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minimally invasive cases, where visualization tends to be more limit-
ed.
• Power tools
are largely based on surgeon preference. Plenty of good
options are available: pneumatic, electric, battery-powered, hand- or
foot-controlled with varying speed settings. I prefer foot-pedal con-
trolled tools with graded speed options because they give me greater
control of power and torque, and provide more stability around deli-
cate spine anatomy.
• Tables
must be radiolucent so segments don't block views or
destroy the quality of 3D images used during navigation or verification
of hardware placement. Look for user-friendly designs that make
engaging and adjusting the table's surface simple and easy. Patient
safety is a primary concern. Ensure the table has comfortable padding
that protects pressure points during lengthy procedures and is
designed so patients remain secured to its surface during mid-proce-
dure positioning adjustments. OSM
Dr. Villavicencio (
atv@b nasurg .com
) is the senior physician-partner at
Boulder Neurosurgical & Spine Associates in Boulder, Colo.
S P I N E
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