly PD, Zuckerman SL, Yamada Y, Lis E, Bilsky MH, Laufer I, Barzilai O. Journal: Neurosurg Rev. 2020 Jun;43(3):1007-1017. doi: 10.1007/s10143-019-01123-2. Epub 2019 Jun 1. PMID: 31154546