Image Guidance for Spine Surgery

Viren Vasudeva, Ziev Moses, Tyler Cole, Yakov Gologorsky, Yi Lu

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

2 Scopus citations


Since the introduction of image guidance in spine surgery in the 1990s, the field has grown dramatically. Early navigation systems were based on thin-cut preoperative computed tomography (CT); however, registration was time consuming and often inaccurate. This led to the development of more advanced systems relying on intraoperative image acquisition such as 2D fluoroscopy, cone beam CT, and most recently intraoperative CT and magnetic resonance imaging (MRI). Many surgeons have found that the use of image guidance in spine surgery is helpful in the placement of instrumentation, correction of spinal deformity, and spinal oncology. This is particularly true in cases using minimally invasive approaches and in complex cases with distorted anatomy where there are few reliable landmarks to orient the surgeon. Furthermore, this technology is shown to eliminate occupational radiation exposure and may provide a cost-effective strategy for increasing efficiency in the operating room.

Original languageEnglish
Title of host publicationImage-Guided Neurosurgery
Number of pages40
ISBN (Electronic)9780128008706
ISBN (Print)9780128011898
StatePublished - 1 Jan 2015


  • 3D fluoroscopy
  • cone beam CT
  • image guidance
  • intraoperative CT
  • neuronavigation
  • spine
  • spine surgery
  • virtual fluoroscopy


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