SynthesisInternational orthopaedics2020
O-arm navigation versus C-arm guidance for pedicle screw placement in spine surgery: a systematic review and meta-analysis.
Synthesis in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
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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.
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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.
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Who cites it
47 citing papers in PubMed, 94 citations in OpenAlex.
- A comparison of ultrasound volume navigation, O-arm navigation, and X-ray guidance for screw placement in minimally invasive transforaminal lumbar interbody fusion: a randomized controlled trial.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 · 2024Trial
- [Comparison of screw placement guided by O-arm navigation and ultrasound volume navigation in minimally invasive transforaminal lumbar interbody fusion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Trial
- O-arm navigation vs. freehand screw placement in adolescent idiopathic scoliosis: A comparative analysis of screw size and reoperation rates.Acta orthopaedica et traumatologica turcica · 2026Article
- Navigation-assisted vs robot -assisted unilateral biportal endoscopic lumbar interbody fusion for single-level lumbar degenerative disease: a retrospective comparative study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026Article
- Evaluation of pedicle screw accuracy and deviation from preoperative planning in intraoperative Cone-Beam Computed Tomography-Navigated lumbar spinal fusion: a prospective study.Brain & spine · 2026Article
- Robot-Assisted, Conventional Fluoroscopy (C-Arm), O-Arm Navigation, and Freehand Pedicle Screw Fixation in Thoracolumbar Spine Fracture Surgery: A Network Meta-Analysis.Orthopaedic surgery · 2025Review
- Integration of Machine Vision Technology in the Treatment of Pediatric Spinal Deformities.Cureus · 2025Article
- Feasibility and accuracy evaluation of novel 2D instant navigation system on spinal surgery - a preclinical study.BMC musculoskeletal disorders · 2025Article
- O-arm-Assisted Balloon Kyphoplasty for the Treatment of Vertebral Compression Fractures: A Retrospective Study.Cureus · 2025Article
- Current state and future perspectives of spinal navigation and robotics-an AO spine survey.Brain & spine · 2025Article
- Single-position OLIF combined with percutaneous posterior fixation under O-arm navigation for the treatment of grade II lumbar spondylolisthesis: clinical and radiologic outcomes.Frontiers in surgery · 2025Article
- Evaluation of a compact cone beam CT concept with high image fidelity for point-of-care brain imaging.Scientific reports · 2024Article
- Asymptomatic iatrogenic bilateral occlusion of vertebral artery after atlantoaxial fusion: a case report.Acta orthopaedica et traumatologica turcica · 2024Article
- How I do it. Posterolateral lumbar spine fixation and decompression with navigation interfaced with a robotic exoscope with head mounted display.Acta neurochirurgica · 2024Article
- Unlocking Precision in Spinal Surgery: Evaluating the Impact of Neuronavigation Systems.Diagnostics (Basel, Switzerland) · 2024Article
- Automated measurement of lumbar pedicle screw parameters using deep learning algorithm on preoperative CT scans.Journal of bone oncology · 2024Article
- A novel technique for C1-C2 posterior screw insertion using patient-specific guides created by CT-based 3D printing.Nagoya journal of medical science · 2024Article
- Ultrasound propagation characteristics within the bone tissue of miniature ultrasound probes: implications for the spinal navigation of pedicle screw placement.Quantitative imaging in medicine and surgery · 2024Article
- Deep Learning-Based Localization and Orientation Estimation of Pedicle Screws in Spinal Fusion Surgery.Korean journal of neurotrauma · 2024Article
- Clinical Application and Curative Effect Analysis of Postural Awareness Surgical Tool Assisted Nail Placement in Adolescent Idiopathic Scoliosis.Orthopaedic surgery · 2024Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundO-arm and C-arm are commonly used in spine surgery to guide pedicle screw placement. However, concerning the accuracy and efficiency of them, no systematical review and meta-analyses are available to help surgeons make comparisons. PURPOSES: This study aims to investigate the accuracy and efficiency of O-arm-navigated versus C-arm-guided pedicle screw placement in thoracic and lumbar spine surgery. It would help surgeons choose the optimal technique for pedicle screw placement. PATIENTS AND
methodsA systematic review and meta-analyses were performed after searching the PubMed, Embase, and Cochrane databases to identify all studies that assessed the accuracy and efficiency of navigation coupled with O-arm and conventional C-arm fluoroscopy.
resultsEight studies were finally recruited in this systematic review, all of which reported pedicle screw placement outcomes related to accuracy or efficiency in both C-arm and O-arm groups. Five studies showed higher screw insertion accuracy in the O-arm group, while one study showed no significant difference. And the pooled results also indicated that the incidence of screw misplacement in the C-arm groups is higher. Moreover, the pooled results from five studies indicated no significant difference in insertion time between C-arm and O-arm.
conclusionsNavigation coupled with O-arm imaging displayed a lower efficiency outcome in pedicle screw placement compared to conventional C-arm fluoroscopy. However, in terms of accuracy, O-arm navigation had significant advantages in accuracy over conventional C-arm fluoroscopy.
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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.