Application of Intraoperative Computed Tomography With or Without Navigation System in Surgical Correction of Spinal Deformity: A Preliminary Result of 59 Consecutive Human Cases
A retrospective analysis of patients undergoing spinal deformity correction surgery by the assistance of intraoperative computed tomography (iCT) with or without navigation system. To share our preliminary experience and analysis of the iCT navigation system applied to spinal deformity surgery. The...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2012-05, Vol.37 (10), p.891-900 |
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| creator | GENG CUI YAN WANG KEYA MAO ZHENG WANG XUESONG ZHANG XINCHENG YUAN TIANXIANG DONG SONGHUA XIAO KAO, Ting-Hsien YONGGANG ZHANG ZHENGSHENG LIU BAOWEI LIU JIE LI XIFENG ZHANG SHOURONG ZHU NING LU |
| description | A retrospective analysis of patients undergoing spinal deformity correction surgery by the assistance of intraoperative computed tomography (iCT) with or without navigation system.
To share our preliminary experience and analysis of the iCT navigation system applied to spinal deformity surgery.
The iCT navigation system has been shown to improve accuracy and safety in posterior instrumentation. It not only decreased the operation time but also prevented excessive radiation exposure to the medical staff. To date, there are only few reports about the application of the iCT navigation system in spinal deformity surgery.
From April 2009 to September 2010, 59 patients who had a diagnosis of scoliosis, kyphosis, or scoliokyphosis and underwent iCT-assisted surgical correction were included. Without randomization, 28 patients were operated with the iCT-navigation system, and the other 31 patients were operated with standard procedure under iCT assistance. The detailed procedures, preoperative and intraoperative images were illustrated. The accuracy of screw placement, time for screw insertion, postoperative correction rate, and iCT scanning data were analyzed.
There were significant differences between 2 groups in (1) the preoperative Cobb angle (76.2° and 62.6° in the navigation and non-navigation groups), (2) the accuracy and the revision rate of thoracic pedicle screws and total pedicle screws, and (3) the average screw insertion time. The breach rate and the revision rate of thoracic pedicle screws and total pedicle screws were significantly lower and the average screw insertion time was significantly lesser in the navigation group than in the non-navigation group. There were no statistically significant difference in (1) the breach rate and the revision rate of lumbar pedicle screws, (2) the mean iCT scanning time and time-out, (3) the mean number of fusion segments, (4) the mean number of iCT scans, and (5) the postoperative correction rate. Complications were encountered in 2 patients in the non-navigation group but none in the navigation group. There was no reoperation due to implant malposition in both groups.
The iCT navigation system provides desirable accuracy of posterior spinal instrumentation for patients during surgical correction of spinal deformity without radiation exposure to the medical staff, especially in thoracic spine instrumentation. Meanwhile, the iCT in itself is an effective means of assessing complex instrumentation of the spinal def |
| doi_str_mv | 10.1097/BRS.0b013e31823aff81 |
| format | Article |
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To share our preliminary experience and analysis of the iCT navigation system applied to spinal deformity surgery.
The iCT navigation system has been shown to improve accuracy and safety in posterior instrumentation. It not only decreased the operation time but also prevented excessive radiation exposure to the medical staff. To date, there are only few reports about the application of the iCT navigation system in spinal deformity surgery.
From April 2009 to September 2010, 59 patients who had a diagnosis of scoliosis, kyphosis, or scoliokyphosis and underwent iCT-assisted surgical correction were included. Without randomization, 28 patients were operated with the iCT-navigation system, and the other 31 patients were operated with standard procedure under iCT assistance. The detailed procedures, preoperative and intraoperative images were illustrated. The accuracy of screw placement, time for screw insertion, postoperative correction rate, and iCT scanning data were analyzed.
There were significant differences between 2 groups in (1) the preoperative Cobb angle (76.2° and 62.6° in the navigation and non-navigation groups), (2) the accuracy and the revision rate of thoracic pedicle screws and total pedicle screws, and (3) the average screw insertion time. The breach rate and the revision rate of thoracic pedicle screws and total pedicle screws were significantly lower and the average screw insertion time was significantly lesser in the navigation group than in the non-navigation group. There were no statistically significant difference in (1) the breach rate and the revision rate of lumbar pedicle screws, (2) the mean iCT scanning time and time-out, (3) the mean number of fusion segments, (4) the mean number of iCT scans, and (5) the postoperative correction rate. Complications were encountered in 2 patients in the non-navigation group but none in the navigation group. There was no reoperation due to implant malposition in both groups.
The iCT navigation system provides desirable accuracy of posterior spinal instrumentation for patients during surgical correction of spinal deformity without radiation exposure to the medical staff, especially in thoracic spine instrumentation. Meanwhile, the iCT in itself is an effective means of assessing complex instrumentation of the spinal deformity.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e31823aff81</identifier><identifier>PMID: 22024897</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Bone Screws ; Cerebrospinal fluid. Meninges. Spinal cord ; Child ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Kyphosis - diagnostic imaging ; Kyphosis - surgery ; Male ; Medical sciences ; Monitoring, Intraoperative - instrumentation ; Monitoring, Intraoperative - methods ; Nervous system (semeiology, syndromes) ; Neurology ; Retrospective Studies ; Scoliosis - diagnostic imaging ; Scoliosis - surgery ; Tomography, X-Ray Computed - instrumentation ; Tomography, X-Ray Computed - methods ; Traumas. Diseases due to physical agents ; Young Adult</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2012-05, Vol.37 (10), p.891-900</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-c9528e25ba1437c63f569c95b6b1eb7f35f9f7345eafacad0a2cd7f294750f643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25863503$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22024897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GENG CUI</creatorcontrib><creatorcontrib>YAN WANG</creatorcontrib><creatorcontrib>KEYA MAO</creatorcontrib><creatorcontrib>ZHENG WANG</creatorcontrib><creatorcontrib>XUESONG ZHANG</creatorcontrib><creatorcontrib>XINCHENG YUAN</creatorcontrib><creatorcontrib>TIANXIANG DONG</creatorcontrib><creatorcontrib>SONGHUA XIAO</creatorcontrib><creatorcontrib>KAO, Ting-Hsien</creatorcontrib><creatorcontrib>YONGGANG ZHANG</creatorcontrib><creatorcontrib>ZHENGSHENG LIU</creatorcontrib><creatorcontrib>BAOWEI LIU</creatorcontrib><creatorcontrib>JIE LI</creatorcontrib><creatorcontrib>XIFENG ZHANG</creatorcontrib><creatorcontrib>SHOURONG ZHU</creatorcontrib><creatorcontrib>NING LU</creatorcontrib><title>Application of Intraoperative Computed Tomography With or Without Navigation System in Surgical Correction of Spinal Deformity: A Preliminary Result of 59 Consecutive Human Cases</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A retrospective analysis of patients undergoing spinal deformity correction surgery by the assistance of intraoperative computed tomography (iCT) with or without navigation system.
To share our preliminary experience and analysis of the iCT navigation system applied to spinal deformity surgery.
The iCT navigation system has been shown to improve accuracy and safety in posterior instrumentation. It not only decreased the operation time but also prevented excessive radiation exposure to the medical staff. To date, there are only few reports about the application of the iCT navigation system in spinal deformity surgery.
From April 2009 to September 2010, 59 patients who had a diagnosis of scoliosis, kyphosis, or scoliokyphosis and underwent iCT-assisted surgical correction were included. Without randomization, 28 patients were operated with the iCT-navigation system, and the other 31 patients were operated with standard procedure under iCT assistance. The detailed procedures, preoperative and intraoperative images were illustrated. The accuracy of screw placement, time for screw insertion, postoperative correction rate, and iCT scanning data were analyzed.
There were significant differences between 2 groups in (1) the preoperative Cobb angle (76.2° and 62.6° in the navigation and non-navigation groups), (2) the accuracy and the revision rate of thoracic pedicle screws and total pedicle screws, and (3) the average screw insertion time. The breach rate and the revision rate of thoracic pedicle screws and total pedicle screws were significantly lower and the average screw insertion time was significantly lesser in the navigation group than in the non-navigation group. There were no statistically significant difference in (1) the breach rate and the revision rate of lumbar pedicle screws, (2) the mean iCT scanning time and time-out, (3) the mean number of fusion segments, (4) the mean number of iCT scans, and (5) the postoperative correction rate. Complications were encountered in 2 patients in the non-navigation group but none in the navigation group. There was no reoperation due to implant malposition in both groups.
The iCT navigation system provides desirable accuracy of posterior spinal instrumentation for patients during surgical correction of spinal deformity without radiation exposure to the medical staff, especially in thoracic spine instrumentation. Meanwhile, the iCT in itself is an effective means of assessing complex instrumentation of the spinal deformity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Kyphosis - diagnostic imaging</subject><subject>Kyphosis - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Monitoring, Intraoperative - instrumentation</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Retrospective Studies</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Scoliosis - surgery</subject><subject>Tomography, X-Ray Computed - instrumentation</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Young Adult</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd1u1DAQhS1ERZfCGyDkG6TepPVPnMTcLVuglSpA3SIuI8c73hrFcfBPpX0tnhC3uwWJC2uso2_O2HMQekPJGSWyPf9wsz4jA6EcOO0YV8Z09BlaUMG6ilIhn6MF4Q2rWM2bY_Qyxp-EkIZT-QIdM0ZY3cl2gX4v53m0WiXrJ-wNvppSUH6GUJR7wCvv5pxgg2-989ug5rsd_mHTHfbhsfqc8Bd1b7d7g_UuJnDYllsO22I7FocQQD_Zr2c7FfECjA_Opt17vMTfAozWFT3s8A3EPKYHUsjSOkXQ-fEhl9mpCa9UhPgKHRk1Rnh9qCfo-6ePt6vL6vrr56vV8rrSnIpUaVk2AUwMita81Q03opFFHJqBwtAaLow0La8FKKO02hDF9KY1TNatIKap-Qk63fvOwf_KEFPvbNQwjmoCn2NPCSW1LKcpaL1HdfAxBjD9HKwrHypQ_5BWX9Lq_0-rtL09TMiDg83fpqd4CvDuAKhYlmmCmrSN_zjRNVwQzv8Ajs6iVg</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>GENG CUI</creator><creator>YAN WANG</creator><creator>KEYA MAO</creator><creator>ZHENG WANG</creator><creator>XUESONG ZHANG</creator><creator>XINCHENG YUAN</creator><creator>TIANXIANG DONG</creator><creator>SONGHUA XIAO</creator><creator>KAO, Ting-Hsien</creator><creator>YONGGANG ZHANG</creator><creator>ZHENGSHENG LIU</creator><creator>BAOWEI LIU</creator><creator>JIE LI</creator><creator>XIFENG ZHANG</creator><creator>SHOURONG ZHU</creator><creator>NING LU</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120501</creationdate><title>Application of Intraoperative Computed Tomography With or Without Navigation System in Surgical Correction of Spinal Deformity: A Preliminary Result of 59 Consecutive Human Cases</title><author>GENG CUI ; YAN WANG ; KEYA MAO ; ZHENG WANG ; XUESONG ZHANG ; XINCHENG YUAN ; TIANXIANG DONG ; SONGHUA XIAO ; KAO, Ting-Hsien ; YONGGANG ZHANG ; ZHENGSHENG LIU ; BAOWEI LIU ; JIE LI ; XIFENG ZHANG ; SHOURONG ZHU ; NING LU</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-c9528e25ba1437c63f569c95b6b1eb7f35f9f7345eafacad0a2cd7f294750f643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Screws</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Kyphosis - diagnostic imaging</topic><topic>Kyphosis - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Monitoring, Intraoperative - instrumentation</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Retrospective Studies</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Scoliosis - surgery</topic><topic>Tomography, X-Ray Computed - instrumentation</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Traumas. 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To share our preliminary experience and analysis of the iCT navigation system applied to spinal deformity surgery.
The iCT navigation system has been shown to improve accuracy and safety in posterior instrumentation. It not only decreased the operation time but also prevented excessive radiation exposure to the medical staff. To date, there are only few reports about the application of the iCT navigation system in spinal deformity surgery.
From April 2009 to September 2010, 59 patients who had a diagnosis of scoliosis, kyphosis, or scoliokyphosis and underwent iCT-assisted surgical correction were included. Without randomization, 28 patients were operated with the iCT-navigation system, and the other 31 patients were operated with standard procedure under iCT assistance. The detailed procedures, preoperative and intraoperative images were illustrated. The accuracy of screw placement, time for screw insertion, postoperative correction rate, and iCT scanning data were analyzed.
There were significant differences between 2 groups in (1) the preoperative Cobb angle (76.2° and 62.6° in the navigation and non-navigation groups), (2) the accuracy and the revision rate of thoracic pedicle screws and total pedicle screws, and (3) the average screw insertion time. The breach rate and the revision rate of thoracic pedicle screws and total pedicle screws were significantly lower and the average screw insertion time was significantly lesser in the navigation group than in the non-navigation group. There were no statistically significant difference in (1) the breach rate and the revision rate of lumbar pedicle screws, (2) the mean iCT scanning time and time-out, (3) the mean number of fusion segments, (4) the mean number of iCT scans, and (5) the postoperative correction rate. Complications were encountered in 2 patients in the non-navigation group but none in the navigation group. There was no reoperation due to implant malposition in both groups.
The iCT navigation system provides desirable accuracy of posterior spinal instrumentation for patients during surgical correction of spinal deformity without radiation exposure to the medical staff, especially in thoracic spine instrumentation. Meanwhile, the iCT in itself is an effective means of assessing complex instrumentation of the spinal deformity.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>22024897</pmid><doi>10.1097/BRS.0b013e31823aff81</doi><tpages>10</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2012-05, Vol.37 (10), p.891-900 |
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| subjects | Adolescent Adult Biological and medical sciences Bone Screws Cerebrospinal fluid. Meninges. Spinal cord Child Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Kyphosis - diagnostic imaging Kyphosis - surgery Male Medical sciences Monitoring, Intraoperative - instrumentation Monitoring, Intraoperative - methods Nervous system (semeiology, syndromes) Neurology Retrospective Studies Scoliosis - diagnostic imaging Scoliosis - surgery Tomography, X-Ray Computed - instrumentation Tomography, X-Ray Computed - methods Traumas. Diseases due to physical agents Young Adult |
| title | Application of Intraoperative Computed Tomography With or Without Navigation System in Surgical Correction of Spinal Deformity: A Preliminary Result of 59 Consecutive Human Cases |
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