A procedure tailored for you
Spine surgery technologies
Find out the latest advancements
New technologies in spine surgery may help your surgeon perform a safer, and more accurate procedure.
One of the latest advancements in spine technologies includes Augmented Reality (AR) assisted surgery utilizing NextAR Spine.
Augmented Reality
Spine surgery
NextAR Spine Augmented Reality surgical application
You deserve a personalized spinal procedure. The NextAR Spine Augmented Reality surgical application represents cutting-edge spine technology that harnesses the latest Augmented Reality advancements. This innovation equips your skilled surgeon with real-time insights into your anatomy, enabling them to personalize the placement of your spine implants to your unique needs.
Augmented Reality is a computer-based technology that overlays virtual content onto the real-world environment. This technology has been used for more than 30 years in cutting-edge fields such as aerospace and aviation.
How NextAR Spine surgery works
Before spine surgery
Unlike traditional spine replacement procedures, your surgeon can define a personalized plan in the weeks before your surgery. This involves selecting the optimal implant size and positioning. A personalized surgical instrument, accompanied by a 3D spine model, allows for correcting your anatomy and restoring functionality. This 3D model is obtained by processing a CT scan of your spine.
During spine surgery
The NextAR Spine surgery follows the same steps of a traditional approach with the support of advanced optical trackers (1), temporarily connected to your vertebrae. These trackers send real-time data on your anatomy to the NextAR Augmented Reality Glasses (2), "empowering" your surgeon's vision.
With this technology, your surgeon can make more informed decisions and personalize your spine surgery by making precise adjustments to your unique spine anatomy, thereby enhancing the accuracy of your spine procedure.
It’s important to know that your surgeon has been specially trained and always has complete control of the surgical actions.
After spine surgery
The NextAR Spine surgery may help you go back to your everyday life - minus the pain. Your recovery timeline will vary depending on your surgeon's recommendations.
It is important to remember that your timeline is unique. The length of time patients spend in the hospital is determined by their specific condition. This is why it is important to listen to your surgeon’s recommendations rather than comparing your recovery to others.
Upon your return home, your medical team will provide guidance to help you regain your mobility and suggest the continued use of appropriate medications. Depending on your unique treatment plan, you may begin rehabilitation exercises under the supervision of specialized professionals.
Why NextAR Spine surgery?
NextAR Spine technology can provide useful data on your spine anatomy and therefore streamline the operational workflow in the operating room (OR) assisted by planning tools based on your unique anatomy4,6. Augmented Reality can also allow the surgeon to achieve far greater precision during your spine treatment4.
The NextAR Spine Augmented Reality surgical application may enable the surgeon to perform less traumatic spine surgery, reduce the recovery time, and possibly aid in faster rehabilitation.
Precise execution4
Technology in your surgeon’s hands
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3D technology
Patient-matched
MySpine patient-matched surgical instrument
MySpine is one of the latest patient-matched surgical instruments developed by Medacta. This is a validated technology supported by scientific data.5,6,7,8,9,10 It features a 3D printed surgical instrument tailored to your anatomy allowing for greater accuracy in pedicle screw position. The main patient benefits of MySpine are:
- Accuracy of pedicle screw positioning6
- Patient-matched technology allowing for surgical technique customization
- Reduced radiation requirements5
- Reduced postoperative morbidity and shortened hospital stay8
MySpine technology may support surgeons in accurately treating all the regions of your spine, from cervical to sacroiliac issues.
How does it work?
Obtain an image of your spine
The surgeon will ask you to have a CT scan of your vertebral column. Medacta developed a specific Low Dose CT protocol to ensure a safe image acquisition.
Replication of your spine
Using images of your spine, Medacta will create a 3D model for each of the vertebra to be treated, in order to allow the Surgeon to select the best implant position and size for you.
Production of MySpine Guides
Using the model of your vertebrae and dedicated planning software, your surgeon tailors your personalized surgical guides around your unique anatomy.
Preparation of surgery
Before the surgery, your surgeon will receive the MySpine instruments and the plastic replica of your vertebrae. The bone model and the screw placement guides will be analyzed to accurately prepare for your spine operation.
The MySpine Technology offers a complete and comprehensive system of 3D printed patient-matched guiding tools and preoperative planning allowing for posterior spine fixation from cervical to lumbar-sacral and pelvic fixation.
MySpine MC is a Minimally Invasive Medacta solution
The surgeon can access the spine following a "conventional" open surgical approach or a Minimally Invasive Surgical (MIS) approach. Open approaches can be potentially associated with postoperative muscle atrophy when the back muscular innervation is accidentally injured during surgery. On the other hand, true Minimally Invasive Surgery is characterized by the preservation of the complex muscular structure and a shorter skin incision.
MySpine MC is truly a Minimally Invasive surgery.11,12 Thanks to its muscle-sparing technique, muscles are gently manipulated, and a small skin incision of 4-5cm is performed. For this reason, MySpine MC represents an optimal system with its minimally disruptive surgery, which is fundamental to delivering a fast recovery: MySpine MC is designed to improve the quality of your life and hasten your recovery after a spinal fusion13,14.
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Why MySpine MC?
A Minimally Invasive surgery results in less surgical trauma than other techniques because back muscles are preserved, leading to a faster recovery.11,12,13 Consequently, MIS MySpine MC approach can potentially provide you with the following benefits:
Decreased postoperative pain
In comparison with “conventional” open surgical techniques, the MySpine MC approach may reduce postoperative pain thanks to a less invasive technique.12,13
Shorter rehabilitation
The MySpine MC technique can decrease the muscular atrophy leading to a potentially shorter rehabilitation, subject to your postoperative conditions and doctor's approval.12,13
Shorter hospital stay
The MySpine MC technique has the potential to significantly reduces the duration of hospital stay. Your surgeon may still recommend a longer stay, depending on your postoperative condition.12,2
Small skin scar
With MySpine MC, the skin incision is often shorter than with “conventional” open surgery and therefore scar tissue is reduced.12,13
Enhanced long-term outcomes
The MySpine MC 3D Printed Patient-Specific Solution can potentially provide your back with better biomechanical performance, allowing for an improved long-term outcome.11,13
Less blood loss
Preservation of muscles and blood vessels potentially reduces blood loss during the surgery.12,13
Reduced complications
The MySpine MC technique reduces the incidence of complications when compared to free-hand techniques because of the highly accurate implant positioning.14
There are a number of surgical and non-surgical solutions available to treat your disease. Depending on your condition, your doctor may suggest that you undergo a spinal fusion (which is a surgical procedure used to correct problems with the vertebrae in your spine).
MySpine Cervical
MySpine Cervical is a patient matched technology for the production of personalized, individual guides to place the posterior cervical screws. The MySpine platform allows the surgeon to complete the 3D planning prior to surgery based on the patient’s spinal CT scans.
MySpine Cervical guides are intended to be used as anatomical perforating guides, specific to a single patient’s anatomy, to assist intra-operatively in the positioning of screws during posterior cervical fixation surgery between the levels of C2 to C7.
The main patient benefits of MySpine Cervical Guides are:
- Accuracy and safety in screw positioning 20,23,24
- Reduced radiation requirements 20,25
- Reduced OR time and blood loss 20,21
MySpine S2AI Technology
S2-Alar-Iliac (S2AI) screw fixation technique was developed recently to provide increased fixation with a lower profile screw and rod construct14. This technique may provide advantages such as decreased rates of reoperation, surgical site infection, wound reopening and symptomatic screw prominence as compared to traditional iliac screw fixation.
MySpine guided S2-Alar-Iliac trajectory may allow for a small incision and less lateral retraction26.
The MySpine S2AI patient-specific drill guide might help facilitate complex lumbo-sacral fixation with minimal radiation exposure and high accuracy.16,17
The main patient benefits of MySpine S2AI are high accuracy, low x-ray radiation dose and low profile19,22.
MySpine Anchor
MySpine Anchor is Medacta’s Patient-Matched Solution for posterior Sacro-Iliac fusion: a solution for long constructs, designed to potentially overcome insufficient lower spine fixation. This technique is designed to provide additional stability and fusion in long spinal construct where there is a tendency of SI joint dysfunction 16.
The stabilizing effect of S2-Alar-Iliac screws in combination with posterior SI fusion devices may reduce the risk of mechanical failure of S1 pedicle screws 17.
This guided technique leads to accurate screw positioning and potential reduction in radiation exposure and surgical time compared to free-hand technique 18. The all-in-one guide performs S2AI and SI pilot hole preparation without increasing operation time compared to free-hand technique 19.
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The information contained here is intended for reference only and does not represent or constitute medical advice or a recommendation. Each patient must be examined and advised individually by a physician, and this information does not replace the need for such examination and/or advice in whole or in part. Results are not necessarily typical, indicative, or representative of all patients. Results may vary due to health status, weight, activity, and other variables. Not all patients are candidates for this product and/or procedure. The appropriate postoperative activities and pain management will differ from patient to patient. Talk to your doctor about your condition and about whether the presented procedure is appropriate for you, considering the risks associated. All content is protected by copyright, trademarks and/or other intellectual property rights of Medacta and cannot be used without the written consent of Medacta. In good faith, Medacta asserts that this material does not infringe or misappropriate any intellectual property rights of any third party.
References
4 - Kanno et al. A Novel Intraoperative CT Navigation System for Spinal Fusion Surgery in Lumbar Degenerative Disease: Accuracy and Safety of Pedicle Screw Placement. J. Clin. Med. 2024
5 - Lamartina et al. Adolescent idiopathic scoliosis surgery with patient-specific screw placement-guide Eur Spine J. 2014 Dec;23(12). MySPINE VIDEO CASE / REDUCED DOSE RADIATION
6 - Lamartina et al. Pedicle screw placement accuracy in thoracic and lumbar spinal surgery with a patient-matched targeting guide: a cadaveric study. Eur Spine J. 2015 Nov;24(7). MySPINE ACCURACY VS FREE HAND
7- Putzier et al. A New Navigational Tool for Pedicle Screw Placement in Patients with Severe scoliosis: A Pilot Study to Prove Feasibility, Accuracy, and Identify Operative Challenges. J Spinal Disord Tech. 2014 MySPINE PILOT STUDY
8 - Landi et al. Spinal Neuronavigation and 3D-Printed Tubular Guide for Pedicle Screw Placement: A Really New Tool to Improve Safety and Accuracy of the Surgical Technique? J Spine 2015, 4:5 MySPINE ACCURACY VS GUIDED TECHNIQUE
9 - Landi et al. 3D Printed Tubular Guides for Pedicle Screw Placement: The Answer for the Need of a Greater Accuracy in Spinal Stabilization. Orthop Muscular Syst 2015, 4:3 MySPINE ACCURACY / EASE OF USE
10 - Accuracy of patient-specific template-guided vs. free-hand fluoroscopically controlled pedicle screw placement in the thoracic and lumbar spine: a randomized cadaveric study. Eur Spine J. 2016
11 - Matsukawa K. et al., Cortical pedicle screw trajectory technique using 3D printed patient-specific-guide, M.O.R.E. Journal, September 2018.
12 - Marengo N. et al., Cortical Bone Trajectory Screw Placement Accuracy with a Patient-Matched 3-Dimensional Printed Guide in Lumbar Spinal Surgery: A Clinical Study, WORLD NEUROSURGERY, June 2019
13 - Marengo N. et al., Cortical Bone Trajectory Screws in Posterior Lumbar Interbody Fusion: Minimally Invasive Surgery for Maximal Muscle Sparing—A Prospective Comparative Study with the Traditional Open Technique, Clinical Study, February 2018
14 - Petrone S. et al., Cortical bone trajectory technique’s outcomes and procedures for posterior lumbar fusion: A retrospective study, Journal of Clinical Neuroscience, April 2020
15 - Sponseller P. et al., “Low Profile Pelvic Fixation With the Sacral Alar Iliac Technique in the Pediatric Population Improves Results at Two-Year Minimum Follow-up”, Spine, September 15, 2010
16- Kebaish KM. Sacropelvic fixation: techniques and complications. Spine (Phila Pa 1976). 2010; 35(25): 2245–2251.
17 - Casaroli et al. “Evaluation of iliac screw, S2 alar‑iliac screw and laterally placed triangular titanium implants for sacropelvic fixation in combination with posterior lumbar instrumentation: a finite element study”. European Spine Journal (2019) 28:1724–1732. https://doi.org/10.1007/s00586-019-06006-0.
18 - Ai-Min Wu, et al. “The technique of S2-alar-iliac screw fixation: a literature review“. http://amj.amegroups.com/article/view/4197/4924
19 - Matsukawa K. et al., Cortical pedicle screw trajectory technique using 3D printed patient-specific-guide, M.O.R.E. Journal, September 2018
20 - Farshad M. et al., Accuracy of patient-specific template-guided vs. free-hand fluoroscopically controlled pedicle screw placement in the thoracic and lumbar spine: a randomized cadaveric study, Eur Spine J., 2016
21 - Marengo N. et al., Cortical bone trajectory screws for circumferential arthrodesis in lumbar degenerative spine: clinical and radiological outcomes of 101 cases, Eur Spine J., 2018
22 - Matsukawa K. et al., Accuracy of cortical bone trajectory screw placement using patient-specific template guide system, Neurosurgical Review, 2019
23 - Van Royen B. J. et al., Accuracy assessment of pedicle screw insertion with patient specific 3D‑printed guides through superimpose CT‑analysis in thoracolumbar spinal deformity surgery, Eur Spine J., 2021
24 - Maruo K. et al., Patient‑specific guide systems decrease the major perforation rate of pedicle screw placement in comparison to the freehand technique for adolescent idiopathic scoliosis, Eur Spine J., 2023
25 - Nagashima Y. et al., Radiation Exposure During Lumbar Interbody Fusion Surgery Can Be Reduced by Using a Three-Dimensional Patient-Specific Template Guide, Cereus Springer Nature, 2024
26 - Krieg S. et al., Revision by S2-alar-iliac instrumentation reduces caudal screw loosening while improving sacroiliac joint pain—a group comparison, Neurosurgical Review, 2020