Computer-assisted surgical navigation for primary and metastatic bone malignancy of the pelvis: Current evidence and future directions Review


Authors: Christ, A. B.; Hansen, D. G.; Healey, J. H.; Fabbri, N.
Review Title: Computer-assisted surgical navigation for primary and metastatic bone malignancy of the pelvis: Current evidence and future directions
Abstract: Computer-assisted navigation and robotic surgery have gained popularity in the treatment of pelvic bone malignancies, given the complexity of the bony pelvis, the proximity of numerous vital structures, and the historical challenges of pelvic bone tumor surgery. Initial interest was on enhancing the accuracy in sarcoma resection by improving the quality of surgical margins and decreasing the incidence of local recurrences. Several studies have shown an association between intraoperative navigation and increased incidence of negative margin bone resection, but long-term outcomes of navigation in pelvic bone tumor resection have yet to be established. Historically, mechanical stabilization of pelvic bone metastases has been limited to Harrington-type total hip arthroplasty for disabling periacetabular disease, but more recently, computer-assisted surgery has been employed for minimally invasive percutaneous fixation and stabilization; although still in its incipient stages, this procedure is potentially appealing for treating patients with bone metastases to the pelvis. The authors review the literature on navigation for the treatment of primary and metastatic tumors of the pelvic bone and discuss the best practices and limitations of these techniques. © The Author(s) 2021.
Keywords: limb salvage; pelvis; sarcoma; robotics; navigation; metastatic disease
Journal Title: HSS Journal
Volume: 17
Issue: 3
ISSN: 1556-3316
Publisher: Springer  
Date Published: 2021-10-01
Start Page: 344
End Page: 350
Language: English
DOI: 10.1177/15563316211028137
PROVIDER: scopus
PMCID: PMC8436340
PUBMED: 34539276
DOI/URL:
Notes: Review -- Export Date: 1 October 2021 -- Source: Scopus
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  1. John H Healey
    547 Healey
  2. Nicola Fabbri
    64 Fabbri