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Spine & Trauma NavigationRewriting every backstory

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Guidance that impacts outcomes. Spine & Trauma Navigation delivers real-time guidance in the O.R., supporting accuracy, safety and interoperability throughout your procedures. With our open platform, we’re enabling seamless integration of instruments and imaging systems while optimizing workflows across a broad data-driven ecosystem.

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Increasing accuracy decreasing revisions

Achieve higher accuracy than conventional surgical techniques and reduce revisions during implant placement, including cages as well as pedicle, lateral mass and sacroiliac screws, across a wide range of open and minimally invasive surgeries. Sagittal alignment can be pre-planned with Elements Spine Planning and can be visualized in real size during surgery using Spine & Trauma Navigation. This delivers higher accuracy in patient-specific rod bending to the planned shape when compared to conventional rod bending techniques. Even in anatomically critical areas, we’re empowering you to deliver accurate results.

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Minimizing radiation maximizing visualization

Experience smart guidance that maximizes visualization in the sterile field while minimizing x-ray exposure for you and your team. Plan and perform incisions and trajectories with confidence by visualizing instruments in real time. Create a secure environment in the O.R. where protection and accuracy go hand in hand throughout the procedure.

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Empowering choice delivering impact

Choose the instruments and imaging modalities best suited for each patient and procedure. Spine & Trauma Navigation supports intuitive, vendor-independent workflows, enabling accurate and intuitive navigation of instruments and implants with seamless setup for every O.R. At the same time, you can connect effortlessly to a broader, data-driven ecosystem—planning, robotics, mobile imaging, mixed reality and microscopy—as everything communicates fluidly, supporting interoperability and efficiency.

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Research that is shaping spine surgery innovation

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Guiding the surgeon’s expertise

Choose your preferred registration method

You have the freedom to choose the registration method that fits your case, your workflow and your preferences. Our Surface Matching feature gives you the option to register your patient in open cases using preoperative CT and enables a fully radiation-free workflow using synthetic CT2. Ideal for your MIS cases, Loop-X Mobile Imaging Robot provides automatic patient registration and delivers low-dose updates of the 3D dataset registration with only two additional 2D shots. Ultimately, our open platform allows you to integrate any of your existing image acquisition systems, supporting a standardized and reliable workflow for automatic image registration.

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Bring preop data with you to the O.R. 

Correct for variations in spine curvature that occur due to preoperative imaging in the supine positioning and intraoperative imaging in the prone position. Elements Curvature Correction Spine uses elastic fusion to account for the natural flexibility of the spine. The software is ideal for fusing preoperative MR and CT, even when using multilevel intraoperative iCT and cone beam CT scans. Ultimately, you have the confidence that your preoperative screw plan and soft tissue information are up to date in the O.R.

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Use your instruments of choice 

Use the instruments that are best for each patient and case with our open platform solution. Brainlab and many partner instruments are pre-calibrated and can be used within seconds. For maximum flexibility, you can use our third-party instrument adapter clamp to navigate rigid instruments such as endoscopes. Create personalized favorite groups for different users and procedures, which allows for a tailored experience, and makes it easy and convenient to manage instruments according to specific needs or preferences.

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Navigate efficiently to your desired result 

Navigate using 3D scans (CT, MR or synthetic CT), 2D images with Loop-X imaging robot and planning data at all stages of surgery—from incision planning to implant placement. Gain additional anatomical context with inline, 3D, DRR, probe’s eye and autopilot views, empowering accurate and confident navigation of implants and instruments. 

Screenshot of the Brainlab Spine Navigation Software focusing on navigation

Plan and update during surgery 

Gain maximum flexibility during surgical procedures with Spine & Trauma Navigation. Straightforward, intraoperative screw trajectory planning, including a ruler with instrument tip extension, enables you to plan screws on the go and even update your pre-operative screw plan. This is particularly valuable when anatomy or exposure differs from the preoperative plan due to muscle or soft tissue position, allowing you to adapt and achieve optimal screw placement.

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Utilize intraoperative guidance for intuitive interbody navigation  

Prepare disc space and optimize cage placement with interbody navigation. Quick and straightforward calibration enables accurate navigation of rectangular and kidney-shaped interbody cages from either a posterior or lateral approach. Real-time guidance helps verify implant trajectory and positioning before final placement. 

Screenshot of Brainlab Spine Navigation Software displaying support for navigated cage placement to achieve desired positioning

Visualize rods in life size  

Mitigate scaling issues and intraoperative guesswork during rod bending by pre-planning the sagittal alignment with Elements Spine Planning. Once you have adjusted the patient-specific spine avatar to the desired postoperative outcome, the planning software recommends the rod shape in the sagittal plane.

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Empower your surgical workflow with navigation at its core

Connect every stage of your workflow seamlessly with Brainlab navigation. Take advantage of our open platform or seamlessly connect with our broader ecosystem including preoperative planning software, imaging, robotics, mixed reality and microscopy, helping you stay aligned with your surgical plan and move confidently through each step of the procedure.

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Where every step writes a better ending 

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Leading the way for every spine journey

  1. Odds ratio freehand vs. navigated: 3.35; 95% confidence interval, 1.8651-6.0028; p < 0.01; inverted odds ratio for navigated vs. freehand (calculated): ~0.3.

  2. BoneMRI by MRIguidance.