Safety and Efficacy of Power-Assisted Pedicle Tract Preparation and Screw Placement

Seehausen, Derek A.; Skaggs, David L.; Andras, Lindsay M.; Javidan, Yashar

doi:10.1016/j.jspd.2014.07.001

Cited by 22 publications

(24 citation statements)

References 33 publications

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“…Despite that, preclinical studies showed comparable [ 15 – 17 ] fixation strength between the two. Conversely, a clinical study by Seehausen et al [ 18 ] showed a significantly lower failure rate for power-assisted placed screws. One possible explanation for that is the reduction in the wobble phenomenon, which may improve the bone-screw interface, but this point requires further investigation, hopefully from both clinical and preclinical studies.…”

Section: Pull-out Strengthmentioning

confidence: 98%

“…Considering the wide spread of pedicle screws and of the use of power tools in other districts, it is surprising that the first retrospective study about this topic has been written by Seehausen et al [ 18 ] only in 2015. They used a 2 mm drill bit to create the tract, and then they expanded it with a 3.22 mm bit; they then inserted the screw without any prior tap.…”

Section: Pull-out Strengthmentioning

confidence: 99%

“…In their study comparing manual versus power-assisted screw placement on 442 cases, Seehausen et al [ 18 ] found only one direct injury occurred, in the power-assisted group, a minor hemothorax. However, statistical analysis revealed a comparable risk of injury per screw between the two groups, confirming the safety profile of the technique.…”

Section: Safetymentioning

confidence: 99%

“…Seehausen et al [ 18 ] found that power method was associated with shorter fluoroscopy time (37.44 ± 15.70 s vs. 55.40 ± 32.53 s; p < 0.001), resulting in a reduced radiological risk both for the surgeon and patients.…”

Section: Fluoroscopy Timementioning

confidence: 99%

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Power-assisted pedicle screws placement: Is it as safe and as effective as manual technique? Narrative review of the literature and our technique

et al. 2021

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Pedicle screws are the gold standard in spine surgery, allowing a solid tricolumnar fixation which is unmatched by hooks and wires. The freehand technique is the most widely adopted for pedicle screws placing. While freehand technique has been classically performed with manual tools, there has been a recent trend toward the use of power tools. The aim of this review is to summarize and expose potential risks and advantages of power pedicle screws placing. The literature showed that the use of power tools offers an acceptable safety profile, comparable to manual technique. With an adequate training, the power technique may speed up the screw placing, reduce the fluoroscopy time and the physical stress to the spine surgeon. Regarding differences in pull-out strength between power and manual techniques, the literature is still uncertain and inconsistent, both in clinical and preclinical studies. The choice between the use of power and manual freehand pedicle screws placing is still based on the surgeon’s own preference.

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Section: Pull-out Strengthmentioning

confidence: 98%

Section: Pull-out Strengthmentioning

confidence: 99%

Section: Safetymentioning

confidence: 99%

Section: Fluoroscopy Timementioning

confidence: 99%

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Power-assisted pedicle screws placement: Is it as safe and as effective as manual technique? Narrative review of the literature and our technique

et al. 2021

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“…Seehausen et al suggested that the use of power tools to place pedicle screws can provide shorter fluoroscopy times and lower revision rates than the use of manual tools and that both techniques had similar low risks of injury to patients 13) . We have used power tools in many cases involving open surgeries or minimally invasive spine stabilization (MISt) procedures.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Percutaneous Pedicle Screw Placement Using a Power Tool

Kojima

Fujii

Morioka

et al. 2018

Spine Surg Relat Res

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Abstract:Introduction: This study compared traditional manual methods and power tool use with regard to the speed and accuracy of percutaneous pedicle screw (PPS) placement and determined the advantages associated with the use of power tools.Although the indication of PPS placement in minimally invasive spine stabilization (MISt) procedures has been recently expanded, there are no reports on PPS insertion using a power tool.Methods: We evaluated 35 patients who underwent PPS insertion using a power tool during MISt procedures. On one side, PPS insertion was performed using the manual (M) method, whereas on the contralateral side, insertion was performed using the power tool (P) method. We assessed the number of implanted PPSs, time taken to implant PPSs after guidewire insertion, and accuracy of PPS placement as ranked postoperatively using computed tomography images.Results: A total of 294 PPSs were inserted (147 using the M method and 147 using the P method). The mean PPS insertion time was 10.5 s using the P method and 27.4 s using the M method. The time required for inserting a screw using the P method remained consistent in the range of 10-15 s, whereas the time using the M method tended to increase from the second screw onward, with a range of 25-30 s. With regard to PPS insertion accuracy, a 2 mm or more pedicle breach was noted in 2 (1.4%) case after the P method and in 2 (1.4%) case after the M method.Conclusions: PPS placement using power tools has the potential to save the surgical time during MISt procedures.

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Image-Based Navigation: Instrumentation

Farooqi,

Gupta,

Mitchell

et al. 2024

Navigation, Robotics and 3D Printing in Spine Surgery

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Safety and Efficacy of Power-Assisted Pedicle Tract Preparation and Screw Placement

Abstract: The use of power tools to create pedicle tracts and place pedicle screws was associated with shorter fluoroscopy times and a lower revision rate compared with using manual tools. Both techniques posed similar low risks of injury to the patient.

Cited by 22 publications

References 33 publications

Power-assisted pedicle screws placement: Is it as safe and as effective as manual technique? Narrative review of the literature and our technique

Power-assisted pedicle screws placement: Is it as safe and as effective as manual technique? Narrative review of the literature and our technique

Safety and Efficacy of Percutaneous Pedicle Screw Placement Using a Power Tool

Image-Based Navigation: Instrumentation

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