Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament
Anterior decompression and fusion (ADF) using the floating method for cervical ossification of the posterior longitudinal ligament (OPLL) is an ideal surgical technique, but it has a specific risk of insufficient decompression caused by the impingement of residual ossification. Augmented reality (AR...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/8/2898 |
| _version_ | 1797604878557642752 |
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| author | Hiroaki Onuma Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Kyohei Sakaki Takashi Hirai Satoru Egawa Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii |
| author_facet | Hiroaki Onuma Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Kyohei Sakaki Takashi Hirai Satoru Egawa Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii |
| author_sort | Hiroaki Onuma |
| collection | DOAJ |
| description | Anterior decompression and fusion (ADF) using the floating method for cervical ossification of the posterior longitudinal ligament (OPLL) is an ideal surgical technique, but it has a specific risk of insufficient decompression caused by the impingement of residual ossification. Augmented reality (AR) support is a novel technology that enables the superimposition of images onto the view of a surgical field. AR technology was applied to ADF for cervical OPLL to facilitate intraoperative anatomical orientation and OPLL identification. In total, 14 patients with cervical OPLL underwent ADF with microscopic AR support. The outline of the OPLL and the bilateral vertebral arteries was marked after intraoperative CT, and the reconstructed 3D image data were transferred and linked to the microscope. The AR microscopic view enabled us to visualize the ossification outline, which could not be seen directly in the surgical field, and allowed sufficient decompression of the ossification. Neurological disturbances were improved in all patients. No cases of serious complications, such as major intraoperative bleeding or reoperation due to the postoperative impingement of the floating OPLL, were registered. To our knowledge, this is the first report of the introduction of microscopic AR into ADF using the floating method for cervical OPLL with favorable clinical results. |
| first_indexed | 2024-03-11T04:54:04Z |
| format | Article |
| id | doaj.art-76333340e6fe458da2034aa08f0dd9f8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:54:04Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-76333340e6fe458da2034aa08f0dd9f82023-11-17T19:50:01ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128289810.3390/jcm12082898Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal LigamentHiroaki Onuma0Kenichiro Sakai1Yoshiyasu Arai2Ichiro Torigoe3Masaki Tomori4Kyohei Sakaki5Takashi Hirai6Satoru Egawa7Yutaka Kobayashi8Atsushi Okawa9Toshitaka Yoshii10Department of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo 113-8519, JapanDepartment of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo 113-8519, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchi-shi 332-8558, JapanDepartment of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo 113-8519, JapanDepartment of Orthopedic Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo Ward, Tokyo 113-8519, JapanAnterior decompression and fusion (ADF) using the floating method for cervical ossification of the posterior longitudinal ligament (OPLL) is an ideal surgical technique, but it has a specific risk of insufficient decompression caused by the impingement of residual ossification. Augmented reality (AR) support is a novel technology that enables the superimposition of images onto the view of a surgical field. AR technology was applied to ADF for cervical OPLL to facilitate intraoperative anatomical orientation and OPLL identification. In total, 14 patients with cervical OPLL underwent ADF with microscopic AR support. The outline of the OPLL and the bilateral vertebral arteries was marked after intraoperative CT, and the reconstructed 3D image data were transferred and linked to the microscope. The AR microscopic view enabled us to visualize the ossification outline, which could not be seen directly in the surgical field, and allowed sufficient decompression of the ossification. Neurological disturbances were improved in all patients. No cases of serious complications, such as major intraoperative bleeding or reoperation due to the postoperative impingement of the floating OPLL, were registered. To our knowledge, this is the first report of the introduction of microscopic AR into ADF using the floating method for cervical OPLL with favorable clinical results.https://www.mdpi.com/2077-0383/12/8/2898augmented realityextended realitynavigation systemcomputed-tomography-based navigationossification of the posterior longitudinal ligamentOPLL |
| spellingShingle | Hiroaki Onuma Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Kyohei Sakaki Takashi Hirai Satoru Egawa Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament Journal of Clinical Medicine augmented reality extended reality navigation system computed-tomography-based navigation ossification of the posterior longitudinal ligament OPLL |
| title | Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament |
| title_full | Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament |
| title_fullStr | Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament |
| title_full_unstemmed | Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament |
| title_short | Augmented Reality Support for Anterior Decompression and Fusion Using Floating Method for Cervical Ossification of the Posterior Longitudinal Ligament |
| title_sort | augmented reality support for anterior decompression and fusion using floating method for cervical ossification of the posterior longitudinal ligament |
| topic | augmented reality extended reality navigation system computed-tomography-based navigation ossification of the posterior longitudinal ligament OPLL |
| url | https://www.mdpi.com/2077-0383/12/8/2898 |
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