Analysis of accuracy of computer-assisted navigation in cervical pedicle screw installation
Objective: To observe the accuracy of computer‐assisted navigation (CAN) in cervical pedicle screw installation and to analyze the reasons for screw malposition. Methods: From October 2004 to December 2009, 144 cervical pedicle screws were installed in 25 patients with cervical spinal diseases usi...
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| Veröffentlicht in: | Orthopaedic surgery 2011-02, Vol.3 (1), p.52-56 |
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| creator | Zhang, Hong-lei Zhou, Dong-sheng Jiang, Zhen-song |
| description | Objective: To observe the accuracy of computer‐assisted navigation (CAN) in cervical pedicle screw installation and to analyze the reasons for screw malposition.
Methods: From October 2004 to December 2009, 144 cervical pedicle screws were installed in 25 patients with cervical spinal diseases using CAN. Screw position and direction were measured on sagittal and transection images from intraoperative navigation and postoperative CTs.
Results: Among 144 screws inserted from C3 to C7, two perforated the upper pedicle wall and three deviated from the lateral pedicle wall. The rate of accurate cervical pedicle screw placement with CAN was 96.5% (139/144) in our group. There was no statistical difference in the position and direction of the pedicle screws according to navigation images and CT scans.
Conclusion: CAN can result in high accuracy of cervical pedicle installation. The excursion phenomenon is responsible for malposition of pedicle screws. Only by understanding the navigational principles of CAN and the characteristics of cervical spinal surgery, together with personal experience, can good use be made of CAN. |
| doi_str_mv | 10.1111/j.1757-7861.2010.00110.x |
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Methods: From October 2004 to December 2009, 144 cervical pedicle screws were installed in 25 patients with cervical spinal diseases using CAN. Screw position and direction were measured on sagittal and transection images from intraoperative navigation and postoperative CTs.
Results: Among 144 screws inserted from C3 to C7, two perforated the upper pedicle wall and three deviated from the lateral pedicle wall. The rate of accurate cervical pedicle screw placement with CAN was 96.5% (139/144) in our group. There was no statistical difference in the position and direction of the pedicle screws according to navigation images and CT scans.
Conclusion: CAN can result in high accuracy of cervical pedicle installation. The excursion phenomenon is responsible for malposition of pedicle screws. Only by understanding the navigational principles of CAN and the characteristics of cervical spinal surgery, together with personal experience, can good use be made of CAN.</description><identifier>ISSN: 1757-7853</identifier><identifier>EISSN: 1757-7861</identifier><identifier>DOI: 10.1111/j.1757-7861.2010.00110.x</identifier><identifier>PMID: 22009981</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Aged ; Bone Screws ; Cervical vertebrae ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - injuries ; Cervical Vertebrae - surgery ; Computer-assisted ; Excursion phenomenon ; Female ; Humans ; Intraoperative Care - methods ; Male ; Middle Aged ; Pedicle screw ; Radiography, Interventional - methods ; Spinal Diseases - diagnostic imaging ; Spinal Diseases - surgery ; Surgery ; Surgery, Computer-Assisted - instrumentation ; Surgery, Computer-Assisted - methods ; Surgery, Computer-Assisted - standards ; Surgical Technique ; Tomography, X-Ray Computed - methods ; Treatment Outcome ; Young Adult</subject><ispartof>Orthopaedic surgery, 2011-02, Vol.3 (1), p.52-56</ispartof><rights>2011 Tianjin Hospital and Blackwell Publishing Asia Pty Ltd</rights><rights>2011 Tianjin Hospital and Blackwell Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4240-63f6cb9c3c23d0fcf2e4e32e61d23fd648ff8009c2e3c2cb0ce416432e226cc93</citedby><cites>FETCH-LOGICAL-c4240-63f6cb9c3c23d0fcf2e4e32e61d23fd648ff8009c2e3c2cb0ce416432e226cc93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583217/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583217/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1757-7861.2010.00110.x$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22009981$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Hong-lei</creatorcontrib><creatorcontrib>Zhou, Dong-sheng</creatorcontrib><creatorcontrib>Jiang, Zhen-song</creatorcontrib><title>Analysis of accuracy of computer-assisted navigation in cervical pedicle screw installation</title><title>Orthopaedic surgery</title><addtitle>Orthop Surg</addtitle><description>Objective: To observe the accuracy of computer‐assisted navigation (CAN) in cervical pedicle screw installation and to analyze the reasons for screw malposition.
Methods: From October 2004 to December 2009, 144 cervical pedicle screws were installed in 25 patients with cervical spinal diseases using CAN. Screw position and direction were measured on sagittal and transection images from intraoperative navigation and postoperative CTs.
Results: Among 144 screws inserted from C3 to C7, two perforated the upper pedicle wall and three deviated from the lateral pedicle wall. The rate of accurate cervical pedicle screw placement with CAN was 96.5% (139/144) in our group. There was no statistical difference in the position and direction of the pedicle screws according to navigation images and CT scans.
Conclusion: CAN can result in high accuracy of cervical pedicle installation. The excursion phenomenon is responsible for malposition of pedicle screws. Only by understanding the navigational principles of CAN and the characteristics of cervical spinal surgery, together with personal experience, can good use be made of CAN.</description><subject>Adult</subject><subject>Aged</subject><subject>Bone Screws</subject><subject>Cervical vertebrae</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - injuries</subject><subject>Cervical Vertebrae - surgery</subject><subject>Computer-assisted</subject><subject>Excursion phenomenon</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pedicle screw</subject><subject>Radiography, Interventional - methods</subject><subject>Spinal Diseases - diagnostic imaging</subject><subject>Spinal Diseases - surgery</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - instrumentation</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Surgery, Computer-Assisted - standards</subject><subject>Surgical Technique</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1757-7853</issn><issn>1757-7861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUclOwzAQtRCI_RdQfiDFS-okQkJCiLKIRaIgDhxG7sQGlzSp7LS0f4_TQgQ35uAZ-S223hASMdpjoY7HPZb20zjNJOtxGm4pZeFcbJDdDtjs5r7YIXvejymVuUjTbbLDOaV5nrFd8npWqXLprY9qEynEmVO4bGesJ9NZo12sfEAbXUSVmts31di6imwVoXZzi6qMprqwWOrIo9OfAfGNKssV7YBsGVV6ffjd98nz4OLp_Cq-fbi8Pj-7jTHhCY2lMBJHOQrkoqAGDdeJFlxLVnBhCplkxmThv8h1oOCIok6YTAKDc4mYi31yuvadzkYTXaCuGqdKmDo7UW4JtbLwF6nsO7zVc5D9THCWBoNsbYCu9t5p02kZhTZwGEObJbS5Qhs4rAKHRZAe_X67E_4kHAgna8KnLfXy38bwMAw9qOO1ul3BolMr9wEyFWkfXu4vYXjHbl4kG8Cj-ALm9KEr</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Zhang, Hong-lei</creator><creator>Zhou, Dong-sheng</creator><creator>Jiang, Zhen-song</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</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>5PM</scope></search><sort><creationdate>201102</creationdate><title>Analysis of accuracy of computer-assisted navigation in cervical pedicle screw installation</title><author>Zhang, Hong-lei ; Zhou, Dong-sheng ; Jiang, Zhen-song</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4240-63f6cb9c3c23d0fcf2e4e32e61d23fd648ff8009c2e3c2cb0ce416432e226cc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bone Screws</topic><topic>Cervical vertebrae</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - injuries</topic><topic>Cervical Vertebrae - surgery</topic><topic>Computer-assisted</topic><topic>Excursion phenomenon</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pedicle screw</topic><topic>Radiography, Interventional - methods</topic><topic>Spinal Diseases - diagnostic imaging</topic><topic>Spinal Diseases - surgery</topic><topic>Surgery</topic><topic>Surgery, Computer-Assisted - instrumentation</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Surgery, Computer-Assisted - standards</topic><topic>Surgical Technique</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Hong-lei</creatorcontrib><creatorcontrib>Zhou, Dong-sheng</creatorcontrib><creatorcontrib>Jiang, Zhen-song</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Zhang, Hong-lei</au><au>Zhou, Dong-sheng</au><au>Jiang, Zhen-song</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of accuracy of computer-assisted navigation in cervical pedicle screw installation</atitle><jtitle>Orthopaedic surgery</jtitle><addtitle>Orthop Surg</addtitle><date>2011-02</date><risdate>2011</risdate><volume>3</volume><issue>1</issue><spage>52</spage><epage>56</epage><pages>52-56</pages><issn>1757-7853</issn><eissn>1757-7861</eissn><abstract>Objective: To observe the accuracy of computer‐assisted navigation (CAN) in cervical pedicle screw installation and to analyze the reasons for screw malposition.
Methods: From October 2004 to December 2009, 144 cervical pedicle screws were installed in 25 patients with cervical spinal diseases using CAN. Screw position and direction were measured on sagittal and transection images from intraoperative navigation and postoperative CTs.
Results: Among 144 screws inserted from C3 to C7, two perforated the upper pedicle wall and three deviated from the lateral pedicle wall. The rate of accurate cervical pedicle screw placement with CAN was 96.5% (139/144) in our group. There was no statistical difference in the position and direction of the pedicle screws according to navigation images and CT scans.
Conclusion: CAN can result in high accuracy of cervical pedicle installation. The excursion phenomenon is responsible for malposition of pedicle screws. Only by understanding the navigational principles of CAN and the characteristics of cervical spinal surgery, together with personal experience, can good use be made of CAN.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22009981</pmid><doi>10.1111/j.1757-7861.2010.00110.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Bone Screws Cervical vertebrae Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - injuries Cervical Vertebrae - surgery Computer-assisted Excursion phenomenon Female Humans Intraoperative Care - methods Male Middle Aged Pedicle screw Radiography, Interventional - methods Spinal Diseases - diagnostic imaging Spinal Diseases - surgery Surgery Surgery, Computer-Assisted - instrumentation Surgery, Computer-Assisted - methods Surgery, Computer-Assisted - standards Surgical Technique Tomography, X-Ray Computed - methods Treatment Outcome Young Adult |
| title | Analysis of accuracy of computer-assisted navigation in cervical pedicle screw installation |
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