دورية أكاديمية
Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery?
| العنوان: | Does the accuracy of pedicle screw placement differ between the attending surgeon and resident in navigated robotic-assisted minimally invasive spine surgery? |
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| المؤلفون: | Vardiman AB; Department of Neurosurgery, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7843, San Antonio, TX, 78229-3900, USA., Wallace DJ; Department of Neurosurgery, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7843, San Antonio, TX, 78229-3900, USA., Booher GA; Department of Neurosurgery, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 7843, San Antonio, TX, 78229-3900, USA., Crawford NR; A Division of Globus Medical, Inc, Musculoskeletal Education and Research Center (MERC), 2560 General Armistead Avenue, Audubon, PA, 19403, USA., Riggleman JR; A Division of Globus Medical, Inc, Musculoskeletal Education and Research Center (MERC), 2560 General Armistead Avenue, Audubon, PA, 19403, USA. jriggleman@globusmedical.com., Greeley SL; A Division of Globus Medical, Inc, Musculoskeletal Education and Research Center (MERC), 2560 General Armistead Avenue, Audubon, PA, 19403, USA., Ledonio CG; A Division of Globus Medical, Inc, Musculoskeletal Education and Research Center (MERC), 2560 General Armistead Avenue, Audubon, PA, 19403, USA. |
| المصدر: | Journal of robotic surgery [J Robot Surg] 2020 Aug; Vol. 14 (4), pp. 567-572. Date of Electronic Publication: 2019 Sep 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Springer |
| مواضيع طبية MeSH: | Pedicle Screws*, Minimally Invasive Surgical Procedures/*methods , Robotic Surgical Procedures/*methods , Spine/*surgery , Surgery, Computer-Assisted/*methods, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Lumbosacral Region ; Male ; Middle Aged ; Retrospective Studies ; Sensitivity and Specificity |
| مستخلص: | Robotic assistance with integrated navigation is an area of high interest for improving the accuracy of minimally invasive pedicle screw placement. This study analyzes the accuracy of pedicle screw placement between an attending spine surgeon and a resident by comparing the left and right sides of the first 101 consecutive cases using navigated robotic assistance in a private practice clinical setting. A retrospective, Institutional Review Board-exempt review of the first 106 navigated robot-assisted spine surgery cases was performed. One attending spine surgeon and one resident performed pedicle screw placement consistently on either the left or right side (researchers were blinded). A CT-based Gertzbein and Robbins system (GRS) was used to classify pedicle screw accuracy, with grade A or B considered accurate. There were 630 consecutive lumbosacral pedicle screws placed. Thirty screws (5 patients) were placed without the robot due to surgeon discretion. Of the 600 pedicle screws inserted by navigated robotic guidance (101 patients), only 1.5% (9/600) were repositioned intraoperatively. Based on the GRS CT-based grading of pedicle breach, 98.67% (296/300) of left-side screws were graded A or B, 1.3% (4/300) were graded C, and 0% (0/300) were graded D. For the right-side screws, 97.67% (293/300) were graded A or B, 1.67% (5/300) were graded C, and 0.66% (2/300) were graded D. This study demonstrated a high level of accuracy (based on GRS) with no significant differences between the left- and right-side pedicle screw placements (98.67% vs. 97.67%, respectively) in the clinical use of navigated, robot-assisted surgery. |
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| فهرسة مساهمة: | Keywords: Minimally invasive; Pedicle screw placement; Robot-navigated; Spine surgery |
| تواريخ الأحداث: | Date Created: 20190923 Date Completed: 20200928 Latest Revision: 20200928 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7347677 |
| DOI: | 10.1007/s11701-019-01019-9 |
| PMID: | 31542860 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1863-2491 |
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| DOI: | 10.1007/s11701-019-01019-9 |