Systems and methods for spinal correction surgical planning
A system for surgical planning and assessment of spinal deformity correction is provided that has a spinal imaging system and a control unit. The spinal imaging system is configured to collect at least one digitized position of one or more vertebral bodies of a subject. The control unit is configured to receive the at least one digitized position, and calculate, based on the at least one digitized position, an optimized posture for the subject. The control unit is configured to receive one or more simulated spinal correction inputs, and based on the inputs and optimized posture, predict an optimal simulated postoperative surgical correction.
1. A system for surgical planning and assessment of spinal deformity correction in a subject, the system comprising:
a spinal imaging system capable of collecting at least one digitized position of one or more vertebral bodies of the subject;
a control unit in communication with the spinal imaging system, said control unit being configured to:
(a) determine a model of the subject based on the at least one digitized position of the one or more vertebral bodies received from the spinal imaging system, wherein the at least one digitized position of the one or more vertebral bodies corresponds to a standing lateral position of the subject;
(b) calculate an optimized posture for the subject based on a comparison of the determined model and one or more predetermined models that correspond to one or more anatomical characteristics of the subject;
(c) receive one or more simulated spinal correction inputs, wherein the one or more simulated spinal correction inputs comprise one or more of (i) muscle force data and (ii) muscle activation data;
(d) predict a simulated postoperative surgical correction that maintains a center of mass over the ankles of the subject based on the received one or more simulated spinal correction inputs and the calculated optimized posture for the subject; and
(e) determine a surgical plan based on the predicted simulated postoperative surgical correction and communicate the determined surgical plan via a display.
2. The system of claim 1 , wherein the digitized position is on at least one of the corners of the one or more vertebral bodies.
3. The system of claim 1 , wherein the one or more vertebral bodies includes two or more vertebral bodies.
4. The system of claim 1 , wherein the control unit is further configured to
(f) communicate the predicted simulated postoperative spinal correction to a user.
5. The system of claim 1 , wherein the at least one digitized position of the one or more vertebral bodies are obtained from X-ray data, computed tomography data, magnetic resonance imaging data, or biplanar X-ray data from the subject.
6. The system of claim 1 , wherein the at least one digitized position is processed to generate a musculoskeletal model of the subject.
7. The system of claim 6 , wherein the musculoskeletal model processing comprises inverse-inverse dynamics modeling.
8. The system of claim 6 , wherein the musculoskeletal model includes spinopelvic parameters, ligament parameters, joint kinematics, or any combination thereof.
9. The system of claim 6 , wherein the control unit is further configured to
(f) compare the generated musculoskeletal model with predetermined musculoskeletal model data levels.
10. The system of claim 6 , wherein the control unit is further configured to
(f) generate a sagittal curvature profile based on the received at least one digitized position of the one or more vertebral bodies.
11. The system of claim 10 , wherein the control unit is further configured to
(g) modify the musculoskeletal model to match the sagittal curvature profile.
12. The system of claim 11 , wherein the modifying of the musculoskeletal model comprises scaling, adjusting positioning of the one or more vertebral bodies, morphing a simulated subject anatomy, or combinations thereof.
13. The system of claim 1 , wherein the prediction of the simulated postoperative surgical correction comprises a prediction of simulated anterior lumbar interbody fusion surgery.
14. The system of claim 1 , wherein the prediction of simulated postoperative surgical correction is based on one or more values selected from the group consisting of: knee flexion, ankle flexion, pelvic retroversion, spinal compensation, and a combination thereof.
15. The system of claim 1 , wherein the one or more simulated spinal correction inputs includes sagittal alignment, muscle recruitment criteria, or a surgical procedure.
16. The system of claim 1 , wherein the simulated postoperative surgical correction includes hip compensation, knee joint compensation, or ankle joint compensation.
17. The system of claim 1 , wherein the control unit is further configured to
(f) output a value, based on the predicted simulated postoperative surgical correction, corresponding to a variance from the calculated optimized posture.
18. The system of claim 1 , wherein the simulated postoperative surgical correction comprises simulating an implant in the subject.
19. A system for surgical planning and assessment of spinal deformity correction in a subject, the system comprising:
a spinal imaging system capable of collecting at least one digitized position of one or more vertebral bodies of the subject; and
a control unit in communication with the spinal imaging system, said control unit being configured to:
(a) determine a model of the subject based on the at least one digitized position of the one or more vertebral bodies of the subject received from the spinal imaging system, wherein the at least one digitized position of the one or more vertebral bodies corresponds to a standing lateral position of the subject;
(b) calculate, based on morphing and scaling the determined model of the subject onto a model that includes one or more of (i) muscle force data and (ii) muscle activation data, an optimized posture for the subject;
(c) predict a simulated postoperative surgical correction that maintains a constant horizontal gaze based on the calculated optimized posture for the subject; and
(d) determine a surgical plan based on the predicted simulated postoperative surgical correction and communicate the determined surgical plan via a display.