The study aimed to establish the safe placement area and corresponding entry angle of atlantal pedicle screw using axial computed tomography (CT) measurement of atlas, in order to guide the clinical operation. Spiral thin-slice CT scan of atlas and three-dimensional reconstruction of 38 patients were randomly selected. Screw placement space was defined as the distance between the tangent lines ...

STUDY DESIGN Prospective clinical study with postoperative radiologic control of pedicle screw placement in the cervical spine. OBJECTIVES To evaluate whether cervical pedicle screws can be placed safely in a conventional technique when using cannulated screws and separate stab incisions. Also, to evaluate if accuracy and safety of pedicle screw placement can be improved using a computer-assi...

STUDY DESIGN.: Prospective trial. OBJECTIVE.: To develop and validate a novel, patient-specific navigational template for cervical pedicle placement. SUMMARY OF BACKGROUND DATA.: Owing to the narrow bony anatomy and the proximity to the vertebral artery and the spinal cord, cervical instrumentation procedures demand the need for a precise technique for screw placement. PATIENT.: Specific drill ...

BACKGROUND Accurate insertion of pedicle screws in scoliosis patients is a challenge for surgeons. Computer-assisted navigation techniques might help improve the accuracy of screw placement, thereby avoiding complications. Thus, the objective of this present work is to compare the accuracy and postoperative assessment of pedicle screw placement in scoliosis patients using a computer-assisted na...

OBJECTIVE To determine if image-guided spine surgery is cost effective. METHODS A prospective case series of the first 100 patients undergoing thoracolumbar pedicle screw instrumentation under image-guidance was compared to a retrospective control group of the last 100 patients who underwent screw placement prior to the use of image-guidance. The image-guidance system was NaviVision (Vector V...

1. Borcek AO, Suner HI, Emmez H, Kaymaz M, Aykol S, Pasaoglu A: Accuracy of pedicle screw placement in thoracolumbar spine with conventional open technique. Turk Neurosurg 24:398-402, 2014 2. Ersen O, Bilgi S: Is it safe to evaluate pedicle screw position with postoperative tomography? Turk Neurosurg 25: 678, 2015 3. Tian NF, XU HZ: Image-guided pedicle screw insertion accuracy: A meta-analysis...

STUDY DESIGN Retrospective clinical study. OBJECTIVE To assess the accuracy of multilevel registration for skip pedicle screw placement during image-guided, computer-assisted spine surgery, in the setting of adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA Computerized frameless stereotactic image-guidance has been used recently to improve pedicle screw placement accurately...

BACKGROUND Several methods including free-hand technique, fluoroscopic guidance, image-guided navigation, computer-assisted surgery system, robotic platform and patient's specific templates are being used for pedicle screw placement. These methods have screw misplacements and are not always easy to be applied. Furthermore, it is necessary to expose completely a large portions of the spine in or...

We sought to compare the safety and accuracy of a new free-hand pedicle screw placement technique to that of the conventional technique. One hundred fifty-three consecutive adult patients with simple fracture in the thoracic or/and lumbar spine were alternately assigned to either the new free-hand or the conventional group. In the new free-hand technique group, preoperative computerized tomogra...

pedicle screws provide rigid fixation for instabilities in the lumbar and lumbosacral spine. anatomical consideration and potential risk of neurologic complications are the reasons to hesitate using pedicle screws in the thoracic spine. twenty moulages similar to human vertebrae were instrumented with cotrel-dubousset (cd) system pedicle screw by intratransverse process, extrapedicular and intr...