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Comparison of the Percutaneous Screw Placement Precision of Isocentric C-arm 3-dimensional Fluoroscopy-navigated Pedicle Screw Implantation and Conventional Fluoroscopy Method With Minimally Invasive Surgery

Comparison of the Percutaneous Screw Placement Precision of Isocentric C-arm 3-dimensional... ORIGINAL ARTICLE Comparison of the Percutaneous Screw Placement Precision of Isocentric C-arm 3-dimensional Fluoroscopy-navigated Pedicle Screw Implantation and Conventional Fluoroscopy Method With Minimally Invasive Surgery Hiroaki Nakashima, MD,* Kouji Sato, MD,w Toshihiro Ando, MD,w Hidefumi Inoh, MD,z and Hiroshi Nakamura, MDw classified as exposed screw and 5 (3.3%) as perforated pedicle. Study Design: Retrospective clinical study to compare the The difference in frequency of screw misplacement between the percutaneous screw placement precision of isocentric C-arm procedure using Iso-C 3-dimensional fluoroscopy-based image- (Iso-C) 3-dimensional fluoroscopy-navigated pedicle screw guide assistance and that using fluoroscopy was statistically implantation and conventional fluoroscopy. significant (P<0.05; w test). Objective: The purpose of this study was to evaluate the Conclusions: This study demonstrates the feasibility of placing accuracy of clinical percutaneous pedicle screw placement percutaneous posterior lumbar pedicle screws with the assis- (PPSP) using Iso-C 3-dimensional fluoroscopy navigation. tance of Iso-C 3-dimensional navigation. Summary of Background Data: The technique of PPSP recently Key Words: percutaneous pedicle screw, isocentric C-arm 3- has been applied to internal fixation for segmental lumbar dimensional fluoroscopy, navigation, minimally invasive spine instability as a form of minimally invasive spine surgery. surgery, degenerative spondylolisthesis The percutaneous insertion technique requires surgical skill (J Spinal http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Spinal Disorders & Techniques Wolters Kluwer Health

Comparison of the Percutaneous Screw Placement Precision of Isocentric C-arm 3-dimensional Fluoroscopy-navigated Pedicle Screw Implantation and Conventional Fluoroscopy Method With Minimally Invasive Surgery

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References (20)

ISSN
1536-0652
DOI
10.1097/BSD.0b013e31819877c8
pmid
20075808
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Comparison of the Percutaneous Screw Placement Precision of Isocentric C-arm 3-dimensional Fluoroscopy-navigated Pedicle Screw Implantation and Conventional Fluoroscopy Method With Minimally Invasive Surgery Hiroaki Nakashima, MD,* Kouji Sato, MD,w Toshihiro Ando, MD,w Hidefumi Inoh, MD,z and Hiroshi Nakamura, MDw classified as exposed screw and 5 (3.3%) as perforated pedicle. Study Design: Retrospective clinical study to compare the The difference in frequency of screw misplacement between the percutaneous screw placement precision of isocentric C-arm procedure using Iso-C 3-dimensional fluoroscopy-based image- (Iso-C) 3-dimensional fluoroscopy-navigated pedicle screw guide assistance and that using fluoroscopy was statistically implantation and conventional fluoroscopy. significant (P<0.05; w test). Objective: The purpose of this study was to evaluate the Conclusions: This study demonstrates the feasibility of placing accuracy of clinical percutaneous pedicle screw placement percutaneous posterior lumbar pedicle screws with the assis- (PPSP) using Iso-C 3-dimensional fluoroscopy navigation. tance of Iso-C 3-dimensional navigation. Summary of Background Data: The technique of PPSP recently Key Words: percutaneous pedicle screw, isocentric C-arm 3- has been applied to internal fixation for segmental lumbar dimensional fluoroscopy, navigation, minimally invasive spine instability as a form of minimally invasive spine surgery. surgery, degenerative spondylolisthesis The percutaneous insertion technique requires surgical skill (J Spinal

Journal

Journal of Spinal Disorders & Techniques – Wolters Kluwer Health

Published: Oct 1, 2009

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