Marshal D. Peris, MD Chief of Spine Surgery, Northern Westchester - - PowerPoint PPT Presentation
Marshal D. Peris, MD Chief of Spine Surgery, Northern Westchester Hospital Caremount Medical Department of Orthopedic Surgery Mount Kisco, NY Reduce Surgeon Radiation Exposure/NO LEAD Improve Accuracy of Hardware Placement Reduce
Marshal D. Peris, MD Chief of Spine Surgery, Northern Westchester Hospital Caremount Medical Department of Orthopedic Surgery Mount Kisco, NY
Reduce Surgeon Radiation Exposure/NO LEAD Improve Accuracy of Hardware Placement Reduce Return to OR for Hardware
Reduced Workflow Interruption Make Deformity Surgery Easier and Safer Make Minimally Invasive Surgery Easier and
Posterior Cervical Fusions Posterior Lumbar Fusions Lateral Lumbar Fusions SI joint Fusions Thoracic Fusions Iliac Screw Placement
At Northern Westchester Hospital we use the
2 ways to use the technology
We do this on every Posterior Cervical and Lumbar Fusion reducing our return to OR to ~0% for hardware misplacement
“Spin” the O arm early in the procedure to create navigation images using a navigation array attached to a spinous process or in the PSIS View multiple orientations simultaneously (Sagital/Axial) Instruments all integrated with the navigation system
Premeasure screw length and diameter
Interbody and/or Screws placed using navigation and then checked with neuromonitoring stimulation and a final “spin”
Don’t allow the soft tissues to push you out of ideal position