Spinal Fusion Surgery Clinically Performed in a Hybrid Operating Room

Takao Yoshinori, Sasaki Shohei, Narasawa Masanobu, Izuta Shinichiro, Yasuge Aoi, Ichida Takao

doi:10.50836/journalofjart.5.0_33

<p>Purpose: Building of a hybrid operating room (Hybrid OR) to perform minimally invasive cardiac and aortic surgeries is currently increasing in Japan; however, it is not effectively used for other types of surgeries. This paper reports cases of Hybrid OR utilization for spinal fusion surgery. Clinical experience: Our Hybrid system uses the Angio system “Allura Clarity (Philips)” and operating table “Magnus (Maquet).” We encountered 39 cases of spinal surgeries at the Hybrid OR from April 2014 to March 2016: 33 spinal fusion surgeries (including a preoperative transcatheter embolization case) and 6 without spinal fusion surgery (such as arteriovenous fistula). Experiences related to the radiological technology used in 32 cases of spinal fusion surgeries, excluding the preoperative arterial embolization case, were retrospectively evaluated. The fluoroscopy time was 2.8 ± 2.5 min, single shot was 5.3 ± 3.5, kerma area product was 27.6 ± 37.2 Gy cm², and the number of shot on C-arm computed tomography (CT) was 2.3 ± 1.5 times. This study showed that using the Hybrid OR system has advantages. The angiography system has a flat panel detector with large imaging field and no distortion. The C-arm CT is used to obtain a clear volume image in clinical cases that require detailed visualization of the pedicle screw and bone structures. Conclusion: The Hybrid OR is a useful system for various spinal fusion surgeries.</p>

Spinal Fusion Surgery Clinically Performed in a Hybrid Operating Room

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