Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017
Lumbar and sacral pedicle screw placement using a template does not improve the midterm pain and disability outcome in comparison with free-hand method.
Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Clinical added value of 3D printed patient-specific guides in orthopedic surgery (excluding knee arthroplasty): a systematic review.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Clinical applications of 3D printing in spine surgery: a systematic review.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 · 2025Pooled it
- Pedicle screw placement in spinal neurosurgery using a 3D-printed drill guide template: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Use of a Customized Three-dimensional Guide in Preparing the Pilot Pedicle Hole in Spinal Deformities.Revista brasileira de ortopedia · 2022Article
- [3D printing in spinal surgery-Update].Der Unfallchirurg · 2022Review
- Individual Navigation Templates for Subcortical Screw Placement in Lumbar Spine.Sovremennye tekhnologii v meditsine · 2021Article
- Radiological and clinical differences among three assisted technologies in pedicle screw fixation of adult degenerative scoliosis.Scientific reports · 2018Article
- Comparison of Accuracy of Pedicle Screw Insertion Among 4 Guided Technologies in Spine Surgery.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe free-hand technique carries a higher risk of pedicle weakening and neurovascular injuries in comparison with pedicle screw placement using a drill guide. Due to this evidence and because of some variances in the surgical method, different outcome can be expected. The objective of the study was to evaluate the disability, the back and leg pain before and at least 3 years after the surgery between examined groups. MATERIALS AND
methodsEleven patients in drill guide and 13 in control group were randomly assigned for vertebral fusion in the lumbar and first sacral regions. Pre- and post-operative CT scans, Oswestry disability index (ODI) and visual analogue scale (VAS) for back and leg pain were taken. Post-operative evaluations of cortex perforation and statistical analysis between studied groups have been performed.
resultsSeventy-two screws were inserted in each group. All patients completed a 3-year follow-up. Comparing groups, there was no statistical significant difference in VAS and ODI before or after surgery. Cortex perforation incidence in drill guide group was 6 and in free-hand group 29 (p < 0.05). In each group, pain and disability were significantly lower as before the procedure.
conclusionsThe application of a drill guide template for pedicle screw placement is not more effective in reducing pain and disability after midterm follow-up in comparison with the free-hand technique. However, it reduces the cortex perforation incidence. Concerning this evidence, a drill guide is still an additional tool that could in the future potentially compete with other screw placement techniques.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.