The Use of Intraoperative Navigation for Complex Upper Cervical Spine Surgery: Report of 4 Cases

Kern H. Guppy, M.D., Ph.D; Indro Chakrabarti, M.D., M.P.H; Ami t Banerjee, M.D.


Neurosurg Focus. 2014;36(3):e5 

In This Article


There is no doubt that with the advancement of image guidance the challenges of spine surgery at the occipitocervical junction have been reduced. The 4 cases described in this paper illustrate not only the accuracy of placement of instrumentation in this region with the O-arm surgical imaging system and StealthStation navigation, but also use of this system in decompression of complex anatomy involving spine deformity, en bloc resection, and revision surgery with the added value of being able to evaluate the bony decompression and instrumentation before the patient leaves the operating room.