Navigated robotic assistance improves pedicle screw accuracy in minimally invasive surgery of the lumbosacral spine: 600 pedicle screws in a single institution
| Autor: | Samantha L Greeley, Grant A. Booher, Arnold B. Vardiman, David J. Wallace, Jessica R Riggleman, Neil R. Crawford, Charles G. Ledonio |
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| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Lumbosacral spine Radiography Biophysics 03 medical and health sciences Postoperative Complications 0302 clinical medicine Spine surgery Robotic Surgical Procedures Pedicle Screws medicine Medical imaging Humans Minimally Invasive Surgical Procedures Single institution Pedicle screw Aged business.industry Lumbosacral Region Middle Aged equipment and supplies musculoskeletal system Computer Science Applications Surgery surgical procedures operative 030220 oncology & carcinogenesis Invasive surgery Female business 030217 neurology & neurosurgery Lumbosacral joint |
| Zdroj: | The International Journal of Medical Robotics and Computer Assisted Surgery. 16 |
| ISSN: | 1478-596X 1478-5951 |
| Popis: | Background In the emerging field of robot-assisted spine surgery, radiographic evaluation of pedicle screw accuracy in the surgical setting is of high interest. Advances in medical imaging have improved the accuracy of pedicle screw placement, from fluoroscopy-guided to computer-aided navigation. Methods A retrospective, institutional review board-exempt review of the first 106 navigated robot-assisted spine surgery cases was performed. Radiographic evaluation of preoperative and postoperative computerized tomography (CT) scans were collected. Results In the first 106 cases, 630 lumbosacral pedicle screws were placed. Thirty screws were placed in five patients without the robot because of surgeon discretion. Of the 600 pedicle screws inserted by navigated robotic guidance, only 1.5% (9/600) were repositioned intraoperatively. Conclusion This study demonstrated a high level of accuracy (98.2%) in terms of grade A or B pedicle screw breach scores in the clinical use of navigated, robot-assisted surgery in its first 101 cases. |
| Databáze: | OpenAIRE |
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