ArticleGlobal spine journal2021
Radiation Exposure in Posterior Lumbar Fusion: A Comparison of CT Image-Guided Navigation, Robotic Assistance, and Intraoperative Fluoroscopy.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Radiation exposure in fluoroscopy-guided anterior total hip arthroplasty: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- Article
- Dimensionality Reduction and Electrode Arrangement Optimization for an Electric Field Source Seeking Surgical Navigation Method.Sensors (Basel, Switzerland) · 2025Article
- Optimizing DSA parameters for enhanced radiation safety in interventional surgery.Frontiers in public health · 2025Article
- Robotic-assisted minimally invasive transforaminal lumbar interbody fusion: A meta-analysis of perioperative and postoperative outcomes.Qatar medical journal · 2025Review
- Article
- Minimally Invasive 360° Fusion Using a Combination of INFIX and Minimally Invasive Spinopelvic Fixation by Intraoperative Computed Tomography Navigation for Unstable Pelvic Ring Fracture: A Technical Note.Orthopaedic surgery · 2023Article
- Comparing radiation dose of image-guided techniques in lumbar fusion surgery with pedicle screw insertion; A systematic review.North American Spine Society journal · 2023Review
- Intraoperative CT-assisted sacroiliac screws fixation for the treatment of posterior pelvic ring injury: a comparative study with conventional intraoperative imaging.Scientific reports · 2022Article
- Sacroiliac screws fixation navigated with three-dimensional printing personalized guide template for the treatment of posterior pelvic ring injury: A case report.Frontiers in surgery · 2022Article
- Role of Robotics in Adult Spinal Deformity.International journal of spine surgery · 2021Article
- Machine Vision Navigation in Spine Surgery.Frontiers in surgery · 2021Review
- Regarding "Radiation Exposure in Posterior Lumbar Fusion: A Comparison of CT Image-Guided Navigation, Robotic Assistance, and Intraoperative Fluoroscopy" by Wang et al.Global spine journal · 2020Article
- The impact of robotic assistance for lumbar fusion surgery on 90-day surgical outcomes and 1-year revisions.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective clinical review.
objectiveTo assess the use of intraoperative computed tomography (CT) image-guided navigation (IGN) and robotic assistance in posterior lumbar surgery and their relationship with patient radiation exposure and perioperative outcomes.
methodsPatients ≥18 years old undergoing 1- to 2-level transforaminal lateral interbody fusion in 12-month period were included. Chart review was performed for pre- and intraoperative data on radiation dose and perioperative outcomes. All radiation doses are quantified in milliGrays (mGy). Univariate analysis and multivariate logistic regression analysis were utilized for categorical variables. One-way analysis of variance with post hoc Tukey test was used for continuous variables.
resultsA total of 165 patients were assessed: 12 IGN, 62 robotic, 56 open, 35 fluoroscopically guided minimally invasive surgery (MIS). There was a lower proportion of women in open and MIS groups (
conclusionIGN and robotic assistance in posterior lumbar fusion were associated with higher intraoperative and total-procedure radiation exposure than open cases without IGN/robotics, but significantly less than MIS without IGN/robotics, without differences in perioperative outcomes. Fluoro-MIS procedures reported highest radiation exposure to patient, and of equal concern is that the proportion of total radiation dose also applied to the surgeon and operating room staff in fluoro-MIS group is higher than in IGN/robotics and open groups.
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