Evidence map›Paper›PMID 28741148›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

Simultaneous navigated cervico-thoracic and thoraco-lumbar fixation.

Krunal Patel, Tamara Tajsic, Karol P Budohoski, Mathew R Guilfoyle, Rikin A Trivedi

Abstract readCase Reports
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In one paragraph

Article in 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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Health-related quality of life in patients undergoing cervico-thoracic osteotomies for fixed cervico-thoracic kyphosis in patients with ankylosing spondylitis.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 · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Krunal PatelDepartment of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK. krunal.patel@addenbrookes.nhs.uk.ORCID http://orcid.org/0000-0002-0559-515X
Tamara TajsicDepartment of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK.
Karol P BudohoskiDepartment of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK.
Mathew R GuilfoyleDepartment of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK.
Rikin A TrivediDepartment of Neurosurgery, Cambridge University Hospital's NHS Foundation Trust, Box 166, Cambridge, CB2 0QQ, UK.
Cambridge University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCase report.

objectiveTo investigate the feasibility of using two independent image guidance systems to simultaneously fix multiple segment spine fractures. Image guidance is increasingly used to aid spinal fixation. We describe the first use of multiple navigation systems during a single procedure allowing for multi-segment spinal fixations to be performed simultaneously and capitalizing the advantages of navigation.

methodTwo Medtronic Stealth Station S7™ systems with O-arm image capture were used to guide fixation of C6 and T12, unstable, AO A4, three-column fractures, in a patient with ankylosing spondylitis.

resultsTwo surgical teams were able to perform cervico-thoracic and thoraco-lumbar fixations simultaneously. Operative time was 2.5 h. Post-operative imaging showed accurate instrumentation placement. The patient recovered without any neurological sequelae.

conclusionsOptical independence of the Medtronic Stealth Station™ system allowed for simultaneous navigation guided fixation of multiple segment fractures without compromising accuracy. This may result in shortened operative time and morbidity associated with prolonged prone positioning of polytrauma patients, as well as reducing radiation exposure for theatre staff.

Indexed as

Cervical VertebraeFracture Fixation, InternalHumansImaging, Three-DimensionalLumbar VertebraeMaleMiddle AgedPedicle ScrewsSpinal FracturesSpondylitis, AnkylosingSurgery, Computer-AssistedThoracic VertebraeTomography, X-Ray ComputedAnkylosing spondylitisImage guidanceMinimally invasiveMultisegment fixationPercutaneousStealth™

Identifiers

PMID28741148
OpenAlexW2739316412

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.