Accuracy of pedicle screw insertion by AIRO

Autor: S, Rajasekaran, Manindra, Bhushan, Siddharth, Aiyer, Rishi, Kanna, Ajoy Prasad, Shetty
Rok vydání: 2017
Předmět:
Zdroj: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 27(9)
ISSN: 1432-0932
Popis: To develop a classification based on the technical complexity encountered during pedicle screw insertion and to evaluate the performance of AIRO31 complex spinal deformity correction surgeries were prospectively analyzed for performance of AIRO452 pedicle screws were inserted (T1-T6: 116; T7-T12: 171; L1-S1: 165). The average Cobb angle was 68.3° (range 60°-104°). We had 242 grade 2 pedicles, 133 grade 3, and 77 grade 4, and 44 pedicles were unfit for pedicle screw insertion. We noted 27 pedicle screw breach (medial: 10; lateral: 16; anterior: 1). Among lateral breach (n = 16), ten screws were planned for in-out-in pedicle screw insertion. Among lateral breach (n = 16), ten screws were planned for in-out-in pedicle screw insertion. Average screw insertion time was 1.76 ± 0.89 min. After accounting for planned breach, the effective breach rate was 3.8% resulting in 96.2% accuracy for pedicle screw placement.This classification helps compare the accuracy of screw insertion in range of conditions by considering the complexity of screw insertion. Considering the clinical scenario of complex pedicle anatomy in spinal deformity AIRO
Databáze: OpenAIRE