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academies
Journal of Neurology and Neurorehabilitation Research | Volume 3
November 26-27, 2018 | Dubai, UAE
Spine and Spine Disorders
Addiction Research and Therapy
3rd International Conference on
International Conference on
Joint Event
&
Instrumentation through Interrupted Trajectory in Complex Cervical Spine cases
Walid Attia
and
Khalid Al Musrea
National Neuroscience Institute, Saudi Arabia
Purpose:
Surgical challenges in complex spine cases include
yet not limited and exposure, decompression near vital or
neural structures, decompression at a blind angle, and difficult
trajectories for instrumentation. Displaced bone pieces across
the desired trajectory is a major challenge when it is the only
available trajectory to use. The type and extent of image guided-
surgery for spine disorders still lacks evidence-based medicine
proof. It is up to the health care providers sound judgement
and expertise to do what is needed for the patient. The use of
intraoperative CT-quality O-arm, and neuronavigational are still
tested as aiding tools in such operative modalities.
Methods:
Weselected2Cervical Spinecases thatwereoperated
upon during the years 2009-2016 in our institute by the first
author to be included in this study. Both represent complex
traumatic spinal fractures. Both a major technical challenge
in the trajectory jeopardizing the safety of instrumentation. In
both cases the Medtronic O-arm and Medtronic Stealth Station
were used as intraoperative mapping tools.
Results:
Intraoperative navigation tools were so useful in
securing neural and vascular tissue safety, surpassing the
trajectory difficulty, together with tough bony purchases of
the hardware from the first and only trial of application when
needed. Intraoperative CT taken by the o-arm was a useful
confirmatory intraoperative test of proper hardwareplacement.
Conclusion:
The intraoperative use of the O-arm and stealth
station is very useful in this modality of Spine Surgeries.
Speaker Biography
Walid Attia was born on November 8, 1969, and right now he is consultant
Neurosurgery/Spine surgery Director and Spine Fellowship Program Departments
of Neurosurgery/Spine Surgery National Neuroscience Institute King Fahad
Medical City. He is a recipient of the outstanding graduation grant (top 30
graduates) in the Republic High School Diploma examination, the Egyptian
Ministry of Education. 1986 recipient of the outstanding graduation honour
at Tanta University Faculty of Medicine (fourth on the class of 320 graduates).
e
:
attwali@hotmail.com