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Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Innovations in intraoperative imaging lead to major changes in orthopaedic surgery. In our setting, a 3D flat-panel c-arm (Artis zeego) is mounted on a robotic arm offering an integrated aiming tool (Syngo iGuide). Our aim was to investigate the feasibility of Syngo iGuide for pedicle screw placement in comparison with fluoroscopic screw implantation.

Methods

In 10 lumbar models, 100 screws were implanted. In 5 models, a standard fluoroscopic technique was used. Syngo iGuide was used in all other models. Afterwards, CT-scans were performed and screw accuracy was investigated.

Results

The procedure time for the new technique was significantly longer in comparison with the standard technique. The post-operative CT showed the same accuracy in both groups.

Conclusions

Syngo iGuide proofed feasible for percutaneous implantation of pedicle screws in anatomic models. Syngo iGuide can be a help for screw implantation in difficult anatomic regions without the need of an additional navigation system.

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Acknowledgements

This study was funded by Project no S-13-128K supported by AO Foundation, Switzerland

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Authors and Affiliations

  1. Department of Trauma-, Hand- and Reconstructive Surgery, Ulm University, Albert-Einstein-Allee 23, 89081, Ulm, Germany

    P. H. Richter, F. Gebhard, M. Salameh & K. Schuetze

  2. Centre for Orthopaedic, Trauma and Spine Surgery, Donau-Ries Hospital Donauwoerth, Neudegger Allee 6, 86609, Donauwoerth, Germany

    M. Kraus

Authors
  1. P. H. Richter
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  2. F. Gebhard
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  3. M. Salameh
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  4. K. Schuetze
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  5. M. Kraus
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Correspondence to P. H. Richter.

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The authors declare that they have no conflict of interest. Each author certifies that he/she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted article.

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Informed consent was obtained from all individual participants included in the study.

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Richter, P.H., Gebhard, F., Salameh, M. et al. Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR. Int J CARS 12, 873–879 (2017). https://doi.org/10.1007/s11548-017-1529-1

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  • DOI: https://doi.org/10.1007/s11548-017-1529-1

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