Surgical navigation in paediatric orthopaedics

[摘要] Computer-assisted surgery (CAS) is the term used to describe the concept of applying computers to enable preoperative planning and provide intra-operative assistance or guidance. CAS is also known as computer-aided surgery, computer-assisted intervention, image-guided surgery and surgical navigation. CAS applied to orthopaedic surgery is termed ‘computer-assisted orthopaedic surgery’ (CAOS). The first rudimental CAS systems were developed in the early 1970s. These systems gave feedback on instrument positioning in stereotaxic neurosurgery.1 In orthopaedic surgery, the first CAOS application was in 1995 for transpedicular screw fixation in the spine.2 In orthopaedic oncology, the first reported application was for pelvic sarcoma resection in 20043 and the first use for both sarcoma resection and reconstruction with an allograft was in 2010.4 In paediatric orthopaedic surgery, CAOS systems have been developed for complex osteotomies,5 for tumour resection6,7 and for tarsal coalition resection.

[学科分类] 神经科学

[关键词] surgical navigation;paediatrics;patient-specific instrumentation;corrective osteotomy;foot correction;tumour resection