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International Journal of Computer Assisted Radiology and Surgery

Published in:

01-04-2016 | Original Article

Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications

Authors: Xiaojun Chen, Jun Cheng, Xin Gu, Yi Sun, Constantinus Politis

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 4/2016

Abstract

Purpose

Preoperative planning is of great importance for transforaminal endoscopic techniques applied in percutaneous endoscopic lumbar discectomy. In this study, a modular preoperative planning software for transforaminal endoscopic surgery was developed and demonstrated.

Methods

The path searching method is based on collision detection, and the oriented bounding box was constructed for the anatomical models. Then, image reformatting algorithms were developed for multiplanar reconstruction which provides detailed anatomical information surrounding the virtual planned path. Finally, multithread technique was implemented to realize the steady-state condition of the software.

Results

A preoperative planning software for transforaminal endoscopic surgery (TE-Guider) was developed; seven cases of patients with symptomatic lumbar disc herniations were planned preoperatively using TE-Guider. The distances to the midlines and the direction of the optimal paths were exported, and each result was in line with the empirical value.

Conclusions

TE-Guider provides an efficient and cost-effective way to search the ideal path and entry point for the puncture. However, more clinical cases will be conducted to demonstrate its feasibility and reliability.

Ahn Y, Lee SH, Park WM, Lee HY, Shin SW, Kang HY (2004) Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome and prognostic factors of 43consecutive cases. Spine (Phila Pa 1976) 29:326–332CrossRef

Kambin P, Zhou L (1997) Arthroscopic discectomy of the lumbar spine. Clin Orthop Relat Res 337:49–57CrossRefPubMed

Nellensteijn J, Ostelo R, Bartels R, Peul W, van Royen B, van Tulder M (2010) Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature. Eur Spine J 19:181–204CrossRefPubMedPubMedCentral

Hoogland T, van den Brekel-Dijkstra K, Schubert M, Miklitz B (2008) Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases. Spine (Phila Pa 1976) 33:973–978CrossRef

Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen ES, Baethis H (2010) Image-guided spine surgery: state of the art and future directions. Eur Spine J 19:25–45CrossRefPubMedPubMedCentral

Nowitzke A, Wood M, Cooney K (2008) Improving accuracy and reducing errors in spinal surgery—a new technique for thoracolumbar-level localization using computer-assisted image guidance. Spine J 8:597–604CrossRefPubMed

Gebhard FT, Kraus MD, Schneider E, Liener UC, Kinzl L, Arand M (2006) Does computer-assisted spine surgery reduce intraoperative radiation doses? SPINE 31(17):2024–2027

Ruetten S, Komp M, Merk H, Godalias S (2007) Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J Neurosurg Spine 6:521–530CrossRefPubMed

Kafadar A, Kahraman S, Akbörü M (2006) Percutaneous endoscopic transforaminal lumbar discectomy: a critical appraisal. Minim Invasive Neursurg 49:74–79

10.

Hsu HT, Chang SJ, Yang SS, Chai CL (2013) Learning curve of full-endoscopic lumbar discectomy. Eur Spine J 22:727–733CrossRefPubMedPubMedCentral

11.

Wang H, Huang B, Li C, Zhang Z, Wang J, Zheng W, Zhou Y (2013) Learning curve for percutaneous endoscopic lumbar discectomy depending on the surgeon’s training level of minimally invasive spine surgery. Clin Neurol Neurosurg 115:1987–1991CrossRefPubMed

12.

Lee DY, Lee SH (2008) Learning curve for percutaneous endoscopic lumbar discectomy. Neurol Med Chir (Tokyo) 48:383–389CrossRef

13.

Ruetten S, Komp M, Godolias G (2005) An extreme lateral access for the surgery of lumbar disc herniations inside the spinal canal using the full-endoscopic uniportal transforaminal approachtechnique and prospective results of 463 patients. Spine (Phila Pa 1976) 30:2570–2578CrossRef

14.

Gu X, He S, Zhang H (2013) Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy. Clin Anat 26:728–734CrossRef

15.

Lorensen WE, Cline HE (1987) Marching cubes: a high resolution 3D surface construction algorithm. ACM Comput Graph 21:38–44CrossRef

16.

Kambin P, Gellman H (1983) Percutaneous lateral discectomy of the lumbar spine. A preliminary report. Clin Orthop 174:127–132

17.

Gottschalk S, Lin M, Manocha D (1996) OBB-Tree: a hierarchical structure for rapid interference detection, ACM SIGGRAPH. In: Rushmeier H (ed) SIGGRAPH 96 conference proceedings. Addison Wesley, Reading, pp 171–180CrossRef

18.

Albert TJ, Balderston RA, Heller JG, Herkowitz HN, Garfin SR, Tomany K, An HS, Simeone FA (1993) Upper lumbar disc herniations. J Spinal Disord 6(4):351–359CrossRefPubMed

19.

Ido K, Shimizu K, Tada H, Matsuda Y, Shikata J, Nakamura T (1998) Considerations for surgical treatment of patients with upper lumbar disc herniations. J Spinal Disord 11(1):75–79CrossRefPubMed

20.

McCulloch JA (1999) Alternative forms of disc excision. In: Rothman R, Simeone F (eds) The spine, 4th edn. Saunders, Philadelphia, pp 691–714

21.

Sanderson SP, Houten J, Errico T, Forshaw D, Bauman J, Cooper PR (2004) The unique characteristics of “upper” lumbar disc herniations. Neurosurgery 55(2):385–389 discussion 389CrossRefPubMed

22.

Ahn Y, Lee SH, Lee JH, Kim JU, Liu WC (2009) Transforaminal percutaneous endoscopic lumbar discectomy for upper lumbar disc herniation: clinical outcome, prognostic factors, and technical consideration. Acta Neurochir 151:199–206CrossRefPubMed

23.

Gibson JN, Cowie TG, Iprenburg M (2012) Transforaminal endoscopic spinal surgery: the future ‘gold standard’ for discectomy?—a review. Surgeon 10:290–296CrossRefPubMed

24.

Yeung AT, Yeung CA (2003) Advances in endoscopic disc and spine surgery: foraminal approach. Surg Technol Int 11:255–263PubMed

25.

Yeung AT (2000) The evolution of percutaneous spinal endoscopy and discectomy: state of the art. Mt Sinai J Med 67:327–332PubMed

26.

Yeung AT, Tsou PM (2002) Posterolateral endoscopic excision for lumbar disc herniation: surgical technique, outcome, and complications in 307 consecutive cases. Spine 27:722–731CrossRefPubMed

Title: Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications
Authors: Xiaojun Chen
Jun Cheng
Xin Gu
Yi Sun
Constantinus Politis
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 4/2016
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-015-1282-2

At a glance: The STEP trials

Springer Medicine

Development of preoperative planning software for transforaminal endoscopic surgery and the guidance for clinical applications

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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