Abstract
The intra-operative isocentric C-arm (Siremobil Iso-C 3D; Siemens Medical Solutions,
Erlangen, Germany) allows for the acquisition and immediate interpretation of multiplanar
three-dimensional images. The utility of isocentric fluoroscopy in surgery of the
spine has been well described, in patients with percutaneous kyphoplasty, anterior
cervical discectomy and fusion, fracture repair, as well as in percutaneous instrumentation
at cervical, thoracic and lumbar levels. Two patients who underwent transoral odontoidectomy
are presented in whom isocentric fluoroscopy was utilized to provide an intra-operative
CT scan. Use of this technology allowed the surgeon to detect residual bone peri-operatively,
thus allowing for a more extensive decompression and excellent clinical results. Intra-operative
isocentric fluoroscopy in transoral odontoidectomy allows for peri-operative detection
of residual bone fragments and intra-operative confirmation of complete decompression.
Keywords
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Article info
Publication history
Accepted:
February 3,
2009
Received:
November 26,
2008
Footnotes
☆The authors of this manuscript declare that we have no financial interests in the Siemens Corporation, or in the ISO-C technology. There was no financial sponsorship, public or private, of this study or of this manuscript.
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
