ArticleInternational orthopaedics2017
Incidence and risk factors for the misplacement of pedicle screws in scoliosis surgery assisted by O-arm navigation-analysis of a large series of one thousand, one hundred and forty five screws.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of robot versus fluoroscopy-assisted pedicle screw instrumentation in adolescent idiopathic scoliosis surgery: a Meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Best Practice Guidelines for the Execution of Intraoperative Neuromonitoring in Spine Deformity Surgery.Spine deformity · 2026Article
- Evaluation of the Angle Deviation between Pilot Holes and Actual Implanted Pedicle Screw Trajectories in Freehand Pedicle Screw Placement for Thoracolumbar Spine Surgery: The Impact of Tapping and Work Experience.Clinics in orthopedic surgery · 2026Article
- Article
- Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study.Veterinary surgery : VS · 2025Article
- Study protocol: the SPInal NAVigation (SPINAV) trial - comparison of augmented reality surgical navigation, conventional image-guided navigation, and free-hand technique for pedicle screw placement in spinal deformity surgery.BMC musculoskeletal disorders · 2025Article
- O-Arm Navigated MIS-TLIF Avoids Violation and Delays Degeneration of the Supradjacent Facet Joint.Orthopaedic surgery · 2025Article
- Augmented Reality in Scoliosis Correction Surgery: Efficiency and Accuracy in Pedicle Screw Instrumentation.Medicina (Kaunas, Lithuania) · 2025Observational
- The aortic-vertebral distance is more associated with axial plane deformities than coronal and sagittal deformities in idiopathic scoliosis patients of Lenke types I and II.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- O-arm navigation without apnoea in thoracolumbar and lumbar spine surgery: Outcomes and considerations in a prospective study.Journal of clinical orthopaedics and trauma · 2024Article
- Automatic image registration on intraoperative CBCT compared to Surface Matching registration on preoperative CT for spinal navigation: accuracy and workflow.International journal of computer assisted radiology and surgery · 2024Article
- [Camera-based navigation in the hybrid operating room].Chirurgie (Heidelberg, Germany) · 2023Review
- Delayed open treatment of aortic penetration by a thoracic pedicle screw: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Risk Factors for the Drift Phenomenon in O-arm Navigation-Assisted Pedicle Screw Placement during Spinal Deformity Surgery.Orthopaedic surgery · 2023Article
- Efficacy and safety for combination of t-EMG with O-arm assisted pedicle screw placement in neurofibromatosis type I scoliosis surgery.Journal of orthopaedic surgery and research · 2021Article
- Risk Factors of Unsatisfactory Robot-Assisted Pedicle Screw Placement: A Case-Control Study.Neurospine · 2021Article
- Pedicle screw accuracy in thoracolumbar fractures- is routine postoperative CT scan necessary?BMC musculoskeletal disorders · 2021Article
- Augmented Reality in Spine Surgery: A Narrative Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2021Review
- Towards Optical Imaging for Spine Tracking without Markers in Navigated Spine Surgery.Sensors (Basel, Switzerland) · 2020Article
- Robotic-assisted navigated minimally invasive pedicle screw placement in the first 100 cases at a single institution.Journal of robotic surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the accuracy of O-arm-navigation-based pedicle screw placement in scoliosis surgery and identify the potential risk factors for the misplacement of pedicle screws.
methodsOne hundred forty four scoliosis patients treated with O-arm-navigation-based pedicle screw instrumentation were enrolled, and 1145 pedicle screws implanted in the apical region of the curves were retrospectively reviewed for accuracy according to post-operative CT images. The potential risk factors and independent predictive factor(s) for the misplaced screws were identified statistically.
resultsThe overall malpositioning rate of pedicle screw was 9.8%; 54.5% of which were misplaced laterally. Univariate and multivariate logistic regression analysis of clinical and surgical treatment variables indicated that patients with congenital scoliosis (CS) [OR: 1.489 (95% CI: 1.002-2.213; P = 0.035)] and neurofibromatosis type I (NF-1) [OR: 1.785 (95% CI: 1267-2.045; P = 0.026)], middle-thoracic spine [OR: 1.661 (95% CI: 1.107-2.481; P = 0.021)], the concave pedicles [OR: 1.527 (95% CI: 1.020-2.285; P = 0.019)], and the segments three levels away from the tracker [OR: 3.522 (95% CI: 2.357-5.263; P = 0.001)] were independently associated with pedicle screw misplacement.
conclusionO-arm-assisted navigation does improve the accuracy and safety of pedicle screw placement in scoliosis surgery. However, unavoidable screw malpositioning remained, which occurred significantly more often in patients with CS and NF-1, in middle-thoracic spine, in the concave pedicles, and in the segments three levels away from the tracker.
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