Comparative Cohort Study of Percutaneous Pedicle Screw Implantation without Versus with Navigation in Patients Undergoing Surgery for Degenerative Lumbar Disc Disease

Fomekong, Edward; Pierrard, Julien; Raftopoulos, Christian

doi:10.1016/j.wneu.2017.12.080

Cited by 21 publications

(24 citation statements)

References 58 publications

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“…They found that the navigated group had better accuracy than the fluoroscopy group (92.7% vs. 84.7%). Other studies published since that also compared MIS navigation against MIS conventional fluoroscopy and likewise consistently found superior screw placement accuracy when computer navigation was utilized [3][4][5][6][7], with accuracy rates ranging from 86.1% [6] to 99.7% [4].…”

Section: Navigated Percutaneous Pedicle Screw Fixationmentioning

confidence: 70%

Computer Navigation in Minimally Invasive Spine Surgery

Sembrano

Yson

Theismann

2019

Curr Rev Musculoskelet Med

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Purpose of Review The goal of the review is to discuss the common general applications of navigation in the context of minimally invasive spine surgery and assess its value in the published literature comparing against non-navigated or navigated techniques. Recent Findings There is increasing utilization of computer navigation in minimally invasive spine surgery. There is synergy between navigation and minimally invasive technologies, such that one enhances or facilitates the other, thus leading to wider applications for both. Specifically, navigation has been shown to improve performance of percutaneous pedicle screw placement, vertebral augmentation, and minimally invasive fusion procedures. Overall, clinical studies have shown better accuracy and less radiation exposure with the use of navigation in spine surgery. Summary The use of navigation in minimally invasive spine surgery enhances the accuracy of instrumentation and decreases radiation exposure. It is yet to be determined whether patient-reported outcomes will differ. Further research on its effect on clinical outcomes may further define the future impact of navigation in minimally invasive spine surgery.

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Section: Navigated Percutaneous Pedicle Screw Fixationmentioning

confidence: 70%

Computer Navigation in Minimally Invasive Spine Surgery

Sembrano

Yson

Theismann

2019

Curr Rev Musculoskelet Med

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“…It is pertinent for healthcare personnel to reduce this exposure in the way procedures are ordered and performed especially in the specialty of spine surgery. Pedicle screw insertion is of major concern and has been the focus of reduction due to the radiation does to both patients and medical staff (26)(27)(28)(29)(30)(31)(32).…”

Section: Discussionmentioning

confidence: 99%

Decreasing radiation dose with FluoroLESS Standalone Anterior Cervical Fusion

Chin

Pencle

Quijada³

et al. 2018

J Spine Surg

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Background: Radiation dose continues to be a concern especially in the field of spine surgery, where anterior and posterior instrumentation is frequently utilized to treat multiple pathologies. The authors aim to demonstrate the feasibility of decreasing the radiation dose in standalone anterior cervical discectomy and fusion (ACDF). Methods: Standalone ACDF (S-ACDF) with 48 consecutive patients (Group 1) with a comparison control group with ACDF with an anterior cervical plate (ACP) of 49 patients (Group 2). Fluoroscopy was performed for positioning, identification of level, placement of the implant, each screw, final AP and lateral images for the first 20 patients in Group 1. Screw placement could then be performed confidently based on cosine rule of cosine (Ѳ) = adj/hyp. Results: Forty-eight patients in Group 1 (S-ACDF) and 49 patients in Group 2 (ACDF-ACP). Statistical significance not demonstrated for age, BMI or gender, P=0.691, 0.947 and 0.286 respectively. Mean radiation dose in group 1 of 17.9±6.6 mAs and 0.8±0.3 mSv was significantly less compared to group 2 which was 29.8±5.4 and 1.3±0.2 mSv, P<0.001. The average radiation dose for single-level fusion in Group 1 was 12.5±3.5 mAs and 0.5±0.1 mSv this is compared to Group 2 of 27.8±3.9 mAs and 1.2±0.2 mSv, P=0.001. The average radiation dose for two level fusion in Group 1 was 22.2±5.1 mAs and 0.9±0.2 mSv this is compared to Group 2 of 33.9±6.0 and 1.4±0.3 mSv, P=0.001. Conclusions: In the outpatient setting, S-ACDF has shown a statistically significant intergroup difference in overall radiation dose, as well as single and two-level fusions, (P<0.001). We conclude that S-ACDF can decrease overall radiation exposure to patients.

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“…VectorVision (BrainLAB, Germany) 102,106‐108 appeared four times. The Brainlab Curve navigation system (Brainlab AG, Munich, Germany) 104,109,110 appeared three times in papers. Medtronic Stealth S7 (Medtronic, Inc, Littleton, Massachusetts), 111,112 StealthStation TREON Plus (Medtronic Navigation, Louisville, Kentucky), 113,114 and the BrainLAB system 115,116 and Renaissance system (Mazor Robotics, Ltd, Caesarea, Israel) 76,100 appeared twice.…”

Section: Computer‐assisted Orthopaedic Surgery Navigation Systemsmentioning

confidence: 99%

“…It has also been found that the combination of spinal navigation and an intraoperative 3D perspective may overcome this shortcoming. 135,110,116,126,127 Villard et al 108 compared the radiation exposure of orthopaedic surgeons and 21 patients who underwent posterior lumbar internal fixation (10 cases with navigation and 11 hands‐on procedures). The plastic surgeon performing the PSP received 9.96 times the radiation received during an operation with a navigational system.…”

Section: Computer‐assisted Orthopaedic Surgery Navigation Systemsmentioning

confidence: 99%

A review of computer‐assisted orthopaedic surgery systems

Wang

Shang

et al. 2020

Robotics Computer Surgery

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Background: Computer-assisted orthopaedic surgery systems have great potential, but no review has focused on computer-assisted surgery systems for the spine, hip, and knee. Methods: A systematic search was performed in Web of Science and PubMed. We searched the literature on computer-assisted orthopaedic surgery systems from 2008 to the present and focused on three aspects of systems: training, planning, and intraoperative navigation. Results and discussion: In this review study, we reviewed 34 surgical training systems, 31 surgical planning systems, and 41 surgical navigation systems. The functions and characteristics of the surgical systems were compared and analysed, and the current concerns about and the impact of the surgical systems on doctors and surgery were clarified. Conclusion: Computer-assisted orthopaedic surgery systems are still in the development stage. Future surgical training systems should include synthetic models with patient anatomy. Surgical planning systems with automatic planning should be developed, and surgical navigation systems with multimodal fusion, robotic assistance and imaging should be developed.

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Comparative Cohort Study of Percutaneous Pedicle Screw Implantation without Versus with Navigation in Patients Undergoing Surgery for Degenerative Lumbar Disc Disease

Cited by 21 publications

References 58 publications

Computer Navigation in Minimally Invasive Spine Surgery

Computer Navigation in Minimally Invasive Spine Surgery

Decreasing radiation dose with FluoroLESS Standalone Anterior Cervical Fusion

A review of computer‐assisted orthopaedic surgery systems

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