Clinical Outcomes
Image Guided Spine Surgery Clinical Outcomes
Clinical Value of Image-Guided Surgery for Spinal Procedures (collection being revised) is a collection of 50 peer reviewed clinical papers summarized by the value that surgical navigation and intraoperative imaging has brought to the procedures.
Overall, use of image guidance across cervical, thoracic and lumbar spine procedures provides clinical value to each stakeholder:
Patient
With the use of image-guided surgery, the surgeon is presented with additional information through better visualization, either axial views of the anatomy with preoperative CT or intra-operative 3-D imaging (O-arm® system), or in the case of fluoroscopic image guidance, multiple live views of the anatomy in up to four fluoroscopic images.
This may yield:
- Greater accuracy with overall better outcomes (fewer revisions)
- Reduced intra-operative time, including less time under anesthesia, which brings better outcomes and lower infection rates
- Reduced radiation exposure when compared to using live fluoroscopy to guide the surgeon
Surgeon
With the use of image-guided surgery, the surgeon is presented with additional information through better visualization, either axial views of the anatomy with preoperative CT or intra-operative 3-D imaging (O-arm system), or in the case of fluoroscopic image guidance, multiple live views of the anatomy in up to four fluoroscopic images.
The additional information, or utilization of stored fluoroscopic views may yield:
- Greater and more consistent precision, resulting in better pedicle screw placement, fewer complications, and overall better outcomes
- Reduced intra-operative time with a trained surgeon and staff. Time savings is proportional to the difficulty of the surgery – the more difficult the surgery, the more time may be saved by using image-guidance.
- Reduced radiation exposure when compared to using live fluoroscopy to guide the surgeon
Clinical Team
- Reduced radiation exposure when compared to using live, continual fluoroscopy to guide the surgeon
Healthcare Services Provider
- Higher quality of patient care
- Reduced intra-operative time, particularly in complex procedures
- Reduced radiation exposure to the staff when compared to using live, continual fluoroscopy to guide the surgeon
O-arm Navigation Clinical Outcomes
Clinical Value of the O-arm Imaging System and StealthStation Navigation (collection being revised) is a synopsis of peer-reviewed papers articulating the value that the O-arm® imaging system has brought to procedures.
Overall, the use of the O-arm system, with and without surgical navigation, in various procedures provides clinical value to each stakeholder.
Patient
With the use of the O-arm system and surgical navigation, the surgeon is presented with additional information through better visualization, such as real-time axial views of the anatomy not available in standard fluoro imaging.
This may yield greater surgical precision with overall better outcomes (fewer revision surgeries).
Surgeon
With the use the O-arm system and surgical navigation, the surgeon is presented with additional information through better visualization, such as real time axial views of the anatomy not available in standard fluoro imaging, and the ability to navigate on images which are obtained when the surgeon is outside of the operative field.
This may yield:
- Greater and more consistent precision, resulting in better implant positioning, fewer complications, and overall better outcomes
- Reduced radiation exposure when compared to using live, continual fluoroscopy to guide the surgeon
Clinical Team
- Reduced radiation exposure when compared to using live fluoroscopy to guide the surgeon
Healthcare Services Provider
- Higher quality of patient care
- Reduced radiation exposure to the staff when compared to using live, continual fluoroscopy to guide the surgeon

