Placement of Thoracolumbar Pedicle Screws Using O-arm-based Navigation: Technical Note on Controlling the Operational Accuracy of the Navigation System

Overview

Journal Neurosurg Rev

Specialty Neurosurgery

Date 2012 Sep 8

PMID 22956149

Citations 12

Authors

Mario Ammirati

Asem Salma

Affiliations

Soon will be listed here.

Abstract

Suboptimal placements of pedicle screws may lead to neurological and vascular complications. Computer-assisted image guidance has been shown to improve accuracy in spinal instrumentation. Checking the accuracy of the navigation system during pedicle screw placement is fundamental. We describe a novel technique of using continuous accuracy check of the navigation system during O-arm-based neuronavigation to instrument the thoracolumbar region. Forty thoracic and 42 lumbar screws were inserted in 12 patients. The Mirza evaluation system was used to evaluate the accuracy of the inserted screws. There was no neurological injury and no need to reposition any screw. The accuracy of the screws placement was excellent. Our technique of continuous at will operational accuracy check of the neuronavigation system is associated with extreme accuracy of screw placement, no need to bring a patient back to the operating room to reposition a pedicle screw, and with excellent outcome.

Citing Articles

A Pilot Human Cadaveric Study on Accuracy of the Augmented Reality Surgical Navigation System for Thoracolumbar Pedicle Screw Insertion Using a New Intraoperative Rapid Registration Method.

Cao B, Yuan B, Xu G, Zhao Y, Sun Y, Wang Z J Digit Imaging. 2023; 36(4):1919-1929.

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Percutaneous endoscopic unilateral laminotomy and bilateral decompression under 3D real-time image-guided navigation for spinal stenosis in degenerative lumbar kyphoscoliosis patients: an innovative preliminary study.

Ho T, Lin C, Chang C, Chen H, Chen Y, Lo Y BMC Musculoskelet Disord. 2020; 21(1):734.

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Design, application, and evaluation of a novel method for determining optimal trajectory of thoracic pedicle screws.

Chen X, Gao X, Zhang G, Zheng F, Wang Y, Huang W Ann Transl Med. 2020; 8(16):1012.

PMID: 32953812 PMC: 7475455. DOI: 10.21037/atm-20-5426.

Accuracy and reliability of spinal navigation: An analysis of over 1000 pedicle screws.

Shree Kumar D, Ampar N, Wee Lim L J Orthop. 2020; 18:197-203.

PMID: 32042226 PMC: 7000445. DOI: 10.1016/j.jor.2019.10.002.

Pedicle Screw Placement Using Augmented Reality Surgical Navigation With Intraoperative 3D Imaging: A First In-Human Prospective Cohort Study.

Elmi-Terander A, Burstrom G, Nachabe R, Skulason H, Pedersen K, Fagerlund M Spine (Phila Pa 1976). 2018; 44(7):517-525.

PMID: 30234816 PMC: 6426349. DOI: 10.1097/BRS.0000000000002876.

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