A new tool to improve pedicle screw placement accuracy in navigated spine surgery: a monocentric study

Nicoletti, Giovanni Federico; Furnari, Massimo; Giuffrida, Massimiliano; Ponzo, Giancarlo; Iacopino, Domenico Gerardo; Cammarata, Giacomo; Scalia, Gianluca; Graziano, Francesca

doi:10.23736/s0390-5616.20.04957-7

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…Among the treatment strategies for OVF, NOM continues to play a relevant role, although surgical intervention with VP or KP has demonstrated constant improvement in cement augmentation options and surgical techniques 40-42 .…”

Section: Discussionmentioning

confidence: 99%

“…This demographic change is expected to be associated with an increase in the incidence of osteoporosis 38 and associated OVFs 39 . Among the treatment strategies for OVF, NOM continues to play a relevant role, although surgical intervention with VP or KP has demonstrated constant improvement in cement augmentation options and surgical techniques [40][41][42] .…”

Section: Discussionmentioning

confidence: 99%

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Systematic Review and Meta-Analysis of 3 Treatment Arms for Vertebral Compression Fractures

et al. 2021

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Background: Osteoporotic vertebral fractures (OVFs) have become increasingly common, and previous nonrandomized and randomized controlled trials (RCTs) have compared the effects of cement augmentation versus nonoperative management on the clinical outcome. This meta-analysis focuses on RCTs and the calculated differences between cement augmentation techniques and nonsurgical management in outcome (e.g., pain reduction, adjacent-level fractures, and quality of life [QOL]). Methods: A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, and the following scientific search engines were used: MEDLINE, Embase, Cochrane, Web of Science, and Scopus. The inclusion criteria included RCTs that addressed different treatment strategies for OVF. The primary outcome was pain, which was determined by a visual analog scale (VAS) score; the secondary outcomes were the risk of adjacent-level fractures and QOL (as determined by the EuroQol-5 Dimension [EQ-5D] questionnaire, the Oswestry Disability Index [ODI], the Quality of Life Questionnaire of the European Foundation for Osteoporosis [QUALEFFO], and the Roland-Morris Disability Questionnaire [RDQ]). Patients were assigned to 3 groups according to their treatment: vertebroplasty (VP), kyphoplasty (KP), and nonoperative management (NOM). The short-term (weeks), midterm (months), and long-term (>1 year) effects were compared. A random effects model was used to summarize the treatment effect, including I 2 for assessing heterogeneity and the revised Cochrane risk-of-bias 2 (RoB 2) tool for assessment of ROB. Funnel plots were used to assess risk of publication bias. The log of the odds ratio (OR) between treatments is reported. Results: After screening of 1,861 references, 53 underwent full-text analysis and 16 trials (30.2%) were included. Eleven trials (68.8%) compared VP and NOM, 1 (6.3%) compared KP and NOM, and 4 (25.0%) compared KP and VP. Improvement of pain was better by 1.31 points (95% confidence interval [CI], 0.41 to 2.21; p < 0.001) after VP when compared with NOM in short-term follow-up. Pain effects were similar after VP and KP (midterm difference of 0.0 points; 95% CI, −0.25 to 0.25). The risk of adjacent-level fractures was not increased after any treatment (log OR, −0.16; 95% CI, −0.83 to 0.5; NOM vs. VP or KP). QOL did not differ significantly between the VP or KP and NOM groups except in the short term when measured by the RDQ. Conclusions: This meta-analysis provides evidence in favor of the surgical treatment of OVFs. Surgery was associated with greater improvement of pain and was unrelated to the development of adjacent-level fractures or QOL. Although improvements in sagittal balance after surgery were poorly documented, surgical treatment may be warranted if pain is a relevant problem. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Systematic Review and Meta-Analysis of 3 Treatment Arms for Vertebral Compression Fractures

et al. 2021

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“…[2][3][4] Intraoperative imaging devices such intraoperative computed tomography, O-ARM, Ziehm rfd, and Loop-X allow to verify the accuracy during the entire time of the procedure making misplacement impossible since the trajectory can be modified until getting the desired result, thus avoiding redo surgery with its high medicolegal risks. [5][6][7][8][9][10][11] Moving toward the cranial direction, also approaches to the craniovertebral junction are performed reducing of surgical damage to soft tissues; the use of endonasal approaches to C1-C2 has decreased morbidity and the odontoid screw fixation has been reported to be performed percutaneously. [12][13][14] Furthermore, vertebral corpectomy, invasive as well all know, can be accomplished with MIS technique for both traumatic and tumoral diseases, reducing surgical blood loss, patient's morbidity, and hospital stay saving costs.…”

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confidence: 99%

Letter to the editor regarding “lumbar interbody fusion: Techniques, pearls and pitfalls”

Tomasi

Winkler

2021

Asian J Neurosurg

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Fluoroscopy-Assisted Freehand Versus 3D-Navigated Imaging-Assisted Pedicle Screw Insertion: A Multicenter Study

Cammarata,

Scalia,

Costanzo

et al. 2023

Acta Neurochirurgica Supplement

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A new tool to improve pedicle screw placement accuracy in navigated spine surgery: a monocentric study

Cited by 5 publications

References 21 publications

Systematic Review and Meta-Analysis of 3 Treatment Arms for Vertebral Compression Fractures

Systematic Review and Meta-Analysis of 3 Treatment Arms for Vertebral Compression Fractures

Letter to the editor regarding “lumbar interbody fusion: Techniques, pearls and pitfalls”

Fluoroscopy-Assisted Freehand Versus 3D-Navigated Imaging-Assisted Pedicle Screw Insertion: A Multicenter Study

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