The intraoperative computer-assisted navigation technique has evolved and changed the way we approach certain complex cases in the vertebral pathologies. The main advantages of this technique are that it increases the accuracy of the procedure, reduces its morbidity and invasiveness, diminishes the radiation dose and improves surgical protocols. In addition to the transpedicular fixation, the navigation system is useful in a high variety of pathologies such as spinal decompression or tumor resection. In the present study, we show several cases where navigation is used intraoperatively in different pathologies and their clinical outcomes.
La técnica asistida por navegación intraoperatoria ha evolucionado y cambiado la forma de abordar ciertos casos complejos en la patología vertebral. Las principales ventajas de esta técnica consisten en aumentar la precisión de la intervención, reducir su morbilidad y carácter invasivo, disminuir la dosis de exposición radiológica y mejorar los protocolos quirúrgicos. Además de la fijación transpedicular, el sistema de navegación es útil en una alta variedad de padecimientos, como la descompresión medular o la resección tumoral. En el presente estudio mostramos varios casos donde se ha usado la navegación intraoperatoria en diferentes patologías y sus resultados clínicos.
Imaging, Three-Dimensional , Surgery, Computer-Assisted , Tomography, X-Ray Computed
Resumen: La técnica asistida por navegación intraoperatoria ha evolucionado y cambiado la forma de abordar ciertos casos complejos en la patología vertebral. Las principales ventajas de esta técnica consisten en aumentar la precisión de la intervención, reducir su morbilidad y carácter invasivo, disminuir la dosis de exposición radiológica y mejorar los protocolos quirúrgicos. Además de la fijación transpedicular, el sistema de navegación es útil en una alta variedad de padecimientos, como la descompresión medular o la resección tumoral. En el presente estudio mostramos varios casos donde se ha usado la navegación intraoperatoria en diferentes patologías y sus resultados clínicos.
Abstract: The intraoperative computer-assisted navigation technique has evolved and changed the way we approach certain complex cases in the vertebral pathologies. The main advantages of this technique are that it increases the accuracy of the procedure, reduces its morbidity and invasiveness, diminishes the radiation dose and improves surgical protocols. In addition to the transpedicular fixation, the navigation system is useful in a high variety of pathologies such as spinal decompression or tumor resection. In the present study, we show several cases where navigation is used intraoperatively in different pathologies and their clinical outcomes.
Imaging, Three-Dimensional , Surgery, Computer-Assisted , Tomography, X-Ray Computed
INTRODUCTION: Fractures of the carpal bones are often difficult to diagnose and treat due to the complex bone architecture of this region. Hamate fractures, particularly body fractures, are extremely uncommon. PRESENTATION OF CASE: We present a case of a coronal fracture of the hamate associated with a fracture of the base of the fourth metacarpal, which was treated by open reduction and internal fixation. DISCUSSION: Some of hamate body fractures are associated with other injuries like metacarpal fractures. Its diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination. This fracture is a very rare lesion that can raise questions about their most adequate diagnostic and therapeutic approaches. CONCLUSION: After reviewing the literature, we conclude that there is a high rate of delay in the diagnosis of these lesions, probably due to their rarity and to the lack of radiological studies specifically targeting this region. Despite this, surgical treatment in its different modalities has been shown to have the best clinical and functional results.
