Percutaneous thoraco-lumbar-sacral pedicle screw placement accuracy results from a multi-center, prospective clinical study using a skin marker-based optical navigation system.
Computer-assisted navigation
Image-guided surgery
Minimally invasive spine
Screw accuracy
Thoracolumbarsacral pedicle screw placement
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
27
06
2022
accepted:
11
09
2022
revised:
05
09
2022
pubmed:
24
9
2022
medline:
9
11
2022
entrez:
23
9
2022
Statut:
ppublish
Résumé
Prospective multi-center study. The study aimed to evaluate the accuracy of pedicle screw placement using a skin marker-based optical surgical navigation system for minimal invasive thoraco-lumbar-sacral pedicle screw placement. The study was performed in a hybrid Operating Room with a video camera-based navigation system integrated in the imaging hardware. The patient was tracked with non-invasive skin markers while the instrument tracking was via an on-shaft optical marker pattern. The screw placement accuracy assessment was performed by three independent reviewers, using the Gertzbein grading. The screw placement time as well as the staff and patient radiation doses was also measured. In total, 211 screws in 39 patients were analyzed for screw placement accuracy. Of these 32.7% were in the thoracic region, 59.7% were in the lumbar region, and 7.6% were in the sacral region. An overall accuracy of 98.1% was achieved. No screws were deemed severely misplaced (Gertzbein grading 3). The average time for screw placement was 6 min and 25 secs (± 3 min 33 secs). The average operator radiation dose per subject was 40.3 µSv. The mean patient effective dose (ED) was 11.94 mSv. Skin marker-based ON can be used to achieve very accurate thoracolumbarsacral pedicle screw placements.
Identifiants
pubmed: 36149493
doi: 10.1007/s00586-022-07387-5
pii: 10.1007/s00586-022-07387-5
doi:
Types de publication
Multicenter Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
3098-3108Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2022. The Author(s).
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