Three-dimensional intraoperative imaging modalities in orthopaedic surgery: A narrative review

Sheeraz Qureshi, Young Lu, Steven McAnany, Evan Baird

Research output: Contribution to journalReview articlepeer-review

37 Scopus citations


Intraoperative imaging and navigation systems have revolutionized orthopaedic surgery for the spine, joints, and orthopaedic trauma. Imaging modalities such as the isocentric C-arm, O-arm imaging, and intraoperative MRI or navigation systems allow the visualization of surgical instruments and implants relative to a three-dimensional CT image or MRI. Studies show that these technologies lower the rates of implant misplacement and inadequate fracture reduction, thereby improving surgical outcomes and reducing reoperation rates. An additional benefit is reduced radiation exposure compared with that for conventional fluoroscopy. Concerns surrounding adoption of these technologies include cost and increased operating times, but improvements in design and protocol may improve the integration of these imaging modalities into the operating room.

Original languageEnglish
Pages (from-to)800-809
Number of pages10
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Issue number12
StatePublished - 11 Dec 2014


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