Can Computer-assisted Surgery Reduce the Effective Dose for Spinal Fusion and Sacroiliac Screw Insertion?

Abstract

Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Pedicle axis view combined by sacral mapping can decrease fluoroscopic shot count in percutaneous iliosacral screw placement

“…The results of the current study clearly indicate that adopting the ''308-308'' fluoroscopic position and sacral mapping technique into percutaneous iliosacral screwing practice has the advantages of less exposure to radiation and a significantly fewer number of views needed. Using our new method, the median radiation time was 52 (28-77) s, which was less than in any of the reported approaches using conventional fluoroscopy [4,[16][17][18], 2-D navigation [6,16] or 3-D navigation [18,19] (Table 3) for iliosacral screw placement in posterior pelvic ring fracture/dislocation. Sacral mapping is an important technical trick, as the position of the sacrum in the patients lying supine on the operating table might be confusing for the surgeon.…”

Percutaneous endoscopic transforaminal lumbar interbody fusion: is it worth it?

“…Inconveniences of percutaneous techniques are a steep learning curve [10] and the need for preoperative irradiation to the patient and the surgical team [11]. Risks of radicular trauma are real, since the cage, despite being rather small, uses a lot of space while being introduced through the foramen and conflicts may occur.…”

Does Less Invasive Spine Surgery Result in Increased Radiation Exposure? A Systematic Review

“…Kraus et al [13] assessed radiation exposure to patients who underwent lumbar fracture stabilization and patients who underwent transsacral screw stabilization with the standard fluoroscopy or 3-D reconstructed computerassisted navigation. Radiation exposure was decreased to the patients with the use of 3-D reconstructed computerassisted navigation.…”