Routine spinal navigation for thoraco–lumbar pedicle screw insertion using the O-arm three-dimensional imaging system improves placement accuracy

Ling, Ji Min; Dinesh, Shree Kumar; Pang, Boon Chuan; Chen, Luyang; Lim, Heng Lip; Louange, Danny Thomas; Yu, Chun Sing; Wang, Chee Meng Ernest

doi:10.1016/j.jocn.2013.02.034

Cited by 50 publications

(33 citation statements)

References 34 publications

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“…In CAOS, a real-time navigation system can be applied as a definitive tool to determine the final bone position in the absence of positioning guides, or act as an additional instrument to guide the osteotomies and check the bone movement. The real-time navigation system has been applied currently in various surgical specialties such as spinal surgery, 40 …”

Section: Design and Preparation Of Intraoperative Guidancementioning

confidence: 99%

Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: A literature review

Lin

2015

Journal of the Formosan Medical Association

107

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By incorporating three-dimensional (3D) imaging and computer-aided design and manufacturing techniques, 3D computer-assisted technology has been applied widely to provide accurate guidance for assessment and treatment planning in clinical practice. This technology has recently been used in orthognathic surgery to improve surgical planning and outcome. The modality will gradually become popular. This study reviewed the literature concerning the use of computer-assisted techniques in orthognathic surgery including surgical planning, simulation, intraoperative translation of the virtual surgery, and postoperative evaluation. A Medline, PubMed, ProQuest, and ScienceDirect search was performed to find relevant articles with regard to 3D computer-assisted orthognathic surgery in the past 10 years. A total of 460 articles were revealed, out of which 174 were publications addressed the topic of this study. The purpose of this article is to present an overview of the state-of-art methods for 3D computer-assisted technology in orthognathic surgery. From the review we can conclude that the use of computer-assisted technique in orthognathic surgery provides the benefit of optimal functional and aesthetic results, patient satisfaction, precise translation of the treatment plan, and facilitating intraoperative manipulation.

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Section: Design and Preparation Of Intraoperative Guidancementioning

confidence: 99%

Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: A literature review

Lin

2015

Journal of the Formosan Medical Association

107

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“…5,6 Examples of these techniques include the use of anatomic landmarks, 7 laminotomy for palpation of the pedicle, plain radiography, fluoroscopic imaging (standard or image guidance), 8,9 and CT image guidance. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Extensive literature has been published describing the technique, benefits, and drawbacks of each method, as well as comparisons between different approaches. [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] With its increasing use has come a multitude of studies regarding the safety of this technique.…”

Section: Introductionmentioning

confidence: 99%

Reliability of the Planned Pedicle Screw Trajectory versus the Actual Pedicle Screw Trajectory using Intra-operative 3D CT and Image Guidance

et al. 2016

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“…The variability can also be explained by the free-hand method's reliance on surgeon technique preferences, not producing easily reproducible parameters for other surgeons 1 . In contrast to the free-hand method, studies illustrating the used of image-guided techniques have reported an accuracy range of 91.5% to 97.7%, overall much higher than the average accuracies reported for the free-hand technique 3,9,15,17,18,22,27 .…”

Section: Discussionmentioning

confidence: 78%

Thoracic, Lumbar, and Sacral Pedicle Screw Placement Using Stryker-Ziehm Virtual Screw Technology and Navigated Stryker Cordless Driver 3: Technical Note

Satarasinghe¹,

Hamilton²,

Tarver³

et al. 2018

Preprint

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Object. Utilization of pedicle screws (PS) for spine stabilization is common in spinal surgery. With reliance on visual inspection of anatomical landmarks prior to screw placement, the free-hand technique requires a high level of surgeon skill and precision. Three-dimensional (3D) computer-assisted virtual neuronavigation improves the precision of PS placement and minimize steps. Methods. Twenty-three patients with degenerative, traumatic, or neoplastic pathologies received treatment via a novel three-step PS technique that utilizes a navigated power driver in combination with virtual screw technology. 1) Following visualization of neuroanatomy using intraoperative CT, a navigated 3-mm match stick drill bit was inserted at anatomical entry point with screen projection showing virtual screw. 2) Navigated Stryker Cordless Driver with appropriate tap was used to access vertebral body through pedicle with screen projection again showing virtual screw. 3) Navigated Stryker Cordless Driver with actual screw was used with screen projection showing the same virtual screw. One hundred and forty-four consecutive screws were inserted using this three-step, navigated driver, virtual screw technique. Results. Only 1 screw needed intraoperative revision after insertion using the three-step, navigated driver, virtual PS technique. This amounts to a 0.69% revision rate. One hundred percent of patients had intraoperative CT reconstructed images to confirm hardware placement. Conclusions. Pedicle screw placement utilizing the Stryker-Ziehm neuronavigation virtual screw technology with a three step, navigated power drill technique is safe and effective.

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Routine spinal navigation for thoraco–lumbar pedicle screw insertion using the O-arm three-dimensional imaging system improves placement accuracy

Cited by 50 publications

References 34 publications

Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: A literature review

Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: A literature review

Reliability of the Planned Pedicle Screw Trajectory versus the Actual Pedicle Screw Trajectory using Intra-operative 3D CT and Image Guidance

Thoracic, Lumbar, and Sacral Pedicle Screw Placement Using Stryker-Ziehm Virtual Screw Technology and Navigated Stryker Cordless Driver 3: Technical Note

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