Navigated application guide for targeted spinal drug delivery

A surgical guide tube fixation device for attaching or fixing a guide tube to a spinal structure to deliver a substance to a target region, said guide tube fixation device comprising:

• an attachment device for attaching to the spinal structure;
• a joint attached with the attachment device;
• a spinal needle having a length and a diameter;
• a guide tube having a length and an inner core diameter, wherein the guide tube is configured to guide the spinal needle to a desired site or location and the inner core diameter of the guide tube is substantially the same as the diameter of the spinal needle and the length of the spinal needle is aligned with the length of the guide tube;
• and
• a guide tube holding device attached with the joint and operable to hold and/or guide the guide tube, the guide tube holding device comprising a bore configured to receive the guide tube and a fixing device configured to selectively lock and release the guide tube within the bore to selectively prevent and enable movement of the guide tube within the bore,
• wherein the attachment device comprises an attachment portion configured to interface with the spinal structure, and a moveable holding element operatively coupled with said attachment portion, wherein the holding element is operable to adjust a dimension of the attachment portion.