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Neurosurgical focus: Video最新文献

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Augmented reality to visualize nerve segmentation intraoperatively for endoscopic discectomy. 增强现实技术在内镜椎间盘切除术中显示术中神经分割。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2650
Isabella E Decker, Felix Toussaint, Meriem Boukhiam, Jordan Hatfield, Muhammad M Abd-El-Barr
{"title":"Augmented reality to visualize nerve segmentation intraoperatively for endoscopic discectomy.","authors":"Isabella E Decker, Felix Toussaint, Meriem Boukhiam, Jordan Hatfield, Muhammad M Abd-El-Barr","doi":"10.3171/2026.4.FOCVID2650","DOIUrl":"10.3171/2026.4.FOCVID2650","url":null,"abstract":"<p><p>Intraoperative visualization throughout endoscopic discectomy remains limited. A 70-year-old female presented with a left-sided L2-3 disc herniation. Preoperative MRI-based nerve segmentation was integrated with intraoperative CT imaging to generate a virtual operative field. Augmented reality (AR) visualization was used to project the segmented spinal anatomy onto the patient in real time. A partial discectomy was performed to decompress the affected nerves without the need for a foraminoplasty. The patient tolerated the procedure well with significant pain relief. This case study demonstrates the safety and feasibility of endoscopic discectomy without foraminoplasty with the aid of AR guidance with preoperative nerve segmentation. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2650.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V11"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of navigation to optimize awake prone lateral interbody fusion with posterior decompression and fusion. 利用导航优化清醒俯卧侧位椎体间融合后路减压融合。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID25238
Christian Quinones, Bailey Lupo, Ryan Diaz, Enoch Kim, Stanley Hoang
{"title":"Use of navigation to optimize awake prone lateral interbody fusion with posterior decompression and fusion.","authors":"Christian Quinones, Bailey Lupo, Ryan Diaz, Enoch Kim, Stanley Hoang","doi":"10.3171/2026.4.FOCVID25238","DOIUrl":"10.3171/2026.4.FOCVID25238","url":null,"abstract":"<p><p>This video demonstrates the role of navigation in optimizing awake single-position prone lateral transpsoas interbody fusion with simultaneous posterior decompression and instrumentation under spinal anesthesia. Awake spine surgery is constrained by the duration of spinal anesthesia and demands a coordinated workflow, making navigation essential. The patient was a 77-year-old man with significant cardiac comorbidities and neurogenic claudication from severe L3-4 stenosis. Technical pearls are presented addressing navigational accuracy in the conscious patient and strategies promoting near-simultaneous workflow between the lateral and posterior approaches. Navigation supports both procedural accuracy and workflow efficiency throughout the case. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID25238.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V6"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigation-assisted contralateral sublaminar decompression: a facet-preserving strategy for upper lumbar lesions. 导航辅助对侧椎板下减压：上腰椎病变的保面策略。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2624
Hyun Woong Mun, Dong Ah Shin, Seong Yi, Yoon Ha, Keung Nyun Kim, Chang Kyu Lee
{"title":"Navigation-assisted contralateral sublaminar decompression: a facet-preserving strategy for upper lumbar lesions.","authors":"Hyun Woong Mun, Dong Ah Shin, Seong Yi, Yoon Ha, Keung Nyun Kim, Chang Kyu Lee","doi":"10.3171/2026.4.FOCVID2624","DOIUrl":"10.3171/2026.4.FOCVID2624","url":null,"abstract":"<p><p>Navigation-assisted contralateral sublaminar decompression using unilateral biportal endoscopy (UBE) offers a facet-preserving strategy for upper lumbar lesions, particularly in young patients in whom minimizing postoperative instability is critical. The authors present the case of a 34-year-old man with left L2-3 radiculopathy caused by a cystic lesion extending from the subarticular to the foraminal zone. A navigation-assisted contralateral sublaminar UBE approach was selected to achieve adequate neural decompression while preserving facet integrity. Postoperative imaging confirmed complete lesion removal and satisfactory decompression, with minimal contralateral facet loss on quantitative analysis. This video highlights the technical rationale and clinical utility of this approach. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2624.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V4"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-dimensional fluoroscopic instrument tracking-assisted prone lateral lumbar interbody fusion. 二维透视仪跟踪辅助俯卧侧位腰椎椎间融合术。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2643
Favour C Ononogbu-Uche, Isabella Decker, Jordan Hatfield, Muhammad M Abd-El-Barr
{"title":"Two-dimensional fluoroscopic instrument tracking-assisted prone lateral lumbar interbody fusion.","authors":"Favour C Ononogbu-Uche, Isabella Decker, Jordan Hatfield, Muhammad M Abd-El-Barr","doi":"10.3171/2026.4.FOCVID2643","DOIUrl":"10.3171/2026.4.FOCVID2643","url":null,"abstract":"<p><p>A 55-year-old male with prior L5-S1 posterior lumbar interbody fusion developed adjacent segment degeneration with severe stenosis at L3-4 and L4-5 and underwent L3-5 prone lateral lumbar interbody fusion with extension of fusion using 2D fluoroscopic instrument tracking (2D-FIT). The TrackX system used standard anteroposterior and lateral fluoroscopic images to assist with trajectory planning, docking, retractor placement, disc preparation, trialing, and cage delivery. Simultaneous percutaneous pedicle screw fixation was performed by a co-surgeon to improve single-position efficiency. There were no intraoperative complications, neurological examinations remained stable, and hardware alignment was satisfactory. The patient was discharged home on postoperative day 3. Two-dimensional FIT helps improve efficiency without compromising safety. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2643.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
O-arm-navigated open-door laminoplasty to reduce technical complications in multilevel cervical ossification of the posterior longitudinal ligament: operative video. o型臂导航开门椎板成形术减少后纵韧带多节段颈椎骨化的技术并发症：手术视频。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2630
Suchel Kim, Ryosuke Maruiwa, Keung Nyun Kim, Seong Yi, Dong-Ah Shin, Chang-Kyu Lee, Kota Watanabe, Yoon Ha
{"title":"O-arm-navigated open-door laminoplasty to reduce technical complications in multilevel cervical ossification of the posterior longitudinal ligament: operative video.","authors":"Suchel Kim, Ryosuke Maruiwa, Keung Nyun Kim, Seong Yi, Dong-Ah Shin, Chang-Kyu Lee, Kota Watanabe, Yoon Ha","doi":"10.3171/2026.4.FOCVID2630","DOIUrl":"10.3171/2026.4.FOCVID2630","url":null,"abstract":"<p><p>Open-door laminoplasty is an established posterior decompression technique for multilevel cervical myelopathy. However, the procedure is technically demanding and may result in complications such as hinge fracture, facet joint violation, and improper gutter placement. The authors present an operative video demonstrating O-arm-based intraoperative navigation during open-door laminoplasty in a 75-year-old man with multilevel ossification of the posterior longitudinal ligament (OPLL) and severe cervical canal stenosis. Navigation allowed precise localization of the medial facet, controlled hinge preparation, and accurate screw placement. Postoperative CT confirmed adequate decompression without complications, suggesting that navigation may enhance the safety and precision of laminoplasty. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2630.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V3"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modification of navigated S2-alar iliac minimally invasive pelvic fixation to facilitate ease of rod passage. 改良导航s2 -翼髂骨微创骨盆内固定，使棒易于通过。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2648
Ali Moghaddamjou, Nina Yoh, Nathan Winans, Andrew Chan, Praveen V Mummaneni, Dean Chou
{"title":"Modification of navigated S2-alar iliac minimally invasive pelvic fixation to facilitate ease of rod passage.","authors":"Ali Moghaddamjou, Nina Yoh, Nathan Winans, Andrew Chan, Praveen V Mummaneni, Dean Chou","doi":"10.3171/2026.4.FOCVID2648","DOIUrl":"10.3171/2026.4.FOCVID2648","url":null,"abstract":"<p><p>Rod alignment in minimally invasive spine (MIS) pelvic fixation using a traditional S2-alar iliac (S2-AI) starting point can be challenging, often requiring substantial rod contouring because of the medial to lateral angulation of the S2-AI tulip relative to the S1 screw. The authors describe a modified pelvic fixation strategy to optimize alignment between the pelvic screw and S1 screw through a more lateral entry point, near the sacroiliac joint. This adjustment facilitates smoother rod passage and easier set screw seating. Intraoperative navigation is critical in safely identifying the starting point and planning the construct alignment. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2648.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V13"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three-dimensional navigated single-position lateral lumbar interbody fusion for severely collapsed disc space with lateral osteophytes. 三维导航单位侧位腰椎椎体间融合术治疗严重塌陷的椎间盘间隙伴侧位骨赘。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2636
Paul Park, Barrett Schwartz
{"title":"Three-dimensional navigated single-position lateral lumbar interbody fusion for severely collapsed disc space with lateral osteophytes.","authors":"Paul Park, Barrett Schwartz","doi":"10.3171/2026.4.FOCVID2636","DOIUrl":"10.3171/2026.4.FOCVID2636","url":null,"abstract":"<p><p>Single-position lateral decubitus lumbar interbody fusion has been shown to be an effective alternative to the classic two-stage approach. The application of 3D navigation can facilitate single-position surgery with the benefit of significantly reducing radiation exposure. In this operative video, use of 3D navigation for lateral percutaneous screw placement is highlighted, followed by key steps in leveraging navigation for the lateral lumbar interbody fusion. Nuances in the use of 3D navigation for the lateral portion of the surgery are emphasized for challenging cases with disc space collapse and lateral osteophytes. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2636.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V10"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robotic assisted two-level prone lateral lumbar interbody fusion. 机器人辅助两节段俯卧侧位腰椎椎间融合术。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2632
Abdullah Al Tekreeti, Heegook Yeo, Seamus Bartlett, Jared Reese, Anisse N Chaker, Victor Chang
{"title":"Robotic assisted two-level prone lateral lumbar interbody fusion.","authors":"Abdullah Al Tekreeti, Heegook Yeo, Seamus Bartlett, Jared Reese, Anisse N Chaker, Victor Chang","doi":"10.3171/2026.4.FOCVID2632","DOIUrl":"10.3171/2026.4.FOCVID2632","url":null,"abstract":"<p><p>Prone LLIF is a single-position technique enabling circumferential lumbar fusion without repositioning, potentially improving efficiency and safety. Early data show technical success (approximately 89%-97%) and low vascular or visceral injury rates, with mostly transient hip flexor weakness or sensory symptoms. The authors present the case of a 68-year-old female with L3-4 and L4-5 laterolisthesis, coronal curvature, and severe disc collapse causing foraminal stenosis. Navigation and robot-guided screw placement, disc preparation, osteophyte release, and cage insertion were aided by a retractor-mounted camera. Postoperative imaging showed restored disc height and alignment. Prone LLIF appears feasible and effective, although the evidence remains short-term and limited. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2632.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V7"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Redefining the applications of navigation in spine surgery. 重新定义导航在脊柱外科中的应用。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID2631
Daniel Faraj, Michael Galgano
{"title":"Redefining the applications of navigation in spine surgery.","authors":"Daniel Faraj, Michael Galgano","doi":"10.3171/2026.4.FOCVID2631","DOIUrl":"10.3171/2026.4.FOCVID2631","url":null,"abstract":"<p><p>Intraoperative navigation in spine surgery has evolved into an increasingly versatile platform that enhances precision, safety, and operative workflow across a variety of surgical procedures. In the setting of burst fractures, it improves spatial awareness during vertebrectomy, ensuring complete disc removal, accurate endplate preparation, and safe anterior column reconstruction. In sacral and metastatic tumors, navigated osteotomies facilitate precise margin definition and tumor resection. Navigated deployment of interbody and expandable corpectomy cages optimizes positioning and reduces fluoroscopy dependence. Finally, ultrasonography allows for real-time visualization of tools in trauma cases. These instances collectively underscore the multifaceted role of navigation beyond instrumentation alone. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID2631.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V2"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robot-assisted, minimally invasive spinal tumor resection and posterior spinal fusion. 机器人辅助，微创脊柱肿瘤切除和后路脊柱融合术。
Neurosurgical focus: Video Pub Date : 2026-07-01 DOI: 10.3171/2026.4.FOCVID25225
Alexa Semonche, Rahul Sastry, Cecilia Dalle Ore, Robert C Osorio, Conor Grady, Alekos Theologis, Aaron J Clark
{"title":"Robot-assisted, minimally invasive spinal tumor resection and posterior spinal fusion.","authors":"Alexa Semonche, Rahul Sastry, Cecilia Dalle Ore, Robert C Osorio, Conor Grady, Alekos Theologis, Aaron J Clark","doi":"10.3171/2026.4.FOCVID25225","DOIUrl":"10.3171/2026.4.FOCVID25225","url":null,"abstract":"<p><p>Integrating robotics with neuronavigation and tubular dilation enables minimally invasive posterior stabilization and tumor resection. A 40-year-old woman presented with diffuse spinal metastases with spinal cord compression. This surgical video demonstrates the authors' entire minimally invasive workflow for robot-assisted percutaneous pedicle screw placement, arthrodesis, and navigated tubular resection. The authors review their institutional experience with 14 cases using this workflow. The advantages of this approach include the high accuracy of pedicle screw placement, minimal blood loss, and expedited time to postoperative chemoradiation therapy compared to traditional open, nonrobotic approaches. The video can be found here: https://stream.cadmore.media/r10.3171/2026.4.FOCVID25225.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"15 1","pages":"V12"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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