Differences Between Manufacturers of Computed Tomography-Based Computer-Assisted Surgery Systems Do Exist: A Systematic Literature Review

Overview

Journal Global Spine J

Publisher Sage Publications

Date 2017 Apr 29

PMID 28451513

Citations 7

Authors

Anas Nooh

Joushua Lubov

Ahmed Aoude

Sultan Aldebeyan

Peter Jarzem

Jean Ouellet

Michael H Weber

Affiliations

Soon will be listed here.

Abstract

Study Design: Literature review.

Objective: Several studies have shown that the accuracy of pedicle screw placement significantly improves with use of computed tomography (CT)-based navigation systems. Yet, there has been no systematic review directly comparing accuracy of pedicle screw placement between different CT-based navigation systems. The objective of this study is to review the results presented in the literature and compare CT-based navigation systems relative only to screw placement accuracy.

Methods: Data sources included CENTRAL, Medline, PubMed, and Embase databases. Studies included were randomized clinical trials, case series, and case-control trials reporting the accuracy of pedicle screws placement using CT-based navigation. Two independent reviewers extracted the data from the selected studies that met our inclusion criteria. Publications were grouped based on the CT-based navigation system used for pedicle screw placement.

Results: Of the 997 articles we screened, only 26 met all of our inclusion criteria and were included in the final analysis, which showed a significant statistical difference ( < 0.0001, 95% confidence interval 0.92 to 1.23) in accuracy of pedicle screw placement between three different CT-based navigation systems. The mean (weighted) accuracy of pedicle screws placement based on the CT-based navigation system was found to be 97.20 ± 2.1% in StealthStation (Medtronic, United States) and 96.1 ± 3.9% in VectorVision (BrainLab, Germany).

Conclusion: This review summarizes results presented in the literature and compares screw placement accuracy using different CT-based navigation systems. Although certain factors such as the extent of the procedure and the experience and skills of the surgeon were not accounted for, the differences in accuracy demonstrated should be considered by spine surgeons and should be validated for effects on patients' outcome.

Citing Articles

Navigated, percutaneous, three-step technique for lumbar and sacral screw placement: a novel, minimally invasive, and maximally safe strategy.

La Rocca G, Mazzucchi E, Pignotti F, Nasto L, Galieri G, Rinaldi P J Orthop Traumatol. 2023; 24(1):32.

PMID: 37386233 PMC: 10310656. DOI: 10.1186/s10195-023-00696-5.

Anatomical and Technical Considerations of Robot-Assisted Cervical Pedicle Screw Placement: A Cadaveric Study.

Mao J, Soliman M, Karamian B, Khan A, Fritz A, Avasthi N Global Spine J. 2022; 13(7):1992-2000.

PMID: 35195035 PMC: 10556891. DOI: 10.1177/21925682211068410.

Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems-A Systematic Review.

Mahmoud A, Shanmuganathan K, Rocos B, Sedra F, Montgomery A, Aftab S Tomography. 2021; 7(4):614-622.

PMID: 34698301 PMC: 8544736. DOI: 10.3390/tomography7040052.

Computer-assisted navigation in complex cervical spine surgery: tips and tricks.

Wallace N, Schaffer N, Freedman B, Nassr A, Currier B, Patel R J Spine Surg. 2020; 6(1):136-144.

PMID: 32309652 PMC: 7154370. DOI: 10.21037/jss.2019.11.13.

Radiation dose and image quality comparison during spine surgery with two different, intraoperative 3D imaging navigation systems.

Nachabe R, Strauss K, Schueler B, Bydon M J Appl Clin Med Phys. 2019; 20(2):136-145.

PMID: 30677233 PMC: 6370984. DOI: 10.1002/acm2.12534.

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