A procedure tailored for you
Omurga cerrahisi technologies
En son gelişmeleri öğrenin
New technologies in omurga cerrahisi may help cerrahınız perform a safer, and more accurate procedure.
One of the latest advancements in spine technologies includes Artırılmış Gerçeklik (AR) assisted surgery utilizing NextAR Spine.
Artırılmış Gerçeklik
Omurga cerrahisi
NextAR Spine Artırılmış Gerçeklik cerrahi uygulaması
You deserve a personalized spinal procedure. The NextAR Spine Artırılmış Gerçeklik cerrahi uygulaması represents en ileri spine technology that harnesses the latest Artırılmış Gerçeklik advancements. This innovation equips your skilled surgeon with real-time insights into your anatomy, enabling them to personalize the placement of your spine implants to your unique needs.
Artırılmış Gerçeklik is a computer-based technology that overlays virtual content onto the real-world environment. This technology has been used for more than 30 years in en ileri fields such as aerospace and aviation.
NextAR omurga cerrahisi nasıl çalışır
Omurga ameliyatından önce
Unlike traditional spine replacement procedures, cerrahınız can define a personalized plan in the weeks ameliyatınızdan önce. This involves selecting the optimal implant size and positioning. A personalized cerrahi enstrüman, accompanied by a 3D spine model, allows for correcting your anatomy and restoring functionality. This 3D model is obtained by processing a BT taraması of your spine.
Omurga ameliyatı sırasında
The NextAR Omurga cerrahisi follows the same steps of a traditional approach with the support of advanced optical trackers (1), temporarily connected to your vertebrae. These trackers send gerçek zamanlı veri on your anatomy to the NextAR Artırılmış Gerçeklik Glasses (2), "empowering" cerrahınız's vision.
With this technology, cerrahınız can make more informed decisions and personalize your omurga cerrahisi by making precise adjustments to your unique spine anatomy, thereby enhancing the accuracy of your spine procedure.
It’s important to know that cerrahınız has been specially trained and always has complete control of the surgical actions.
Omurga ameliyatından sonra
The NextAR Omurga cerrahisi may help you günlük hayatınıza geri dönün - minus the pain. Your iyileşme timeline will vary depending on cerrahınız's recommendations.
It is important to remember that süreciniz size özgüdür. The length of time patients spend in the hospital is determined by their specific condition. This is why it is important to listen to cerrahınız’s recommendations rather than comparing your iyileşme to others.
Upon your eve dönmek, your tıbbi ekip will provide guidance to help you regain your mobility and suggest the continued use of appropriate medications. Depending on your unique treatment plan, you may begin rehabilitasyon egzersizleri under the supervision of specialized professionals.
Neden NextAR omurga cerrahisi?
NextAR Spine technology can provide useful data on your spine anatomy and therefore streamline the operational workflow in the ameliyathane (OR) assisted by planning tools based on your benzersiz anatomi4,6. Artırılmış Gerçeklik can also allow the surgeon to achieve far greater precision during your spine treatment4.
The NextAR Spine Artırılmış Gerçeklik cerrahi uygulaması may enable the surgeon to perform less traumatic omurga cerrahisi, reduce the iyileşme time, and possibly aid in faster rehabilitasyon.
Precise execution4
Technology in cerrahınız’s hands
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
Bakım sürecinizi güvenle yaşayın!
3D technology
Patient-matched
MySpine hastaya özel cerrahi enstrüman
MySpine is one of the latest hastaya özel cerrahi enstrümanlar developed by Medacta. This is a validated technology supported by scientific data.5,6,7,8,9,10 It features a 3D baskılı cerrahi enstrüman tailored to your anatomy allowing for greater accuracy in pedicle screw position. The main patient benefits of MySpine are:
- Accuracy of pedicle screw positioning6
- Patient-matched technology allowing for surgical technique customization
- Reduced radiation requirements5
- Reduced ameliyat sonrası morbidity and shortened hastane yatışı8
MySpine technology may support surgeons in accurately treating all the regions of your spine, from cervical to sacroiliac issues.
Nasıl çalışır?
Omurganızın görüntüsünü alın
The surgeon will ask you to have a BT taraması of your vertebral column. Medacta developed a specific Low Dose CT protocol to ensure a safe image acquisition.
Omurganızın kopyasının oluşturulması
Using images of your spine, Medacta will create a 3D model for each of the vertebra to be treated, in order to allow the Surgeon to select the best implant position and size for you.
MySpine kılavuzlarının üretimi
Using the model of your vertebrae and dedicated planning software, cerrahınız tailors your personalized surgical guides around your benzersiz anatomi.
Ameliyat hazırlığı
Before the surgery, cerrahınız will receive the MySpine instruments and the plastic replica of your vertebrae. The bone model and the screw placement guides will be analyzed to accurately prepare for your spine operation.
The MySpine Teknolojisi offers a complete and comprehensive system of 3D baskılı hastaya özel guiding tools and ameliyat öncesi planning allowing for posterior spine fixation from cervical to lumbar-sacral and pelvic fixation.
MySpine MC, Medacta’nın minimal invaziv çözümüdür
The surgeon can access the spine following a "conventional" open surgical approach or a Minimally Invasive Surgical (MIS) approach. Open approaches can be potentially associated with ameliyat sonrası muscle atrophy when the back muscular innervation is accidentally injured during surgery. On the other hand, true Minimally Invasive Surgery is characterized by the preservation of the complex muscular structure and a shorter cilt kesisi.
MySpine MC is truly a Minimally Invasive surgery.11,12 Thanks to its muscle-sparing technique, muscles are gently manipulated, and a small cilt kesisi of 4-5cm is performed. For this reason, MySpine MC represents an optimal system with its minimally disruptive surgery, which is fundamental to delivering a hızlı iyileşme: MySpine MC is designed to improve the yaşam kaliteniz and hasten your iyileşme after a spinal fusion13,14.
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
Neden MySpine MC?
A Minimally Invasive surgery results in less surgical trauma than other techniques because back muscles are preserved, leading to a faster iyileşme.11,12,13 Consequently, MIS MySpine MC approach can potentially provide you with the following benefits:
Ameliyat sonrası ağrıda azalma
In comparison with “conventional” open surgical techniques, the MySpine MC approach may reduce ameliyat sonrası pain thanks to a less invasive technique.12,13
Daha kısa rehabilitasyon
The MySpine MC technique can decrease the muscular atrophy leading to a potentially shorter rehabilitasyon, subject to your ameliyat sonrası conditions and doctor's approval.12,13
Daha kısa hastane yatışı
The MySpine MC technique has the potential to significantly reduces the duration of hastane yatışı. Cerrahınız may still recommend a longer stay, depending on your ameliyat sonrası condition.12,2
Küçük cilt izi
With MySpine MC, the cilt kesisi is often shorter than with “conventional” open surgery and therefore scar tissue is reduced.12,13
Daha iyi uzun dönem sonuçlar
The MySpine MC 3D Printed Patient-Specific Solution can potentially provide your back with better biomechanical performance, allowing for an improved long-term outcome.11,13
Daha az kan kaybı
Preservation of muscles and blood vessels potentially reduces blood loss during the surgery.12,13
Komplikasyonlarda azalma
The MySpine MC technique reduces the incidence of complications when compared to free-hand techniques because of the highly accurate implant positioning.14
There are a number of surgical and non-surgical solutions available to treat your disease. Depending on your condition, doktorunuz may suggest that you undergo a spinal fusion (which is a surgical procedure used to correct problems with the vertebrae in your spine).
MySpine Servikal
MySpine Servikal is a patient matched technology for the production of personalized, individual guides to place the posterior cervical screws. The MySpine platform allows the surgeon to complete the 3D planning prior to surgery based on the patient’s spinal BT taramasıs.
MySpine Servikal guides are intended to be used as anatomical perforating guides, specific to a single patient’s anatomy, to assist intra-operatively in the positioning of screws during posterior cervical fixation surgery between the levels of C2 to C7.
The main patient benefits of MySpine Servikal Guides are:
- Accuracy and safety in screw positioning 20,23,24
- Reduced radiation requirements 20,25
- Reduced OR time and blood loss 20,21
MySpine S2AI Teknolojisi
S2-Alar-Iliac (S2AI) screw fixation technique was developed recently to provide increased fixation with a lower profile screw and rod construct14. This technique may provide advantages such as decreased rates of reoperation, surgical site infection, wound reopening and symptomatic screw prominence as compared to traditional iliac screw fixation.
MySpine guided S2-Alar-Iliac trajectory may allow for a small incision and less lateral retraction26.
The MySpine S2AI patient-specific drill guide might help facilitate complex lumbo-sacral fixation with minimal radiation exposure and high accuracy.16,17
The main patient benefits of MySpine S2AI are high accuracy, low x-ray radiation dose and low profile19,22.
MySpine Anchor
MySpine Anchor is Medacta’s Patient-Matched Solution for posterior Sacro-Iliac fusion: a solution for long constructs, designed to potentially overcome insufficient lower spine fixation. This technique is designed to provide additional stability and fusion in long spinal construct where there is a tendency of SI joint dysfunction 16.
The stabilizing effect of S2-Alar-Iliac screws in combination with posterior SI fusion devices may reduce the risk of mechanical failure of S1 pedicle screws 17.
This guided technique leads to accurate screw positioning and potential reduction in radiation exposure and surgical time compared to free-hand technique 18. The all-in-one guide performs S2AI and SI pilot hole preparation without increasing operation time compared to free-hand technique 19.
Omurga ameliyatı sonrası iyileşme ve rehabilitasyon
Sevdiğiniz aktivitelere geri dönün!
Yakınınızdaki omurga cerrahlarını mı arıyorsunuz?
DOKTORUNUZU BULUN
Buradaki bilgiler yalnızca referans amaçlıdır ve tıbbi tavsiye veya öneri niteliği taşımaz. Her hasta bir hekim tarafından bireysel olarak muayene edilmeli ve bilgilendirilmelidir; bu bilgiler söz konusu muayene ve/veya tavsiyenin yerini kısmen veya tamamen almaz. Sonuçlar tüm hastalar için tipik, gösterge niteliğinde veya temsil edici olmayabilir. Sonuçlar sağlık durumu, kilo, aktivite ve diğer değişkenlere göre farklılık gösterebilir. Tüm hastalar bu ürün ve/veya prosedür için aday değildir. Uygun ameliyat sonrası aktiviteler ve ağrı yönetimi hastadan hastaya değişir. Durumunuz ve sunulan prosedürün sizin için uygun olup olmadığı konusunda, ilgili riskleri göz önünde bulundurarak doktorunuzla konuşun. Tüm içerik Medacta’nın telif hakkı, ticari marka ve/veya diğer fikri mülkiyet haklarıyla korunur ve Medacta’nın yazılı izni olmadan kullanılamaz.
Kaynaklar
4 - Kanno et al. A Novel Intraoperative CT Navigation System for Spinal Fusion Surgery in Lomber Degenerative Disease: Accuracy and Safety of Pedicle Screw Placement. J. Clin. Med. 2024
5 - Lamartina et al. Adolescent idiopathic skolyoz surgery with patient-specific screw placement-guide Eur Spine J. 2014 Dec;23(12). MySPINE VIDEO CASE / REDUCED DOSE RADIATION
6 - Lamartina et al. Pedicle screw placement accuracy in thoracic and lumbar spinal surgery with a hastaya özel targeting guide: a cadaveric study. Eur Spine J. 2015 Nov;24(7). MySPINE ACCURACY VS FREE HAND
7- Putzier et al. A New Navigational Tool for Pedicle Screw Placement in Patients with Severe skolyoz: A Pilot Study to Prove Feasibility, Accuracy, and Identify Operative Challenges. J Spinal Disord Tech. 2014 MySPINE PILOT STUDY
8 - Landi et al. Spinal Neuronavigation and 3D-Printed Tubular Guide for Pedicle Screw Placement: A Really New Tool to Improve Safety and Accuracy of the Surgical Technique? J Spine 2015, 4:5 MySPINE ACCURACY VS GUIDED TECHNIQUE
9 - Landi et al. 3D Printed Tubular Guides for Pedicle Screw Placement: The Answer for the Need of a Greater Accuracy in Spinal Stabilization. Orthop Muscular Syst 2015, 4:3 MySPINE ACCURACY / EASE OF USE
10 - Accuracy of patient-specific template-guided vs. free-hand fluoroscopically controlled pedicle screw placement in the thoracic and lumbar spine: a randomized cadaveric study. Eur Spine J. 2016
11 - Matsukawa K. et al., Cortical pedicle screw trajectory technique using 3D baskılı patient-specific-guide, M.O.R.E. Journal, September 2018.
12 - Marengo N. et al., Cortical Bone Trajectory Screw Placement Accuracy with a Patient-Matched 3-Dimensional Printed Guide in Lomber Spinal Surgery: A Clinical Study, WORLD NEUROSURGERY, June 2019
13 - Marengo N. et al., Cortical Bone Trajectory Screws in Posterior Lomber Interbody Fusion: Minimally Invasive Surgery for Maximal Muscle Sparing—A Prospective Comparative Study with the Traditional Open Technique, Clinical Study, February 2018
14 - Petrone S. et al., Cortical bone trajectory technique’s outcomes and procedures for posterior lumbar fusion: A retrospective study, Journal of Clinical Neuroscience, April 2020
15 - Sponseller P. et al., “Low Profile Pelvic Fixation With the Sacral Alar Iliac Technique in the Pediatric Population Improves Results at Two-Year Minimum Follow-up”, Spine, September 15, 2010
16- Kebaish KM. Sacropelvic fixation: techniques and complications. Spine (Phila Pa 1976). 2010; 35(25): 2245–2251.
17 - Casaroli et al. “Evaluation of iliac screw, S2 alar‑iliac screw and laterally placed triangular titanium implants for sacropelvic fixation in combination with posterior lumbar instrumentation: a finite element study”. European Spine Journal (2019) 28:1724–1732. https://doi.org/10.1007/s00586-019-06006-0.
18 - Ai-Min Wu, et al. “The technique of S2-alar-iliac screw fixation: a literature review“. http://amj.amegroups.com/article/view/4197/4924
19 - Matsukawa K. et al., Cortical pedicle screw trajectory technique using 3D baskılı patient-specific-guide, M.O.R.E. Journal, September 2018
20 - Farshad M. et al., Accuracy of patient-specific template-guided vs. free-hand fluoroscopically controlled pedicle screw placement in the thoracic and lumbar spine: a randomized cadaveric study, Eur Spine J., 2016
21 - Marengo N. et al., Cortical bone trajectory screws for circumferential arthrodesis in lumbar degenerative spine: clinical and radiological outcomes of 101 cases, Eur Spine J., 2018
22 - Matsukawa K. et al., Accuracy of cortical bone trajectory screw placement using patient-specific template guide system, Neurosurgical Review, 2019
23 - Van Royen B. J. et al., Accuracy assessment of pedicle screw insertion with patient specific 3D‑printed guides through superimpose CT‑analysis in thoracolumbar spinal deformity surgery, Eur Spine J., 2021
24 - Maruo K. et al., Patient‑specific guide systems decrease the major perforation rate of pedicle screw placement in comparison to the freehand technique for adolescent idiopathic skolyoz, Eur Spine J., 2023
25 - Nagashima Y. et al., Radiation Exposure During Lomber Interbody Fusion Surgery Can Be Reduced by Using a Three-Dimensional Patient-Specific Template Guide, Cereus Springer Nature, 2024
26 - Krieg S. et al., Revision by S2-alar-iliac instrumentation reduces caudal screw loosening while improving sacroiliac joint pain—a group comparison, Neurosurgical Review, 2020