O-arm with navigation versus C-arm: a review of screw placement over 3 years at a major trauma center

Verma, Satish; Singh, Pankaj Kumar; Agrawal, Deepak; Sinha, Sumit; Gupta, Deepak; Satyarthee, Guru Dutta; Sharma, Bhavani Shankar

doi:10.1080/02688697.2016.1206179

Cited by 53 publications

(36 citation statements)

References 21 publications

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“…Image guidance provided using intraoperative cone-beam CT has already been shown to be superior to freehand placement. 33,38 As mentioned previously, the ROSA robot does incorporate image guidance into its system, in addition to having the robotic arm.…”

Section: Discussionmentioning

confidence: 99%

Current applications of robotics in spine surgery: a systematic review of the literature

Joseph

Smith

2017

Neurosurgical Focus

164

144

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OBJECTIVESurgical robotics has demonstrated utility across the spectrum of surgery. Robotics in spine surgery, however, remains in its infancy. Here, the authors systematically review the evidence behind robotic applications in spinal instrumentation.METHODSThis systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Relevant studies (through October 2016) that reported the use of robotics in spinal instrumentation were identified from a search of the PubMed database. Data regarding the accuracy of screw placement, surgeon learning curve, radiation exposure, and reasons for robotic failure were extracted.RESULTSTwenty-five studies describing 2 unique robots met inclusion criteria. Of these, 22 studies evaluated accuracy of spinal instrumentation. Although grading of pedicle screw accuracy was variable, the most commonly used method was the Gertzbein and Robbins system of classification. In the studies using the Gertzbein and Robbins system, accuracy (Grades A and B) ranged from 85% to 100%. Ten studies evaluated radiation exposure during the procedure. In studies that detailed fluoroscopy usage, overall fluoroscopy times ranged from 1.3 to 34 seconds per screw. Nine studies examined the learning curve for the surgeon, and 12 studies described causes of robotic failure, which included registration failure, soft-tissue hindrance, and lateral skiving of the drill guide.CONCLUSIONSRobotics in spine surgery is an emerging technology that holds promise for future applications. Surgical accuracy in instrumentation implanted using robotics appears to be high. However, the impact of robotics on radiation exposure is not clear and seems to be dependent on technique and robot type.

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Section: Discussionmentioning

confidence: 99%

Current applications of robotics in spine surgery: a systematic review of the literature

Joseph

Smith

2017

Neurosurgical Focus

164

144

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“…Every intensivist carries a pocket sonography probe in order to diagnose and guide the treatment of patients in and out of the intensive care unit (ICU) [3,4]. The ultrasonography probe is the shape of a pencil with a wide frequency range (1)(2)(3)(4)(5)(6)(7)(8)(9)(10) and wireless connection to a cellular phone and/or the operator's watch. The image may be projected onto the cellular screen, to a heads-up display worn by the clinician, or to a larger screen for training or conferencing purposes.…”

Section: Ultrasonographymentioning

confidence: 99%

“…Previous experience with CT scanner relocation in the operating room to perform vertebroplasty [8] or nodule ablation [9] has been extended to the ICU. By 2050, a dedicated low dose CT-scan [10] will be present *Correspondence: eric.maury@aphp.frin every ICU allowing accurate and total body imaging of the most severe ICU patients (i.e.…”

Section: X-raysmentioning

confidence: 99%

Intensive Care Medicine in 2050: the future of medical imaging

2017

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“…In cases of suspected spinal mal-alignment, skeletal traction with tongs is applied at the earliest even if clinically no evidence of neurologic deficit exists. [2,3] Detailed neuroimaging evaluation is indicated in patient with myelopathy features, altered sensorium from head injury or intoxication with severe neck pain or tenderness or patients of poly-trauma [4,5,6] …”

Section: Introductionmentioning

confidence: 99%

“…However, rehabilitation and social inclusion are also important steps towards managing cases of spine injury suffers. [4,6,8] …”

mentioning

confidence: 99%

Large armored bridging over fractured vertebra with intraspinal tumor mimicking bony mass caused by migrated fragments of burst cervical vertebra presenting with severe cervical myelopathy

Satyarthee¹,

Moscote-Salazar²

2017

Romanian Neurosurgery

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Vertebral body may get displaced anterior or posteror with elements of rotation. However, burst cervical spine vertebral fracture may migrate anteriorly and posteriorly simultaneously. However anterior displaced fragment forming armor like mass is very rare. Similarly, the posteriorly propelled fragments migrating caudally and posterolaterally producing a large osseous mass inside spinal canal mimicking bony tumour causing severe cervical canal stenosis and presenting with marked myelopathy is extremely rare. To the best knowledge of authors, association of such traumatic dual pathology represents first of its kind in western literature, who was neglected early medical advice and presenting with marked compressive cervical myelopathy. She underwent successful surgical decompression with gradual recovery of spastic limb weakness and recovery of sensation. Authors also highlights the importance of early resuscitation and adequate maintainace of mean arterial pressure following acute spinal cord injury. Pertinent literature is briefly reviewed.

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O-arm with navigation versus C-arm: a review of screw placement over 3 years at a major trauma center

Cited by 53 publications

References 21 publications

Current applications of robotics in spine surgery: a systematic review of the literature

Current applications of robotics in spine surgery: a systematic review of the literature

Intensive Care Medicine in 2050: the future of medical imaging

Large armored bridging over fractured vertebra with intraspinal tumor mimicking bony mass caused by migrated fragments of burst cervical vertebra presenting with severe cervical myelopathy

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