{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:01:34Z","timestamp":1780736494210,"version":"3.54.1"},"reference-count":104,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec>\n                    <jats:title>Object<\/jats:title>\n                    <jats:p>Parallel advancements in image guidance technology and minimal access techniques continue to push the frontiers of minimally invasive spine surgery (MISS). While traditional intraoperative imaging remains widely used, newer platforms, such as 3D-fluoroscopy, cone-beam CT, and intraoperative CT\/MRI, have enabled safer, more accurate instrumentation placement with less radiation exposure to the surgeon. The goal of this work is to provide a review of the current uses of advanced image guidance in MISS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors searched PubMed for relevant articles concerning MISS, with particular attention to the use of image-guidance platforms. Pertinent studies published in English were further compiled and characterized into relevant analyses of MISS of the cervical, thoracic, and lumbosacral regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-two studies were included for review. These describe the use of the iso-C system for 3D navigation during C1\u20132 transarticular screw placement, the use of endoscopic techniques in the cervical spine, and the role of navigation guidance at the occipital-cervical junction. The authors discuss the evolving literature concerning neuronavigation during pedicle screw placement in the thoracic and lumbar spine in the setting of infection, trauma, and deformity surgery and review the use of image guidance in transsacral approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Refinements in image-guidance technologies and minimal access techniques have converged on spinal pathology, affording patients the ability to undergo safe, accurate operations without the associated morbidities of conventional approaches. While percutaneous transpedicular screw placement is among the most common procedures to benefit from navigation, other areas of spine surgery can benefit from advances in neuronavigation and further growth in the field of image-guided MISS is anticipated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2013.5.focus13150","type":"journal-article","created":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T09:59:17Z","timestamp":1375351157000},"page":"E12","source":"Crossref","is-referenced-by-count":62,"title":["Neuronavigation in minimally invasive spine surgery"],"prefix":"10.3171","volume":"35","author":[{"given":"Ziev B.","family":"Moses","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Brigham and Women's Hospital and Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory R.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Baylor College of Medicine and The University of Texas MD Anderson Cancer Center, Houston, Texas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin A.","family":"Strickland","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Baylor College of Medicine and The University of Texas MD Anderson Cancer Center, Houston, Texas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Kretzer","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Paul","family":"Wolinsky","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziya L.","family":"Gokaslan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali A.","family":"Baaj","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, The University of Arizona, Tuscon, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0350012","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1007\/s00586-012-2505-7","article-title":"Computer tomography assessment of pedicle screw placement in thoracic spine: comparison between free hand and a generic 3Dbased navigation techniques","volume":"22","author":"Allam","year":"2013"},{"key":"b2-0350012","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.wneu.2011.11.019","article-title":"Neuronavigation in spinal surgery","volume":"78","author":"Baaj","year":"2012"},{"key":"b3-0350012","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1227\/NEU.0b013e318230e59a","article-title":"Endoscopic image-guided transcervical odontoidectomy: outcomes of 15 patients with basilar invagination","volume":"70","author":"Dasenbrock","year":"2012"},{"key":"b4-0350012","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.wneu.2011.09.020","article-title":"Intraoperative magnetic resonance imaging and neuronavigation for transoral approaches to upper cervical pathology","volume":"78","author":"Dhaliwal","year":"2012"},{"issue":"5 Suppl","key":"b5-0350012","series-title":"Neurosurgery","first-page":"S37","article-title":"Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience","volume":"51","author":"Fessler","year":"2002"},{"key":"b6-0350012","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1007\/s00586-011-2011-3","article-title":"Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques","volume":"21","author":"Gelalis","year":"2012"},{"key":"b7-0350012","series-title":"J Bone Joint Surg Br","first-page":"972","article-title":"Atlanto-axial fusion with transarticular screw fixation","volume":"73","author":"Grob","year":"1991"},{"key":"b8-0350012","series-title":"Orthopedics","article-title":"Pedicle screw placement in the thoracic spine: a comparison study of computer-assisted navigation and conventional techniques","author":"Han","year":"2010"},{"key":"b9-0350012","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.3171\/2008.12.JNS08628","article-title":"Application of electromagnetic technology to neuronavigation: a revolution in image-guided neurosurgery. 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