Avaliação tomográfica do posicionamento de parafusos pediculares em deformidades na coluna torácica e lombar introduzidos com base na técnica "free hand"

D, Giubilei; Cavali, Paulo Tadeu Maia; Lehoczki, Maurício Antonelli; Rossato, Alexander Junqueira; Risso-Neto, Marcelo Italo; Zuiani, Guilherme Rebechi; Veiga, Ivan Guidolin; Pasqualini, Wagner; Landim, Elcio

doi:10.1590/s1808-18512011000400015

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The rate of malpositioning of pedicle screws is variable in the literature, with 3-44% using intraoperative radioscopy. 4 The O-Arm® is an intraoperative tomography that uses a navigation system for the three-dimensional reconstruction of images reproduced intraoperatively and in real time by devices that transmit and capture signals and information to reproduce the images on monitors, demonstrating the path and precise limits of the structures and allowing the screw to be inserted safely.²…”

Section: Introductionmentioning

confidence: 99%

The Use of the O-Arm® or Radioscope in Spine Surgery: Systematic Review With Meta-Analysis

Mistro Neto,

Matuoka,

Oliveira Junior

et al. 2024

Coluna/Columna

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The great advances in using new devices and imaging systems in surgeries aim to reproduce an ideal and safe scenario for the surgeon, the team, and the patient. New systems and devices are constantly available to demonstrate and facilitate intraoperative navigation, thereby reducing errors and avoiding complications for the patient and staff. This study evaluates and compares using the O-arm® system and radioscopy in the freehand technique in spine surgeries. For this, searches were conducted in PubMed and Embase for randomized and non-randomized studies using the O-arm® system and radioscopy in spine surgery. Twenty-four studies were included and compared regarding procedure time, accuracy of implant positioning, effective radiation dose, safety, and efficacy. In one study, the O-arm® group showed a shorter surgical time when compared to the freehand technique (222.5 min. [SD=38.0] vs. 255.2 min. [SD=40.3], p=0.011, respectively). In two studies, the freehand technique resulted in a lower effective radiation dose for patients. In 12 studies, a higher incidence of complications was observed among patients undergoing surgery with the freehand technique. It was concluded that using the O-arm® is associated with a reduction in malposition of implants and more safety for instrumented procedures. Still, no evidence exists that its use can result in less surgical time. Level of Evidence I; Diagnostic Analysis and Studies, Investigation of a Diagnostic Test.

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Section: Introductionmentioning

confidence: 99%

The Use of the O-Arm® or Radioscope in Spine Surgery: Systematic Review With Meta-Analysis

Mistro Neto,

Matuoka,

Oliveira Junior

et al. 2024

Coluna/Columna

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“…3 It is classified into different types, including congenital, neuromuscular, and idiopathic, 4 which corresponds to 65% of the cases. 5,6 Traumatic injuries to the spine and spinal cord can be defined as any injury to a spinal segment with or without involvement of the spinal cord and/ or the nerve roots, reaching annual worldwide rates of 50 cases per million individuals and incurring costs of $300 million per year. [7][8][9] It is also known that performing surgical procedures involving the spine has increased in recent years, resulting in an increase in postoperative complications, including death.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Mortality of Thoracolumbosacral Spinal Arthrodesis in Brazil: The Last 10 Years

Santos

D²,

Carvalho³

et al. 2020

Coluna/Columna

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Objective To describe the epidemiology and mortality of thoracolumbosacral arthrodesis surgery in Brazil in the last 10 years. Methods Study conducted using data from the SIH of the Unified Health System (SUS) covering the time period from 2008 to 2018 for all regions of Brazil. The data obtained were analyzed using the BioStat 5.3 program, using Chi-square statistical tests, observing a p-value <0.05 and a 95% confidence interval. Results A total of 66,631 anterior or posterior approach TLS surgeries were registered. The overall mortality rate was 9.37 deaths per thousand procedures. There are regions with mortality much higher than the national average. The mortality rate increases proportionally with the number of levels involved in posterior arthrodesis. Conclusions The study of the epidemiological profile of thoracolumbosacral arthrodesis is important, especially in a country whose population is heterogeneous but has different mortality rates among regions. Therefore, it is necessary to create measures that identify and prevent the factors that lead to the death of patients undergoing such a procedure. Level of evidence II; Retrospective, analytical, quantitative and descriptive study.

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Avaliação tomográfica do posicionamento de parafusos pediculares em deformidades na coluna torácica e lombar introduzidos com base na técnica "free hand"

Cited by 2 publications

References 12 publications

The Use of the O-Arm® or Radioscope in Spine Surgery: Systematic Review With Meta-Analysis

The Use of the O-Arm® or Radioscope in Spine Surgery: Systematic Review With Meta-Analysis

Epidemiology and Mortality of Thoracolumbosacral Spinal Arthrodesis in Brazil: The Last 10 Years

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