Use of navigation-assisted fluoroscopy to decrease radiation exposure during minimally invasive spine surgery

Kim, Choll W.; Lee, Yu-Po; Taylor, William R.; Oygar, Ahmet; Kim, Woo Kyung

doi:10.1016/j.spinee.2006.12.012

Cited by 209 publications

(112 citation statements)

References 13 publications

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“…Manual review of the reference sections of included studies yielded eight additional publications that met inclusion criteria and were included in this review. Thus, a total of 15 articles were included in our systematic review, none of which were case reports [1,3,6,8,11,12,15,16,18,19,21,[23][24][25]27] (Table 1).…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…We included nine publications with Level IV evidence (case series without comparison group) [3,6,12,15,16,21,23,24,27], four with Level III evidence (retrospective comparative study) [1,8,11,18], and two with Level II evidence (prospective comparative study) [19,25].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…Results from 99 MIS TLIF procedures (60 prospective, 39 retrospective) were included from five publications [1,8,11,19,25] (Table 1). The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

“…The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

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Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Sclafani

Kim

2014

Clinical Orthopaedics &Amp; Related Research

Self Cite

207

167

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Background There is an inherently difficult learning curve associated with minimally invasive surgical (MIS) approaches to spinal decompression and fusion. The association between complication rate and the learning curve remains unclear. Questions/purposes We performed a systematic review for articles that evaluated the learning curves of MIS procedures for the spine, defined as the change in frequency of complications and length of surgical time as case number increased, for five types of MIS for the spine. Methods We conducted a systematic review in the PubMed database using the terms ''minimally invasive spine surgery AND complications AND learning curve'' followed by a manual citation review of included manuscripts. Clinical outcome and learning curve metrics were categorized for analysis by surgical procedure (MIS lumbar decompression procedures, MIS transforaminal lumbar interbody fusion, percutaneous pedicle screw insertion, laparoscopic anterior lumbar interbody fusion, and MIS cervical procedures). As the most consistent parameters used to evaluate the learning curve were procedure time and complication rate as a function of chronologic case number, our analysis focused on these. The search strategy identified 15 original studies that included 966 minimally invasive procedures. Learning curve parameters were correlated to chronologic procedure number in 14 of these studies. Results The most common learning curve complication for decompressive procedures was durotomy. For fusion procedures, the most common complications were implant malposition, neural injury, and nonunion. The overall postoperative complication rate was 11% (109 of 966 cases). The learning curve was overcome for operative time and complications as a function of case numbers in 20 to 30 consecutive cases for most techniques discussed within this review. Conclusions The quantitative assessment of the procedural learning curve for MIS techniques for the spine remains challenging because the MIS techniques have different learning curves and because they have not been assessed in a consistent manner across studies. Complication rates may be underestimated by the studies we identified because surgeons tend to select patients carefully during the early learning curve period. The field of MIS would benefit from a standardization of study design and collected parameters in future learning curve investigations.

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Section: Search Strategy and Criteriamentioning

confidence: 99%

Section: Search Strategy and Criteriamentioning

confidence: 99%

Section: Mis Tlifmentioning

confidence: 99%

“…The evidence was classified as Level II in two of these studies [19,25] and as Level III in three studies [1,8,11].…”

Section: Mis Tlifmentioning

confidence: 99%

See 2 more Smart Citations

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Sclafani

Kim

2014

Clinical Orthopaedics &Amp; Related Research

Self Cite

207

167

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“…Radiation exposure was reduced with the use of the computer-assisted image guidance system. Kim et al [12] assessed radiation exposure in less invasive TLIF with instrumentation with standard C-arm fluoroscopy and 3-D reconstructed computer-assisted navigation. Radiation exposure was decreased to the patient with navigation.…”

Section: Use Of the Standard C-arm Fluoroscopy Compared With Fluoroscmentioning

confidence: 99%

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

Khan

2014

Clinical Orthopaedics &Amp; Related Research

104

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Imaging Equipment and Operating Room Setup

Brandão¹,

Chamness²

2015

Small Animal Laparoscopy and Thoracoscopy

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Use of navigation-assisted fluoroscopy to decrease radiation exposure during minimally invasive spine surgery

Cited by 209 publications

References 13 publications

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

Complications Associated With the Initial Learning Curve of Minimally Invasive Spine Surgery: A Systematic Review

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

Imaging Equipment and Operating Room Setup

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