The ISG viewing wand: an application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy.
Br J Oral Maxillofac Surg
; 33(6): 370-4, 1995 Dec.
Article
em En
| MEDLINE
| ID: mdl-8838952
ABSTRACT
Surgical access to the clivus and upper cervical spine may be facilitated by a number of approaches. The Le Fort I maxillary osteotomy has been described to give improved access to the skull base for removal of tumours and treating vertebrobasilar aneurysms. We describe a case in which the combination of a particularly high translocation of the body of C2 and poor mouth opening had precluded a standard transoral approach by restricting access to the operative field. Anterior decompression of the body of C2 was therefore performed via a maxillary down-fracture with the aid of an interactive image guidance system, the ISG Viewing Wand. The ISG Viewing Wand is a new intra-operative 3 dimensional (3D) image guidance system which has now been used in over three hundred neurosurgical cases at Frenchay Hospital, Bristol. We briefly discuss the principles of the viewing wand and describe its unique application providing anatomical navigation in upper cervical spine surgery.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteotomia
/
Atlas Cervical
/
Vértebra Cervical Áxis
/
Processamento de Imagem Assistida por Computador
/
Diagnóstico por Imagem
/
Maxila
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Br J Oral Maxillofac Surg
Ano de publicação:
1995
Tipo de documento:
Article