Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion
To compare one-time accuracy rate between simulated freehand (SFH) and navigation simulated (NS) pedicle screw insertion, assuming no second chance to correct screws. A simulated, comparative, cross-sectional study was conducted on 69 patients undergoing lumbar spine surgery. An intraoperative regis...
Gespeichert in:
| Veröffentlicht in: | World neurosurgery 2019-08, Vol.128, p.e347-e354 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e354 |
|---|---|
| container_issue | |
| container_start_page | e347 |
| container_title | World neurosurgery |
| container_volume | 128 |
| creator | Xu, Yun-Feng Zhang, Qi Le, Xiao-Feng Liu, Bo He, Da Sun, Yu-Qin Liu, Ya-Jun Yuan, Qiang Lang, Zhao Han, Xiao-Guang Tian, Wei |
| description | To compare one-time accuracy rate between simulated freehand (SFH) and navigation simulated (NS) pedicle screw insertion, assuming no second chance to correct screws.
A simulated, comparative, cross-sectional study was conducted on 69 patients undergoing lumbar spine surgery. An intraoperative registration system captured the planned point of entry and trajectory of pedicle screws for both SFH under direct visualization and NS under navigation-aided visualization. Pedicle screw insertion was simulated for each captured image (370 screws) using Surgimap. Rajasekaran's method helped evaluate the point of entry accuracy and trajectory.
Accuracy rate was better for the NS method (97.8%) than for the SFH method (63.8%). Of 370 screws in the SFH group, 134 penetrated the cortex, with 31 resulting in >4 mm penetration. Of 370 screws in the NS group, 8 penetrated the cortex, |
| doi_str_mv | 10.1016/j.wneu.2019.04.151 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2216774855</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1878875019311465</els_id><sourcerecordid>2216774855</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-9747d612d47339b7054ed7e2368f52bb953b01b6d675d38b3c2ed5264d235f63</originalsourceid><addsrcrecordid>eNp9kMtKxDAUhoMojoy-gAvp0k1r7mnBjQyODogKzj6kyalm6GVMWmXe3pbxsjNwSCDf_8P5EDonOCOYyKtN9tnCkFFMigzzjAhygE5IrvI0V7I4_H0LPENnMW7weBjhuWLHaMYIpkVO5AnaLLpma4KPXZt0VdK_QfLUQrr2DSQ31g7B2N308eKboTY9uGQZAN5M65JpHs2HfzW9H9N_xDM4b2tIXmyAz2TVRggTcYqOKlNHOPu-52i9vF0v7tOHp7vV4uYhtZzSPi0UV04S6rhirCgVFhycAspkXglaloVgJSaldFIJx_KSWQpOUMkdZaKSbI4u97Xb0L0PEHvd-Gihrk0L3RA1pUQqxXMhRpTuURu6GANUeht8Y8JOE6wny3qjJ8t6sqwx16PlMXTx3T-UDbjfyI_TEbjeAzAu-eEh6Gg9tHa0EsD22nX-v_4v-6SNiw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2216774855</pqid></control><display><type>article</type><title>Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Xu, Yun-Feng ; Zhang, Qi ; Le, Xiao-Feng ; Liu, Bo ; He, Da ; Sun, Yu-Qin ; Liu, Ya-Jun ; Yuan, Qiang ; Lang, Zhao ; Han, Xiao-Guang ; Tian, Wei</creator><creatorcontrib>Xu, Yun-Feng ; Zhang, Qi ; Le, Xiao-Feng ; Liu, Bo ; He, Da ; Sun, Yu-Qin ; Liu, Ya-Jun ; Yuan, Qiang ; Lang, Zhao ; Han, Xiao-Guang ; Tian, Wei</creatorcontrib><description>To compare one-time accuracy rate between simulated freehand (SFH) and navigation simulated (NS) pedicle screw insertion, assuming no second chance to correct screws.
A simulated, comparative, cross-sectional study was conducted on 69 patients undergoing lumbar spine surgery. An intraoperative registration system captured the planned point of entry and trajectory of pedicle screws for both SFH under direct visualization and NS under navigation-aided visualization. Pedicle screw insertion was simulated for each captured image (370 screws) using Surgimap. Rajasekaran's method helped evaluate the point of entry accuracy and trajectory.
Accuracy rate was better for the NS method (97.8%) than for the SFH method (63.8%). Of 370 screws in the SFH group, 134 penetrated the cortex, with 31 resulting in >4 mm penetration. Of 370 screws in the NS group, 8 penetrated the cortex, <4 mm penetration. Of 134 misplaced screws in the SFH group, 64 were due to error in the point of entry, 63 were due to error in the trajectory angle, and 7 were due to both errors. Of 8 errors in the NS group, 7 were due to the point of entry.
Intraoperative navigation had significantly better one-time accuracy of pedicle screw insertion than freehand insertion and should be used to avoid injury to the pedicle and surrounding tissue from screw reinsertion.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.04.151</identifier><identifier>PMID: 31029816</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Computer Simulation ; Cross-Sectional Studies ; Female ; Humans ; Imaging, Three-Dimensional ; Intervertebral Disc Displacement - surgery ; Intraoperative screw adjustment ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Navigation simulated ; Neuronavigation - methods ; Neurosurgical Procedures - methods ; One-time accuracy ; Pedicle screw placement ; Pedicle Screws ; Reoperation ; Simulated freehand ; Spinal Stenosis - surgery ; Spondylolisthesis - surgery</subject><ispartof>World neurosurgery, 2019-08, Vol.128, p.e347-e354</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-9747d612d47339b7054ed7e2368f52bb953b01b6d675d38b3c2ed5264d235f63</citedby><cites>FETCH-LOGICAL-c422t-9747d612d47339b7054ed7e2368f52bb953b01b6d675d38b3c2ed5264d235f63</cites><orcidid>0000-0002-1067-600X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2019.04.151$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31029816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Yun-Feng</creatorcontrib><creatorcontrib>Zhang, Qi</creatorcontrib><creatorcontrib>Le, Xiao-Feng</creatorcontrib><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>He, Da</creatorcontrib><creatorcontrib>Sun, Yu-Qin</creatorcontrib><creatorcontrib>Liu, Ya-Jun</creatorcontrib><creatorcontrib>Yuan, Qiang</creatorcontrib><creatorcontrib>Lang, Zhao</creatorcontrib><creatorcontrib>Han, Xiao-Guang</creatorcontrib><creatorcontrib>Tian, Wei</creatorcontrib><title>Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>To compare one-time accuracy rate between simulated freehand (SFH) and navigation simulated (NS) pedicle screw insertion, assuming no second chance to correct screws.
A simulated, comparative, cross-sectional study was conducted on 69 patients undergoing lumbar spine surgery. An intraoperative registration system captured the planned point of entry and trajectory of pedicle screws for both SFH under direct visualization and NS under navigation-aided visualization. Pedicle screw insertion was simulated for each captured image (370 screws) using Surgimap. Rajasekaran's method helped evaluate the point of entry accuracy and trajectory.
Accuracy rate was better for the NS method (97.8%) than for the SFH method (63.8%). Of 370 screws in the SFH group, 134 penetrated the cortex, with 31 resulting in >4 mm penetration. Of 370 screws in the NS group, 8 penetrated the cortex, <4 mm penetration. Of 134 misplaced screws in the SFH group, 64 were due to error in the point of entry, 63 were due to error in the trajectory angle, and 7 were due to both errors. Of 8 errors in the NS group, 7 were due to the point of entry.
Intraoperative navigation had significantly better one-time accuracy of pedicle screw insertion than freehand insertion and should be used to avoid injury to the pedicle and surrounding tissue from screw reinsertion.</description><subject>Aged</subject><subject>Computer Simulation</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Intraoperative screw adjustment</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Navigation simulated</subject><subject>Neuronavigation - methods</subject><subject>Neurosurgical Procedures - methods</subject><subject>One-time accuracy</subject><subject>Pedicle screw placement</subject><subject>Pedicle Screws</subject><subject>Reoperation</subject><subject>Simulated freehand</subject><subject>Spinal Stenosis - surgery</subject><subject>Spondylolisthesis - surgery</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMojoy-gAvp0k1r7mnBjQyODogKzj6kyalm6GVMWmXe3pbxsjNwSCDf_8P5EDonOCOYyKtN9tnCkFFMigzzjAhygE5IrvI0V7I4_H0LPENnMW7weBjhuWLHaMYIpkVO5AnaLLpma4KPXZt0VdK_QfLUQrr2DSQ31g7B2N308eKboTY9uGQZAN5M65JpHs2HfzW9H9N_xDM4b2tIXmyAz2TVRggTcYqOKlNHOPu-52i9vF0v7tOHp7vV4uYhtZzSPi0UV04S6rhirCgVFhycAspkXglaloVgJSaldFIJx_KSWQpOUMkdZaKSbI4u97Xb0L0PEHvd-Gihrk0L3RA1pUQqxXMhRpTuURu6GANUeht8Y8JOE6wny3qjJ8t6sqwx16PlMXTx3T-UDbjfyI_TEbjeAzAu-eEh6Gg9tHa0EsD22nX-v_4v-6SNiw</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Xu, Yun-Feng</creator><creator>Zhang, Qi</creator><creator>Le, Xiao-Feng</creator><creator>Liu, Bo</creator><creator>He, Da</creator><creator>Sun, Yu-Qin</creator><creator>Liu, Ya-Jun</creator><creator>Yuan, Qiang</creator><creator>Lang, Zhao</creator><creator>Han, Xiao-Guang</creator><creator>Tian, Wei</creator><general>Elsevier Inc</general><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><orcidid>https://orcid.org/0000-0002-1067-600X</orcidid></search><sort><creationdate>201908</creationdate><title>Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion</title><author>Xu, Yun-Feng ; Zhang, Qi ; Le, Xiao-Feng ; Liu, Bo ; He, Da ; Sun, Yu-Qin ; Liu, Ya-Jun ; Yuan, Qiang ; Lang, Zhao ; Han, Xiao-Guang ; Tian, Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-9747d612d47339b7054ed7e2368f52bb953b01b6d675d38b3c2ed5264d235f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Computer Simulation</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Intraoperative screw adjustment</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Navigation simulated</topic><topic>Neuronavigation - methods</topic><topic>Neurosurgical Procedures - methods</topic><topic>One-time accuracy</topic><topic>Pedicle screw placement</topic><topic>Pedicle Screws</topic><topic>Reoperation</topic><topic>Simulated freehand</topic><topic>Spinal Stenosis - surgery</topic><topic>Spondylolisthesis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Yun-Feng</creatorcontrib><creatorcontrib>Zhang, Qi</creatorcontrib><creatorcontrib>Le, Xiao-Feng</creatorcontrib><creatorcontrib>Liu, Bo</creatorcontrib><creatorcontrib>He, Da</creatorcontrib><creatorcontrib>Sun, Yu-Qin</creatorcontrib><creatorcontrib>Liu, Ya-Jun</creatorcontrib><creatorcontrib>Yuan, Qiang</creatorcontrib><creatorcontrib>Lang, Zhao</creatorcontrib><creatorcontrib>Han, Xiao-Guang</creatorcontrib><creatorcontrib>Tian, Wei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Yun-Feng</au><au>Zhang, Qi</au><au>Le, Xiao-Feng</au><au>Liu, Bo</au><au>He, Da</au><au>Sun, Yu-Qin</au><au>Liu, Ya-Jun</au><au>Yuan, Qiang</au><au>Lang, Zhao</au><au>Han, Xiao-Guang</au><au>Tian, Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2019-08</date><risdate>2019</risdate><volume>128</volume><spage>e347</spage><epage>e354</epage><pages>e347-e354</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>To compare one-time accuracy rate between simulated freehand (SFH) and navigation simulated (NS) pedicle screw insertion, assuming no second chance to correct screws.
A simulated, comparative, cross-sectional study was conducted on 69 patients undergoing lumbar spine surgery. An intraoperative registration system captured the planned point of entry and trajectory of pedicle screws for both SFH under direct visualization and NS under navigation-aided visualization. Pedicle screw insertion was simulated for each captured image (370 screws) using Surgimap. Rajasekaran's method helped evaluate the point of entry accuracy and trajectory.
Accuracy rate was better for the NS method (97.8%) than for the SFH method (63.8%). Of 370 screws in the SFH group, 134 penetrated the cortex, with 31 resulting in >4 mm penetration. Of 370 screws in the NS group, 8 penetrated the cortex, <4 mm penetration. Of 134 misplaced screws in the SFH group, 64 were due to error in the point of entry, 63 were due to error in the trajectory angle, and 7 were due to both errors. Of 8 errors in the NS group, 7 were due to the point of entry.
Intraoperative navigation had significantly better one-time accuracy of pedicle screw insertion than freehand insertion and should be used to avoid injury to the pedicle and surrounding tissue from screw reinsertion.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31029816</pmid><doi>10.1016/j.wneu.2019.04.151</doi><orcidid>https://orcid.org/0000-0002-1067-600X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1878-8750 |
| ispartof | World neurosurgery, 2019-08, Vol.128, p.e347-e354 |
| issn | 1878-8750 1878-8769 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2216774855 |
| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Computer Simulation Cross-Sectional Studies Female Humans Imaging, Three-Dimensional Intervertebral Disc Displacement - surgery Intraoperative screw adjustment Lumbar Vertebrae - surgery Male Middle Aged Navigation simulated Neuronavigation - methods Neurosurgical Procedures - methods One-time accuracy Pedicle screw placement Pedicle Screws Reoperation Simulated freehand Spinal Stenosis - surgery Spondylolisthesis - surgery |
| title | Comparison of the One-Time Accuracy of Simulated Freehand and Navigation Simulated Pedicle Screw Insertion |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T21%3A16%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20the%20One-Time%20Accuracy%20of%20Simulated%20Freehand%20and%20Navigation%20Simulated%20Pedicle%20Screw%20Insertion&rft.jtitle=World%20neurosurgery&rft.au=Xu,%20Yun-Feng&rft.date=2019-08&rft.volume=128&rft.spage=e347&rft.epage=e354&rft.pages=e347-e354&rft.issn=1878-8750&rft.eissn=1878-8769&rft_id=info:doi/10.1016/j.wneu.2019.04.151&rft_dat=%3Cproquest_cross%3E2216774855%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2216774855&rft_id=info:pmid/31029816&rft_els_id=S1878875019311465&rfr_iscdi=true |