Tuija Keinänen1,2, Maija Lahtinen1,2, Susanna Piironen1,2, Juha-Jaakko Sinikumpu3,4, Niina Salokorpi1,5, Jani Katisko6,7. 1. Department of Surgery, Operative Care Unit, Oulu University Hospital, PO-BOX 21, 90029 OYS, Oulu, Finland. 2. Oulu Research Group of Advanced Surgical Technologies and Physics (ORGASTP), Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland. 3. PEDEGO Research Group and MRC Oulu, University of Oulu, Oulu, Finland. 4. Department of Children and Adolescents, Oulu University Hospital, Oulu, Finland. 5. Research Unit of Clinical Neuroscience, Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland. 6. Department of Surgery, Operative Care Unit, Oulu University Hospital, PO-BOX 21, 90029 OYS, Oulu, Finland. jani.katisko@ppshp.fi. 7. Oulu Research Group of Advanced Surgical Technologies and Physics (ORGASTP), Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland. jani.katisko@ppshp.fi.
Abstract
PURPOSE: The purpose of this study is to report a new mini-invasive technique to remove an intracranial bullet in a child by using O-arm for intraoperative neuronavigation. CASE REPORT: A 14-year-old refugee boy had suffered a shooting injury 4 years earlier. O-arm imaging-assisted neuronavigation during craniotomy was performed in order to remove a bullet from the intracranial space in a paediatric patient. CONCLUSION: Navigation using O-arm is a feasible method in removing a foreign material in a child and gave an accurate location of the bullet in the adopted surgical operation position without significant imaging artefacts.
PURPOSE: The purpose of this study is to report a new mini-invasive technique to remove an intracranial bullet in a child by using O-arm for intraoperative neuronavigation. CASE REPORT: A 14-year-old refugee boy had suffered a shooting injury 4 years earlier. O-arm imaging-assisted neuronavigation during craniotomy was performed in order to remove a bullet from the intracranial space in a paediatric patient. CONCLUSION: Navigation using O-arm is a feasible method in removing a foreign material in a child and gave an accurate location of the bullet in the adopted surgical operation position without significant imaging artefacts.
Authors: Russell D Dedini; Alexandra M Karacozoff; Frank G Shellock; Duan Xu; R Trigg McClellan; Murat Pekmezci Journal: Spine J Date: 2013-04-03 Impact factor: 4.166