Intelligent Health.tech Issue 06 | Page 33

F E A T U R E

SING Y TO IMPROVE ERIES IN THE US

The Hospital for Special Surgery ( HSS ) is one of the world ’ s leading medical centres and one of the oldest in the United States , being founded in 1863 .

Headquartered in New York , the hospital performs more than 32,000 surgical procedures annually , some of the most popular being hip surgeries and knee replacements . For this , advanced technology is needed – which it is a pioneer in .
Here we explore two ongoing studies from HSS about how the company is using 3D imaging and tomography to improve spinal surgeries .
First , we hear how 3D imaging can improve the accuracy of pedicle screw placement in spine surgery , as well as how CT scans and BPRs are helping to assist this . . . .
A study at HSS has found that intraoperative three-dimensional ( 3D ) imaging was superior to two-dimensional ( 2D ) radiographs in confirming the accuracy of pedicle screw placement during spine surgery .
Many spinal surgeries require the use of implants called pedicle screws to stabilise the spine . Precise positioning of these screws is critical for a successful outcome .
" Two-dimensional biplanar radiographs ( BPR ) have been the gold standard to confirm pedicle screw placement in spine fusion surgery for many years . However , when utilising BPR , there is the potential that a two-dimensional image alone will not properly demonstrate the successful placement of a screw ," said Darren Lebl , MD , a Spine Surgeon at HSS and Principal Investigator of the study . " As an alternative , three-dimensional intraoperative imaging systems are now available , offering improved visualisation ."
Dr . Lebl and colleagues set out to compare the accuracy of BPR versus 3D imaging when assessing intraoperative pedicle screw placement .
" Our study is the first to compare the differences in intraoperative biplanar radiography and 3D imaging for pedicle screw accuracy in thoracic and lumbar cases using robotic technology ," Dr . Lebl said .
www . intelligenthealth . tech 33