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Article Abstract

Dynamic tracking of spinal instrumentation could facilitate real-time evaluation of hardware integrity and in so doing alert patients/clinicians of potential failure(s). Critically, no method yet exists to continually monitor the integrity of spinal hardware and by proxy the process of spinal arthrodesis; as such hardware failures are often not appreciated until clinical symptoms manifest. Accordingly, herein, we report on the development and engineering of a bio-adhesive metal detector array (BioMDA), a potential wearable solution for real-time, non-invasive positional analyses of osseous implants within the spine. The electromagnetic coupling mechanism and intimate interfacial adhesion enable the precise sensing of the metallic implants position without the use of radiation. The customized decoupling models developed facilitate the precise determination of the horizontal and vertical positions of the implants with incredible levels of accuracy (e.g., <0.5 mm). These data support the potential use of BioMDA in real-time/dynamic postoperative monitoring of spinal implants.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11379874PMC
http://dx.doi.org/10.1038/s41467-024-51987-2DOI Listing

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Article Synopsis
  • The text discusses the need for a method to constantly monitor the integrity of spinal hardware, as current methods fail to detect issues until symptoms appear, which could lead to serious complications.* -
  • It introduces a new technology called BioMDA (bio-adhesive metal detector array), designed to provide real-time, non-invasive tracking of spinal implants without using radiation.* -
  • The BioMDA features advanced electromagnetic coupling for precise positioning of implants, achieving accuracy levels under 0.5 mm, potentially revolutionizing postoperative monitoring of spinal instrumentation.*
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