Frameless Pinless Stereotaxy

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Object

Frameless neuronavigation has been established as a useful adjunct to intracranial surgery; however, the procedure is limited in young children by the need for rigid skull fixation with pins. Pin fixation is difficult and hazardous for patients younger than 2 years of age. Minor risks have been associated with pin fixation in older patients also, including scalp laceration, skull fracture, and epidural hematoma.

Methods

The authors adapted a pinless head fixation system, consisting of a beanbag device, for use with frameless neuronavigation. This system was used to perform intracranial neurosurgical procedures in nine patients.

Conclusions

This

Article Information

© AANS, except where prohibited by US copyright law.

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References

1

Mangano FTLimbrick DDLeonard JRPark TSSmyth MD: Simultaneous image-guided and endoscopic navigation without rigid cranial fixation: application in infants: technical case report. Neurosurgery 58:4 Suppl 2ONSE3772006

1

Mangano FTLimbrick DDLeonard JRPark TSSmyth MD: Simultaneous image-guided and endoscopic navigation without rigid cranial fixation: application in infants: technical case report. Neurosurgery 58:4 Suppl 2ONSE3772006

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