{"id":1215,"date":"2022-06-30T11:35:17","date_gmt":"2022-06-30T10:35:17","guid":{"rendered":"https:\/\/www.digitalanatomics.com\/blog\/?p=1215"},"modified":"2022-07-21T13:50:05","modified_gmt":"2022-07-21T12:50:05","slug":"planificacion-para-colocacion-de-tornillos-pediculares-en-fusion-vertebral","status":"publish","type":"post","link":"https:\/\/www.digitalanatomics.com\/blog\/es\/planificacion-para-colocacion-de-tornillos-pediculares-en-fusion-vertebral\/","title":{"rendered":"Nuevas t\u00e9cnicas en artrodesis de columna"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1215\" class=\"elementor elementor-1215\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d0c81d1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0c81d1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-149213a\" data-id=\"149213a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bd13ae elementor-widget elementor-widget-text-editor\" data-id=\"5bd13ae\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.4 - 13-04-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Comparativa entre el uso de navegadores con TAC intraoperatorio y el uso de gu\u00edas quir\u00fargicas personalizadas\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7701c8a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7701c8a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-426dd89\" data-id=\"426dd89\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0f6518 elementor-widget elementor-widget-text-editor\" data-id=\"a0f6518\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>El presente documento recoge:\u00a0<\/p><ul><li>Las conclusiones incluidas en el documento: \u00abINFORME OSTEBA: TECNOLOG\u00cdA DE CIRUG\u00cdA DE FUSI\u00d3N VERTEBRAL GUIADA POR IMAGEN<a title=\"\" href=\"file:\/\/\/G:\/.shortcut-targets-by-id\/1sjDE4qeGUiXTo_zuT-ysAS3xin_b_KUd\/Marketing\/Comercializaci%C3%B3n\/OUTPUTS\/TOR%20JIG%20S%20vs%20Navegadores-Corregido.docx#_ftn1\"><b><span style=\"font-size: 10.0pt; line-height: 107%; font-family: Barlow; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; color: red; mso-ansi-language: ES; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;\"><!-- [if !supportFootnotes]--><b><span style=\"font-size: 10pt; line-height: 107%;\">[1]<\/span><\/b><!--[endif]--><\/span><\/b><\/a>\u00ab<\/li><li>Los comentarios aportados por el Dr. Mostaza a cada una de las conclusiones desde el punto de vista comparativo con el uso de las gu\u00edas quir\u00fargicas personalizadas TOR JIG<sup>\u00ae<\/sup> S de Digital Anatomics S.L.<\/li><\/ul><p>\u00a0<\/p><ul><li><div><hr align=\"left\" size=\"1\" width=\"33%\" \/><p><!--[endif]--><\/p><div><p><a title=\"\" href=\"file:\/\/\/G:\/.shortcut-targets-by-id\/1sjDE4qeGUiXTo_zuT-ysAS3xin_b_KUd\/Marketing\/Comercializaci%C3%B3n\/OUTPUTS\/TOR%20JIG%20S%20vs%20Navegadores-Corregido.docx#_ftnref1\"><b><span style=\"font-size: 8.0pt; font-family: Barlow; color: red;\"><!-- [if !supportFootnotes]--><b><span style=\"font-size: 8pt; line-height: 107%;\">[1]<\/span><\/b><!--[endif]--><\/span><\/b><\/a> <a href=\"https:\/\/www.katalogoak.euskadi.eus\/cgi-bin_q81a\/abnetclop?SUBC=VEJ\/J0001\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: 8.0pt; font-family: Barlow; mso-bidi-font-family: 'Helvetica 45 Light';\">https:\/\/www.katalogoak.euskadi.eus\/cgi-bin_q81a\/abnetclop?SUBC=VEJ\/J0001<\/span><\/a><\/p><\/div><\/div><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-088b171 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"088b171\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f2c4f28\" data-id=\"f2c4f28\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f9e579b elementor-widget elementor-widget-heading\" data-id=\"f9e579b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.4 - 13-04-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Precisi\u00f3n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-67a1ad3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67a1ad3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f7f71cc\" data-id=\"f7f71cc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-59b428d elementor-widget elementor-widget-text-editor\" data-id=\"59b428d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>El empleo de sistemas de navegaci\u00f3n de im\u00e1genes proporciona una precisi\u00f3n mayor en la inserci\u00f3n de tornillos pediculares en cirug\u00eda de columna vertebral en comparaci\u00f3n con la utilizaci\u00f3n de sistemas de fluoroscopia tradicional.<\/p><p>Cuando se comparan con el m\u00e9todo de mano alzada, esta mayor precisi\u00f3n no parece clara, debido principalmente a los resultados obtenidos de la RS realizada por Perdomo-Pantoja et al., en la que se considera la malposici\u00f3n como leve la menor de\u00a0<span style=\"font-family: Barlow, sans-serif; text-align: justify; color: var( --e-global-color-text ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">4mm.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-97705c0\" data-id=\"97705c0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-14d85e4 elementor-widget elementor-widget-text-editor\" data-id=\"14d85e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>Al replicarse exactamente la anatom\u00eda de cada v\u00e9rtebra (unidad anat\u00f3mica donde apoya la gu\u00eda), si se realiza un correcto posicionamiento, el error dimensional existente s\u00f3lo es la suma de la precisi\u00f3n del TAC (tambi\u00e9n afectado en la navegaci\u00f3n) +<span style=\"color: var( --e-global-color-text ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem; font-family: Barlow, sans-serif; text-align: justify;\">0.01<\/span><span style=\"color: var( --e-global-color-text ); font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem; font-family: Barlow, sans-serif; text-align: justify;\">mm (precisi\u00f3n de la m\u00e1quina de impresi\u00f3n 3D).\u00a0<\/span><\/p><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-92acde2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"92acde2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-206888a\" data-id=\"206888a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5b39d5d elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5b39d5d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4c1d5a6\" data-id=\"4c1d5a6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-976662d elementor-widget elementor-widget-image\" data-id=\"976662d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.4 - 13-04-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"443\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/navigazionechirurgica2-768x443.jpg\" class=\"attachment-medium_large size-medium_large\" alt=\"uso de navegadores en cirug\u00eda\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/navigazionechirurgica2-768x443.jpg 768w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/navigazionechirurgica2-300x173.jpg 300w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/navigazionechirurgica2.jpg 800w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-632b40e\" data-id=\"632b40e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0118e3f elementor-widget elementor-widget-image\" data-id=\"0118e3f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"576\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-768x576.jpg\" class=\"attachment-medium_large size-medium_large\" alt=\"uso de gu\u00edas en cirug\u00eda\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-768x576.jpg 768w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-300x225.jpg 300w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-1024x768.jpg 1024w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-1536x1152.jpg 1536w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/IMG_20211209_180722-2048x1536.jpg 2048w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0b2ff74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0b2ff74\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9241592\" data-id=\"9241592\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-387ccc1 elementor-widget elementor-widget-heading\" data-id=\"387ccc1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tasa de revisi\u00f3n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-812f181 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"812f181\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-15a3f16\" data-id=\"15a3f16\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1ec536 elementor-widget elementor-widget-text-editor\" data-id=\"f1ec536\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>La tasa de revisi\u00f3n de tornillo pediculares que implican una segunda cirug\u00eda se insin\u00faa que no es diferente entre las t\u00e9cnicas de navegaci\u00f3n de im\u00e1genes, fluoroscopia tradicional y mano alzada, aunque s\u00ed parece ser que con el empleo de sistemas de navegaci\u00f3n de im\u00e1genes, las revisiones postoperatorias disminuyen en comparaci\u00f3n con fluoroscopia. Que no se observe diferencia entre las t\u00e9cnicas de navegaci\u00f3n y mano alzada se debe, al igual que en la conclusi\u00f3n\u00a0 anterior, a los resultados obtenidos de la RS de Perdomo-Pantoja et al., en donde se considera malposici\u00f3n leve la menor de 4<span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">mm.<\/span><\/p><div style=\"color: #222222; font-family: Arial, Helvetica, sans-serif; font-size: small; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">\u00a0<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-99408c1\" data-id=\"99408c1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc9804e elementor-widget elementor-widget-text-editor\" data-id=\"bc9804e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>La utilizaci\u00f3n de nuestro sistema de gu\u00edas quir\u00fargicas, tras 38 cirug\u00edas, ha resultado en la colocaci\u00f3n exacta de 408 tornillos.\u00a0<\/p><p>S\u00f3lo en una ocasi\u00f3n fue necesario el reemplazo de un tornillo. Para ello, se utiliz\u00f3 nuestro sistema de gu\u00edas para reemplazo; esta incidencia fue debida a que la gu\u00eda no se posicion\u00f3 correctamente y no se comprob\u00f3 adecuadamente con el palpador. Actualmente, se ha dise\u00f1ado un nuevo sistema para la colocaci\u00f3n de gu\u00edas en la zona S1, facilitando al m\u00e9dico la planificaci\u00f3n de fresado sobre el biomodelo, que se realiza sobre la articular de L5. De esta manera, el apoyo directo sobre S1 evita posibles desviaciones.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f9b8d42 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f9b8d42\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6cc291e\" data-id=\"6cc291e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0f24b54 elementor-widget elementor-widget-heading\" data-id=\"0f24b54\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Brecha lateral <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8dfa1fc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8dfa1fc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-93f8cbe\" data-id=\"93f8cbe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-292160d elementor-widget elementor-widget-text-editor\" data-id=\"292160d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration-line: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>Los sistemas de navegaci\u00f3n de im\u00e1genes disminuyen la rotura leve y grave frente a m\u00e9todos de mano alzada y solo la rotura leve en comparaci\u00f3n con sistemas fluorosc\u00f3picos; reducen las brechas laterales frente a fluoroscopia y las mediales en comparaci\u00f3n con fluoroscopia y t\u00e9cnicas de mano alzada; y a nivel tor\u00e1cico, la rotura es menor con navegaci\u00f3n que con fluoroscopia.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc37fa8 elementor-widget elementor-widget-image\" data-id=\"fc37fa8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"600\" height=\"401\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/Henderson_Mazor_Stealth_Robotic_Spine.jpg\" class=\"attachment-medium_large size-medium_large\" alt=\"\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/Henderson_Mazor_Stealth_Robotic_Spine.jpg 600w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/Henderson_Mazor_Stealth_Robotic_Spine-300x201.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-86d2f33\" data-id=\"86d2f33\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e81174 elementor-widget elementor-widget-text-editor\" data-id=\"6e81174\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>La posibilidad de rotura pedicular o de brecha, puede ser evaluada en la planificaci\u00f3n mediante software, sabiendo exactamente la dimensi\u00f3n del ped\u00edculo y el tama\u00f1o de la brecha en funci\u00f3n del tornillo que se colocar\u00e1.\u00a0<\/p><p>Tambi\u00e9n puede ser ensayada la colocaci\u00f3n y la dimensi\u00f3n de la brecha en el quir\u00f3fano sobre el biomodelo, antes de la realizaci\u00f3n de la instrumentaci\u00f3n.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-044188e elementor-widget elementor-widget-image\" data-id=\"044188e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"409\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/brecha-lateral-768x409.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/brecha-lateral-768x409.png 768w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/brecha-lateral-300x160.png 300w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/brecha-lateral.png 839w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5cc6d5f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5cc6d5f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-46d0ab1\" data-id=\"46d0ab1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-306b9dc elementor-widget elementor-widget-heading\" data-id=\"306b9dc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tiempos de quir\u00f3fano<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-cafe3ad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cafe3ad\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-910aca0\" data-id=\"910aca0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bb962dd elementor-widget elementor-widget-text-editor\" data-id=\"bb962dd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>Con los sistemas de navegaci\u00f3n, se emplea m\u00e1s tiempo en la configuraci\u00f3n del quir\u00f3fano y en la planificaci\u00f3n de la trayectoria de los tornillos, lo que implica que el tiempo operatorio sea superior cuando la inserci\u00f3n de los tornillos pediculares se realiza mediante sistemas de navegaci\u00f3n de imagen que, con sistemas fluorosc\u00f3picos,\u00a0 aunque cuando se compara con el m\u00e9todo de mano alzada, el tiempo operatorio no presenta diferencia.\u00a0<\/p><p>Con respecto al tiempo de inserci\u00f3n, este es menor con t\u00e9cnicas de navegaci\u00f3n comparadas con fluoroscopia tradicional, disminuyendo el tiempo efectivo de manipulaci\u00f3n quir\u00fargica y exposici\u00f3n del paciente. Por \u00faltimo, la estancia hospitalaria tiende a disminuir con el empleo de sistemas de navegaci\u00f3n frente a m\u00e9todos de mano alzada.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9cad718\" data-id=\"9cad718\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8974e8f elementor-widget elementor-widget-text-editor\" data-id=\"8974e8f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>Configuraci\u00f3n y planificaci\u00f3n: El tiempo con el uso de gu\u00edas es muy inferior a la navegaci\u00f3n, ya que la planificaci\u00f3n ha sido previa a la entrada del quir\u00f3fano.\u00a0<\/p><p>Tiempo de operaci\u00f3n: Ligeramente superior porque es necesario desperiostizar completamente la zona de apoyo.\u00a0<\/p><p>Tiempo de inserci\u00f3n: El tiempo es inferior ya que no es necesario localizar el punto de inserci\u00f3n al ped\u00edculo previamente, y despu\u00e9s se realiza el taladrado directamente tras la verificaci\u00f3n con Kirschner. En el caso de artrodesis m\u00faltiple, se pueden colocar las gu\u00edas de forma alterna, consigui\u00e9ndose una importante reducci\u00f3n de tiempo quir\u00fargico.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-404c798 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"404c798\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ec237c6\" data-id=\"ec237c6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e2e7773 elementor-widget elementor-widget-image\" data-id=\"e2e7773\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"512\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011-768x512.jpg\" class=\"attachment-medium_large size-medium_large\" alt=\"Sistema de navegaci\u00f3n de im\u00e1genes\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011-768x512.jpg 768w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011-300x200.jpg 300w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011-1024x683.jpg 1024w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011-1536x1024.jpg 1536w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/7d-surgical-system011.jpg 1900w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-66a5a39\" data-id=\"66a5a39\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a70068 elementor-widget elementor-widget-image\" data-id=\"2a70068\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1-768x432.png\" class=\"attachment-medium_large size-medium_large\" alt=\"renderizado caso concreto con el uso de gu\u00edas quir\u00fargicas\" srcset=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1-768x432.png 768w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1-300x169.png 300w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1-1024x576.png 1024w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1-1536x864.png 1536w, https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-1.png 1920w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eb1945e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eb1945e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6b43c16\" data-id=\"6b43c16\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-436a7e5 elementor-widget elementor-widget-heading\" data-id=\"436a7e5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Exposici\u00f3n a radiaci\u00f3n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-50dc2b2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"50dc2b2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3916afe\" data-id=\"3916afe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cdde7c3 elementor-widget elementor-widget-text-editor\" data-id=\"cdde7c3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>La exposici\u00f3n a la radiaci\u00f3n de los pacientes tiende a ser mayor con sistemas de navegaci\u00f3n de im\u00e1genes que con m\u00e9todos de fluoroscopia tradicional mientras que la exposici\u00f3n a la radiaci\u00f3n de los cirujanos parece ser que es menor con sistemas de navegaci\u00f3n de im\u00e1genes que con t\u00e9cnicas de fluoroscopia tradicional.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1a2a5ae\" data-id=\"1a2a5ae\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b8ffc57 elementor-widget elementor-widget-text-editor\" data-id=\"b8ffc57\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>La exposici\u00f3n a la radiaci\u00f3n es muy inferior con el uso de gu\u00edas quir\u00fargicas frente a cualquier otro sistema, para el paciente y los cirujanos.\u00a0<\/p><p>No es necesaria la realizaci\u00f3n de dos TAC intraoperatorios, y basta con una verificaci\u00f3n por rayos X cada cierto n\u00famero de tornillos.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47c208f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47c208f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fb4531c\" data-id=\"fb4531c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bfc2469 elementor-widget elementor-widget-heading\" data-id=\"bfc2469\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Complicaciones durante la cirug\u00eda<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-349955e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"349955e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bd88bfd\" data-id=\"bd88bfd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-389d62f elementor-widget elementor-widget-text-editor\" data-id=\"389d62f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>Las tasas de complicaciones intraoperatorias (principalmente la p\u00e9rdida de sangre), y postoperatorias (principalmente d\u00e9ficit neurol\u00f3gico) que pueden surgir como consecuencia de la cirug\u00eda de columna vertebral para inserci\u00f3n de tornillos pediculares, parece que son menores para los sistemas de navegaci\u00f3n de im\u00e1genes en comparaci\u00f3n con m\u00e9todos de no navegaci\u00f3n (primordialmente fluoroscopia tradicional), aunque no estad\u00edsticamente significativas.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7c6b09e\" data-id=\"7c6b09e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bd37cad elementor-widget elementor-widget-text-editor\" data-id=\"bd37cad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>En cuanto al sangrado, cuando se emplean gu\u00edas tridimensionales, la tasa de complicaciones es inferior ya que, en condiciones habituales, se reduce el tiempo de la cirug\u00eda con respecto a la navegaci\u00f3n intraoperatoria y TAC.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-67ff1b5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67ff1b5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36e8409\" data-id=\"36e8409\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6915752 elementor-widget elementor-widget-heading\" data-id=\"6915752\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Eficiencia econ\u00f3mica<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-ddbb358 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ddbb358\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8937abb\" data-id=\"8937abb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9c9f3d9 elementor-widget elementor-widget-text-editor\" data-id=\"9c9f3d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Navegadores (Informe OSTEBA)<\/strong><\/span><\/p><p>Desde el punto de vista econ\u00f3mico, se sugiere que los altos costes de adquisici\u00f3n y mantenimiento de los equipos de navegaci\u00f3n de imagen pueden ser compensados por la reducci\u00f3n en las tasas de reoperaci\u00f3n debido a su mayor precisi\u00f3n. Para centros de gran volumen, con m\u00e1s de 250 instrumentaciones espinales anuales, el sistema de imagen 3D intraoperatoria (de arco en 0 y sistema de navegaci\u00f3n y TAC intraoperatorio) puede estar justificado econ\u00f3micamente. Cabe se\u00f1alar que no se eval\u00faa el impacto a largo plazo de los costes ocasionados por las secuelas neurol\u00f3gicas que se pueden causar por la falta de precisi\u00f3n en la colocaci\u00f3n de los tornillos.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8c17d5b\" data-id=\"8c17d5b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10a4446 elementor-widget elementor-widget-text-editor\" data-id=\"10a4446\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\"><strong>Gu\u00edas quir\u00fargicas personalizadas TOR JIG\u00ae S<\/strong><\/span><\/p><p>Igualando o superando la precisi\u00f3n al navegador y TAC intraoperatorio con los sistemas de gu\u00edas, no existe coste de inversi\u00f3n inicial de equipos ni de su mantenimiento ni de actualizaciones.\u00a0<\/p><p>El coste por cada uso es del mismo orden de magnitud al de la navegaci\u00f3n, si comparamos la necesaria presencia de un t\u00e9cnico del fabricante del navegador con el coste de las gu\u00edas.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c2c1ad1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c2c1ad1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-68d5900\" data-id=\"68d5900\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-af25800 elementor-grid-3 elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-posts--thumbnail-top elementor-widget elementor-widget-posts\" data-id=\"af25800\" data-element_type=\"widget\" data-settings=\"{&quot;classic_columns&quot;:&quot;3&quot;,&quot;classic_columns_tablet&quot;:&quot;2&quot;,&quot;classic_columns_mobile&quot;:&quot;1&quot;,&quot;classic_row_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:35,&quot;sizes&quot;:[]},&quot;classic_row_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"posts.classic\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/plugins\/elementor-pro\/assets\/css\/widget-posts.min.css\">\t\t<div class=\"elementor-posts-container elementor-posts elementor-posts--skin-classic elementor-grid\">\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-1276 post type-post status-publish format-standard has-post-thumbnail hentry category-medical-3d-printing\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/use-of-surgical-guides-in-bertolotti-syndrome-spinal-arthrodesis\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"169\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-300x169.png\" class=\"attachment-medium size-medium\" alt=\"Gu\u00eda quir\u00fargica personalizada para columna sindrome bertolotti\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/use-of-surgical-guides-in-bertolotti-syndrome-spinal-arthrodesis\/\">\n\t\t\t\tUse of surgical guides in Bertolotti syndrome. Spinal arthrodesis.\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t13 de julio de 2022\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>Dr. Mostaza performed his 38th surgery at the Hospital San Juan de Dios de Le\u00f3n, using our TOR JIG\u00ae&nbsp;S system, personalized surgical guides for pedicle<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/use-of-surgical-guides-in-bertolotti-syndrome-spinal-arthrodesis\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-1231 post type-post status-publish format-standard has-post-thumbnail hentry category-sin-categoria\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/planning-for-pedicle-screw-placement-in-spinal-fusion\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"240\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/07\/guias-vs-navegadores-300x240.jpg\" class=\"attachment-medium size-medium\" alt=\"gu\u00edas quir\u00fargicas vs navegadores\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/planning-for-pedicle-screw-placement-in-spinal-fusion\/\">\n\t\t\t\tNew techniques in spinal arthrodesis\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t4 de julio de 2022\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>Comparison between the use of navigators and intraoperative CT and the use of personalized surgical guides The document includes:\u00a0 The conclusions included in the document:<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/planning-for-pedicle-screw-placement-in-spinal-fusion\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-1215 post type-post status-publish format-standard has-post-thumbnail hentry category-sin-categoria-es\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/planificacion-para-colocacion-de-tornillos-pediculares-en-fusion-vertebral\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"240\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/07\/guias-vs-navegadores-300x240.jpg\" class=\"attachment-medium size-medium\" alt=\"gu\u00edas quir\u00fargicas vs navegadores\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/planificacion-para-colocacion-de-tornillos-pediculares-en-fusion-vertebral\/\">\n\t\t\t\tNuevas t\u00e9cnicas en artrodesis de columna\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t30 de junio de 2022\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>Comparativa entre el uso de navegadores con TAC intraoperatorio y el uso de gu\u00edas quir\u00fargicas personalizadas\u00a0 El presente documento recoge:\u00a0 Las conclusiones incluidas en el<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/planificacion-para-colocacion-de-tornillos-pediculares-en-fusion-vertebral\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-1193 post type-post status-publish format-standard has-post-thumbnail hentry category-producto-sanitario-a-medida\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/sindrome-de-bertolotti\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"169\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2022\/06\/4-300x169.png\" class=\"attachment-medium size-medium\" alt=\"Gu\u00eda quir\u00fargica personalizada para columna sindrome bertolotti\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/sindrome-de-bertolotti\/\">\n\t\t\t\tArtrodesis de columna. Uso de gu\u00edas quir\u00fargicas en s\u00edndrome de Bertolotti.\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t15 de junio de 2022\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>El pasado Lunes 30 de Mayo, el Dr. Mostaza realiz\u00f3 en el Hospital San Juan de Dios de Le\u00f3n su cirug\u00eda n\u00famero 38 utilizando nuestro<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/sindrome-de-bertolotti\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-928 post type-post status-publish format-standard has-post-thumbnail hentry category-endotraining-es\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/3d-roots-jig-el-nuevo-sistema-para-formacion-en-endodoncia\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2021\/12\/endodontic-training04-300x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/3d-roots-jig-el-nuevo-sistema-para-formacion-en-endodoncia\/\">\n\t\t\t\t3D ROOTS JIG. EL NUEVO SISTEMA PARA FORMACI\u00d3N EN ENDODONCIA\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t22 de diciembre de 2021\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>3D ROOTS JIG La innovaci\u00f3n juega un papel fundamental en el mundo de la Odontolog\u00eda gracias a factores como la digitalizaci\u00f3n y la concienciaci\u00f3n social,<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/es\/3d-roots-jig-el-nuevo-sistema-para-formacion-en-endodoncia\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-871 post type-post status-publish format-standard has-post-thumbnail hentry category-news\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/digital-anatomics-achieved-iso-14001-certification\/\">\n\t\t\t<div class=\"elementor-post__thumbnail\"><img decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/www.digitalanatomics.com\/blog\/wp-content\/uploads\/2021\/12\/Digital-Anatomics-Post-15-300x300.png\" class=\"attachment-medium size-medium\" alt=\"Licencia ISO 14001\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<span class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/digital-anatomics-achieved-iso-14001-certification\/\">\n\t\t\t\tDigital Anatomics has recently achieved ISO 14001 certification which ensures our commitment to sustainability.\t\t\t<\/a>\n\t\t<\/span>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t15 de diciembre de 2021\t\t<\/span>\n\t\t\t\t<span class=\"elementor-post-avatar\">\n\t\t\tNo hay comentarios\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-post__excerpt\">\n\t\t\t<p>ISO certification 14001 Digital Anatomics, just over one year old Start up, is a&nbsp;custom-made medical device manufacturer&nbsp;&nbsp;which has very early&nbsp;achieved the NAB\u00b4s (1) environmental certification.<\/p>\n\t\t<\/div>\n\t\t\t\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/www.digitalanatomics.com\/blog\/en\/digital-anatomics-achieved-iso-14001-certification\/\">\n\t\t\t\tRead More \u00bb\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\n\n\t\t\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Comparativa entre el uso de navegadores con TAC intraoperatorio y el uso de gu\u00edas quir\u00fargicas personalizadas\u00a0 El presente documento recoge:\u00a0 Las conclusiones incluidas en el documento: \u00abINFORME OSTEBA: TECNOLOG\u00cdA DE CIRUG\u00cdA DE FUSI\u00d3N VERTEBRAL GUIADA POR IMAGEN[1]\u00ab Los comentarios aportados por el Dr. Mostaza a cada una de las conclusiones desde el punto de vista [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1491,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-1215","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria-es"],"_links":{"self":[{"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/posts\/1215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/comments?post=1215"}],"version-history":[{"count":133,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/posts\/1215\/revisions"}],"predecessor-version":[{"id":1497,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/posts\/1215\/revisions\/1497"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/media\/1491"}],"wp:attachment":[{"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/media?parent=1215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/categories?post=1215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.digitalanatomics.com\/blog\/wp-json\/wp\/v2\/tags?post=1215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}