Clinical outcomes following spinal fusion using an intraoperative computed tomographic 3D imaging system

Journal of Neurosurgery: Spine

Volumn 26, Issue 5, 2017, Pages 628-637

  Xiao, Roy ^a,b   Miller, Jacob A ^a,b   Sabharwal, Navin C ^a,b   Lubelski, Daniel ^c   Alentado, Vincent J ^a,d   Healy, Andrew T ^a   Mroz, Thomas E ^a   Benzel, Edward C ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE   (United States)

^c JOHNS HOPKINS HOSPITAL   (United States)

^d CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Multivariable regression; Navigation; O arm; Pedicle screw; Reoperation; Spinal fusion; Surgical technique

Indexed keywords

ACCURACY; ADULT; ANTERIOR SPINE FUSION; ARTICLE; BONE SCREW; CLINICAL OUTCOME; CONTROLLED STUDY; DEVICE FAILURE; FEMALE; FLUOROSCOPY; HOSPITAL READMISSION; HUMAN; INTRAOPERATIVE PERIOD; LENGTH OF STAY; LUMBAR VERTEBRA; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MOBILE X RAY UNIT; OPERATION DURATION; POSTERIOR LUMBAR INTERBODY FUSION; POSTERIOR SPINE FUSION; PSEUDARTHROSIS; REOPERATION; RETROSPECTIVE STUDY; RISK REDUCTION; SCREW LOOSENING; SPINE FUSION; SPINE FUSION IMPLANT; SPONDYLOLISTHESIS; SURGICAL INFECTION; SURGICAL RISK; TERTIARY HEALTH CARE; THORACOLUMBAR SPINE; THREE DIMENSIONAL IMAGING; TREATMENT INDICATION; X-RAY COMPUTED TOMOGRAPHY; COMPUTER ASSISTED SURGERY; KAPLAN MEIER METHOD; MEDICAL ERROR; PROSTHESIS COMPLICATION; SURGERY; THORACIC VERTEBRA; TREATMENT OUTCOME;

BONE SCREWS; FEMALE; FLUOROSCOPY; HUMANS; IMAGING, THREE-DIMENSIONAL; KAPLAN-MEIER ESTIMATE; LENGTH OF STAY; LUMBAR VERTEBRAE; MALE; MEDICAL ERRORS; MIDDLE AGED; OPERATIVE TIME; PATIENT READMISSION; PROSTHESIS FAILURE; REOPERATION; RETROSPECTIVE STUDIES; SPINAL FUSION; SURGERY, COMPUTER-ASSISTED; THORACIC VERTEBRAE; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 85019686933     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2016.10.SPINE16373     Document Type: Article

References (17)

1. Abdullah KG, Bishop FS, Lubelski D, Steinmetz M.P., Benzel EC, Mroz TE: Radiation exposure to the spine surgeon in lumbar and thoracolumbar fusions with the use of an intraoperative computed tomographic 3-dimensional imaging system. Spine (Phila Pa 1976) 37:E1074-E1078, 2012
2. Costa F, Cardia A, Ortolina A., Fabio G, Zerbi A, Fornari M: Spinal navigation: standard preoperative versus intraoperative computed tomography data set acquisition for computerguidance system: radiological and clinical study in 100 consecutive patients. Spine (Phila Pa 1976) 36:2094-2098, 2011
3. Gelalis ID, Paschos NK, Pakos E.E., Politis AN, Arnaoutoglou CM, Karageorgos AC, et al: Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fuoroscopy guidance and navigation techniques. Eur Spine J 21:247-255, 2012
4. Jeswani S, Drazin D, Hsieh J.C., Shweikeh F., Friedman E, Pashman R, et al: Instrumenting the small thoracic pedicle: the role of intraoperative computed tomography image-guided surgery. Neurosurg Focus 36(3):E6, 2014
5. Ling JM, Dinesh SK, Pang B.C., Chen MW, Lim HL, Louange DT, et al: Routine spinal navigation for thoraco-lumbar pedicle screw insertion using the O-arm three-dimensional imaging system improves placement accuracy. J Clin Neurosci 21:493-498, 2014
6. Oertel MF, Hobart J, Stein M., Schreiber V, Scharbrodt W: Clinical and methodological precision of spinal navigation assisted by 3D intraoperative O-arm radiographic imaging. J Neurosurg Spine 14:532-536, 2011
7. Patil S, Lindley EM, Burger E.L., Yoshihara H., Patel VV: Pedicle screw placement with O-arm and stealth navigation. Orthopedics 35:e61-e65, 2012
8. Rivkin MA, Yocom SS: Thoracolumbar instrumentation with CT-guided navigation (O-arm) in 270 consecutive patients: accuracy rates and lessons learned. Neurosurg Focus 36(3):E7, 2014
9. Roy-Camille R., Roy-Camille M, Demeulenaere C: [Osteosynthesis of dorsal, lumbar, and lumbosacral spine with metallic plates screwed into vertebral pedicles and articular apophyses.] Presse Med 78:1447-1448, 1970 (Fr)
10. oy-Camille R, Saillant G, Berteaux D, Salgado V: Osteosynthesis of thoraco-lumbar spine fractures with metal plates screwed through the vertebral pedicles. Reconstr Surg Traumatol 15:2-16, 1976
11. Roy-Camille R., Saillant G, Mazel C: Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop Relat Res (203):7-17, 1986
12. Santos ERG, Ledonio CG, Castro C.A., Truong WH, Sembrano JN: The accuracy of intraoperative O-arm images for the assessment of pedicle screw postion. Spine (Phila Pa 1976) 37:E119-E125, 2012
13. Shin BJ, James AR, Njoku I.U., Härtl R Pedicle screw navigation: a systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion. J Neu-Rrosurg Spine 17:113-122, 2012
14. Silbermann J, Riese F, Allam Y, Reichert T, Koeppert H, Gutberlet M: Computer tomography assessment of pedicle screw placement in lumbar and sacral spine: comparison between free-hand and O-arm based navigation techniques. Eur Spine J 20:875-881, 2011
15. Tang J, Zhu Z, Sui T., Kong D, Cao X: Position and complications of pedicle screw insertion with or without image-navigation techniques in the thoracolumbar spine: a meta-analysis of comparative studies. J Biomed Res 28:228-239, 2014
16. Tormenti MJ, Kostov DB, Gardner P.A., Kanter AS, Spiro RM, Okonkwo DO: Intraoperative computed tomography image-guided navigation for posterior thoracolumbar spinal instrumentation in spinal deformity surgery. Neurosurg Focus 28(3):E11, 2010
17. 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 StealthStation Navigation. Spine (Phila Pa 1976) 37:E1580-E1587, 2012