Using an intraoperative computed tomography scanner with a navigation station for spinal surgery
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Scientific – Research Institute of Traumatology and Orthopedics, Nur-Sultan, Kazakhstan
National Medical Research Center of Neurosurgery named after N.N. Burdenko, Моscow, Russia
National Center Children’s Rehabilitation Corporate Fund “University Medical Center”, Nur-Sultan, Kazakhstan
JSC « Astana Medical University », Nur-Sultan, Kazakhstan
Online publication date: 2019-12-26
Publication date: 2019-12-26
Electron J Gen Med 2019;16(6):em182
The authors conducted a retrospective and prospective analysis of the results of 350 operations using the EIC, 390 operations with O arm and 11 operations with O arm and the Stealth-Station navigation station (Medtronic, USA). To the 350 patients operated on using the EIC, 1822 screws were implanted, on average 5.2 screws per operation. 117 (6.5%) screws were implanted incorrectly, of which a permissible or clinically insignificant malposition of the screw was noted in 90 (4.9%) patients. Incorrectly installed screws remaining in 27 (1.5%) patients required revision surgery. To 390 patients operated with O arm, 2477 screws were implanted, on average 6.3 screws during one operation. Incorrectly 33 (1.3%) screws were implanted, of which 25 screws were acceptable malposition. Invalid malposition of 8 (0.3%) screws was eliminated during the current operation. Comparing trials of the total number of incorrectly implanted screws during operations using the EIC and O arm showed that they were more often observed when using the EIC (p <0.001) and there was no unacceptable malposition of the screws when performing the operation under O arm, since it was diagnosed in time during current operation and eliminated. A total of 66 screws were implanted in 11 patients operated using O arm and the Stealth-Station navigation station, an average of 6 screws during one operation. Inaccurate implantation of screws was not observed in any patient. O-arm with the Stealth-Station navigation station is the most modern method of controlling the correctness of spinal operations when anatomical landmarks are partially invisible - with open operations or invisible at all - with minimally invasive surgical interventions in real time.
McGraw JK, Gardella J, Barr JD, et al. J. Vasc. Interv. Radiol., 2003;14:827-31.
Nussbaum DA, Gailloud P, Murphy K. J. Vasc. Interv. Radiol., 2004;15(11):1185-92. https://doi.org/10.1097/01.RVI... PMid:15525736.
Fujita T, Kostuik JP, Huckel CB, et al. Complication of spinal fusion in adult patients more then 60 yeas of age. Orthopedic Clinics of Noth America, 1998;29(4):669-78. https://doi.org/10.1016/S0030-....
Jendrisak MD. Spontaneous abdominal aortic rupture from erosion by a lumbar spine fixation devise : a case report. Surgery, 1986;99(5):631-3.
Stewart JR, Barth KH, Williams GM. Ruptured lumbar artery pseudoaneyrysm: n unusual cause of retroperitoneal haemorrhage. Surgery, 1983;94:592-4.
Diaz H, Lockhart CH. Postoperative quadriplegia after spinal fusion for scoliosis with intraoperative awakening. Anest. Analg., 1987;66(10):1039-42. https://doi.org/10.1213/000005....
Heyde CE, B Ahrm H, B Sagir H, Kaezer R. Erste Erfahrungen mit dem intraoperativen Wurzelmonitoring durch das INS-1-System an der lumbosakralen Wirbels-nule. Z Orthop. Ihre Grenzgeb., 2003;141(01):79-85. https://doi.org/10.1055/s-2003... PMid:12605335.
Deen HG, Birch BD, Wharen RE, Reimer R. Lateral mass screw corod fixation of the cervical spine a prospective clinical series with 1-year following-up. The spine journal: official journal of the North American Spine Society, 2003;3(6):489-95.
Daube JR. Intraoperative monitoring by evoked potentials for spinal cord surgery: the pros. Electroencephalogr. Clin. Neurophysiol., 1989;73(5):374-7. https://doi.org/10.1016/0013-4....
Orchowski J, Bridwell KH, Lenke LG. Neurological deficit from a purely vascular etiology after unilateral vessel ligation during anterior thoracolumbar fusion of the spine. Spine, 2005;30(4). https://doi.org/10.1097/01.brs... PMid:15706337.
Hamilton DK, Smith JS, Sansur CA, Glassman SD, Ames CP, Berven SH, et al. Rates of new neurological deficit associated with spine surgery based on 108419 procedures: a report of the scoliosis research society morbidity and mortality committee. Spine, 2011;36(15). https://doi.org/10.1097/BRS.0b... PMid:21217448.
Sakai Y, Matsuyama Y, Nakamura H, et al. Segmental pedicle screwing for idiopathic scoliosis using computer-assisted surgery. Journal of Spinal Disorders Techniques, 2007;21(3). https://doi.org/10.1097/BSD.0b... PMid:18458587.
Rajasekaran S, Vidyadhara S, Ramesh P, Shetty AP. Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries. Spine, 2007;32(2). https://doi.org/10.1097/01.brs... PMid:17224800.
Han W, Gae ZL, Wang JC, et al. Pedicle screw placement in the thoracic spine a comparison study of computer-assisted navigation and conventional techniques. Orthopedics, 2010;33(8). https://doi.org/10.3928/014774....
Schizas C, Then E, Kwaitkowski B, et al. Pedicle screws insertion robotic assistance versus conventional C-arm fluoroscopy. Acta Orthopaedica Belgica, 2012;78(2):240-5.
Tian W, Liu YJ, Liu B, et al. Clinical contrast of cervical pedicle screw fixation assisted by C-arm fluoroscopy or 3D navigation system. Chinese J. Surg., 2006;44(20):1399-1402.
Smith HE, Welch MD, Sasso RC, et al. Comparison of radiation exposure in lumbar pedicle screw placement with fluoroscopy versus computed-assisted image guidance with intraoperative three-dimensional imaging. J. Spinal Cord Med., 2008;31(5):532-537. https://doi.org/10.1080/107902... PMid:19086710 PMCid:PMC2607125.
Hart R, Komzak M, Barta R, et al. Reduction of radiation exposure by the use of fluoroscopic guidance in transpedicular instrumentation. Acta Orthopaedicae et Traumatologiae Cechoslovaca, 2011;78(5):447-50.
Biswas D, Bible JE, Whang PG, et al. Sterility of C-arm fluoroscopy during spinal surgery. Spine, 2008;33(17). https://doi.org/10.1097/BRS.0b... PMid:18622356.
Lapsley HM, Vogels R. Quality and cost impacts prevention of post-operative clean wound infections. Int. J. Health Care Qual Assur inc Leadersh Helth Serv., 1998;11(6-7):222-31. https://doi.org/10.1108/095268... PMid:10339096.
Esses SL, Sachs BL, Dreyzin V. Complications associated with technique of pedicle screw fixation. A selected survey of ABS members. Spine, 1993;18(15):2231-8. https://doi.org/10.1097/000076... PMid:8278838.
Gautschi OP, Schatlo B, Schaller K, Tessitore E. Clinically relevant complications related to pedicle screw placement in thorac-lumbar surgery and their management a literature reviews of 35630 pedicle screws. Neurological Focus, 2011;Sep. 30-31:8. https://doi.org/10.3171/2011.7... PMid:21961871.
Wood M, Mannion R. A comparison of CT-based navigation techniques for minimally invasive lumbar pedicle screw placement. Journal of Spinal Disorders Techniques, 2011;24(1). https://doi.org/10.1097/BSD.0b... PMid:20625324.
Van de Kelft E, Costa F, Van der Planken D, Schils F. A prospective multicenter registry on the accuracy of pedicle screw placement in the thoracic, lumbar and sacral levels with the use of the O-arm imaging system and Stealth-Station navigation. Spine, 2012;37(25):1580-7. https://doi.org/10.1097/BRS.0b... PMid:23196967.
Hodges SD, Eck JC, Newton D. Analysis of CT-based navigation system for pedicle screw placement. Orthopedics, 2012;35(8):1221-4. https://doi.org/10.3928/014774... PMid:22868609.
Sembrano JN, Polly DW, Ledonio CG, Santos ER. Intraoperative 3-dimentional imaging (O-arm) for assessment of pedicle screw position. Does it unacceptable screw placement? International Journal of Spine Surgery, 2012;12(1):49-54. https://doi.org/10.1016/j.ijsp... PMid:25694871 PMCid:PMC4300877.
Schouten R, Lee R, Boyd M, et al. Intraoperative cone-beam CT (O-arm) and stereotactic navigation in acute spinal trauma surgery. Journal of clinical neuroscience: official journal of the Neurological Society of Australia, 2012;19(8):1137-43. https://doi.org/10.1016/j.jocn... PMid:22721892.
Kosmopoulos V, Schizas C. Pedicle screw placement accuracy: a meta-analysis. Spine, 2007;32(3). https://doi.org/10.1097/01.brs... PMid:17268254.
Ledonio CG, Polly G, Vitale MG, et al. Pediatric pedicle screws: comparative effectiveness and safety a systematic literature review from the scoliosis research society of North America task force. The Journal of Bone Joint Surgery, 2011;93(13):1227-34. https://doi.org/10.2106/JBJS.J... PMid:21776576.
Hicks JM, Singla A, Shen FH, Arlet V. Complication of pedicle screw fixation in scoliosis surgery: a systematic review. Spine, 2010;35(11). https://doi.org/10.1097/BRS.0b... PMid:20473117.
Pourrostami K, Heshmat R, Hemati Z, Heidari-Beni M, Qorbani M, et al. Association of fruit and vegetable intake with meal skipping in children and adolescents: the CASPIAN-V study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 2019 May 16:1-8. https://doi.org/10.1007/s40519... PMid:31098987.
Jalili C, Ahmadi S, Roshankhah S, Salahshoor M. Effect of Genistein on reproductive parameter and serum nitric oxide levels in morphine-treated mice. International journal of reproductive biomedicine, 2016;14(2):95-102. https://doi.org/10.29252/ijrm.... PMid:27200423 PMCid:PMC4869156.
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