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2D and 3D Mobile C-Arms for Spine Surgery

Mobile C-Arms in Spine SurgeryPrecise. Connected. Protected.

For more than half a century, Siemens Healthineers has supported physicians with dependable 2D mobile C-arms. And for more than 20 years, we’ve advanced the field with cutting‑edge 3D imaging designed for complex spine procedures.

Precise in the image quality they deliver, connected to broader surgical workflows, and protective of teams from radiation exposure and ergonomic strain, our 2D and 3D systems are built on the safety and reliability that define our heritage.

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Benefits

Precise

The vision for precision imaging includes fast, accurate, and easy 3D CBCT. It also includes systems designed to be simpler for physicians and technologists to use, supported by intelligent imaging software that streamlines spine workflows like never before.

Connected

Navigation, emerging technologies, and future‑ready configurations are key trends in every OR. That’s why our platforms integrate with world leaders in robotics and are designed to make interconnectivity with new technologies seamless.

Protected

From protecting you, your team, and your patients with our CARE suite of radiation‑reduction tools to offering C‑arms designed to reduce the time and effort required for system movement and positioning, with detector‑mounted controls on CIARTIC Move and Cios Spin for added convenience, safety remains at the forefront of everything we do.

Evidence

Precise

We have a vision for precision imaging. It includes fast, accurate, and easy 3D CBCT. It includes systems actually designed to be easier for physicians and techs to use. And it includes intelligent imaging software designed to make spine workflows easier than ever.

Position Assist

The self-driving, robotic CIARTIC Move can store and recall up to 12 procedure‑specific 2D and 3D C‑arm positions at the touch of a button¹. Positions, imaging parameters and collimation settings can all be set and stored before surgery - saving valuable intraoperative time

_{¹ Proven with orthopedic trauma and spine surgeons in a cadaveric setting with 10 human specimens, compared with Cios Spin.}

SpotAdapt

SpotAdapt removes the complexity of manual optimization. Tap what you want to see, and SpotAdapt does the rest by automatically adjusting imaging parameters like brightness and contrast without adding dose or time.

Study results show:

Saved 79 seconds per scan on average compared to manual optimization
Reduced image acquisitions from 4.8 to 3.2 per task
Improved image quality scores from 2.1 (baseline) and 3.4 (manual) to 4.2 out of 5 with SpotAdapt
Rated 4.3 out of 5 for ease of use and clinical integration

_{Study based on optimized 2D X‑ray imaging of the cervical, thoracic, and sacral spine. The study compared manual image adjustment with automatic optimization using SpotAdapt and measured time, image quality, image count, dose, and ease of use.}

Screw Scout

Screw Scout automatically identifies and labels screws in the 3D volume in all three planes, allowing you to toggle through each at the push of a button.

Study results show:

Saved 60 seconds per scan on average compared to manual MPR
Achieved 100% correct screw identification across all test cases
Rated 5 out of 5 for simplicity of use by all participants
Enabled support staff to prepare views, minimizing sterile field disruption

_{Study included 9 participants with up to 10 years of clinical experience. Each evaluated 8 pedicle screws using 3D scans, comparing manual multiplanar reconstruction with Screw Scout. Metrics assessed included time to assessment, accuracy, false positives, and ease of use.}

Metal Artifact Reduction

Metal Artifact Reduction identifies screws and other metallic objects and improves image quality around their edges to reduce blur and ghosting.

Study results show:

100% of screw edges were visible along the entire length of the screw
Improved image quality, especially for less experienced operators

_{Study based on optimized 2D X‑ray imaging of the cervical, thoracic, and sacral spine. The study compared manual image adjustment with automatic optimization using Metal Artifact Reduction and assessed image quality improvements and the visual accuracy of screw edges.}

Position Assist

The self-driving, robotic CIARTIC Move can store and recall up to 12 procedure‑specific 2D and 3D C‑arm positions at the touch of a button¹. Positions, imaging parameters and collimation settings can all be set and stored before surgery - saving valuable intraoperative time

_{¹ Proven with orthopedic trauma and spine surgeons in a cadaveric setting with 10 human specimens, compared with Cios Spin.}

SpotAdapt

SpotAdapt removes the complexity of manual optimization. Tap what you want to see, and SpotAdapt does the rest by automatically adjusting imaging parameters like brightness and contrast without adding dose or time.

Study results show:

Saved 79 seconds per scan on average compared to manual optimization
Reduced image acquisitions from 4.8 to 3.2 per task
Improved image quality scores from 2.1 (baseline) and 3.4 (manual) to 4.2 out of 5 with SpotAdapt
Rated 4.3 out of 5 for ease of use and clinical integration

_{Study based on optimized 2D X‑ray imaging of the cervical, thoracic, and sacral spine. The study compared manual image adjustment with automatic optimization using SpotAdapt and measured time, image quality, image count, dose, and ease of use.}

Screw Scout

Screw Scout automatically identifies and labels screws in the 3D volume in all three planes, allowing you to toggle through each at the push of a button.

Study results show:

Saved 60 seconds per scan on average compared to manual MPR
Achieved 100% correct screw identification across all test cases
Rated 5 out of 5 for simplicity of use by all participants
Enabled support staff to prepare views, minimizing sterile field disruption

_{Study included 9 participants with up to 10 years of clinical experience. Each evaluated 8 pedicle screws using 3D scans, comparing manual multiplanar reconstruction with Screw Scout. Metrics assessed included time to assessment, accuracy, false positives, and ease of use.}

Metal Artifact Reduction

Metal Artifact Reduction identifies screws and other metallic objects and improves image quality around their edges to reduce blur and ghosting.

Study results show:

100% of screw edges were visible along the entire length of the screw
Improved image quality, especially for less experienced operators

_{Study based on optimized 2D X‑ray imaging of the cervical, thoracic, and sacral spine. The study compared manual image adjustment with automatic optimization using Metal Artifact Reduction and assessed image quality improvements and the visual accuracy of screw edges.}

Position Assist

The self-driving, robotic CIARTIC Move can store and recall up to 12 procedure‑specific 2D and 3D C‑arm positions at the touch of a button¹. Positions, imaging parameters and collimation settings can all be set and stored before surgery - saving valuable intraoperative time

_{¹ Proven with orthopedic trauma and spine surgeons in a cadaveric setting with 10 human specimens, compared with Cios Spin.}

Connected

A future-ready OR includes navigation and emerging technology. That’s why our platforms integrate with world leaders in robotics and navigation, and why we’re designed to make interconnectivity easy.

The Largest 3D Volume of Any Traditional Mobile C‑Arm

Designed to enable more seamless integration with navigation technologies, CIARTIC Move and Cios Spin offer an expanded 3D volume of 25 × 25 × 16 cm².

This unique approach enables you to capture tracking markers for registration without requiring a larger detector.

Watch the video from Dr. Bjoern Kreher to learn more.

_{Compared to other traditional open‑bore mobile C‑arms.}

The Largest 3D Volume of Any Traditional Mobile C‑Arm

Designed to enable more seamless integration with navigation technologies, CIARTIC Move and Cios Spin offer an expanded 3D volume of 25 × 25 × 16 cm².

This unique approach enables you to capture tracking markers for registration without requiring a larger detector.

Watch the video from Dr. Bjoern Kreher to learn more.

_{Compared to other traditional open‑bore mobile C‑arms.}

Why precision and safety matter

Illustration of woman with low back pain and the text, "Low back pain caused 69 million years lived with disability"

The global epidemic of low back pain

In 2020, low back pain caused 69 million years lived with disability worldwide, reflecting its substantial impact on global health.¹

Illustration of a man sitting at a computer desk with the text, "By 2050 843 million people will live with low back pain"

The global epidemic of low back pain is escalating

Low back pain affected 619 million people worldwide in 2020, nearly 10% of the global population. By 2050, that number is expected to reach 843 million.²

Illustrations of a surgeon with the text, "1.6 million spinal procedures are preformed annually"

Spine surgery statistics

More than 1.6 million spinal fusion procedures are performed annually, spanning a wide range of spine procedure types.³

Did this information help you?

1

The Lancet Rheumatology, Vol. 5, Issue 6, e305

2

The global epidemic of low back pain The Lancet Rheumatology, The Lancet Rheumatology, Volume 5, Issue 6, e305

3

Rahmathulla et al., Neurosurg Focus, 2014

4

Tovar, M. A., Dowlati, E., Zhao, D. Y., Khan, Z., Pasko, K. B. D., Sandhu, F. A., & Voyadzis, J. (2022

5

Smith, T. et al. (2022) | Cost of Operating Room Time is $46.04 Dollars per Minute

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