Evidence map›Paper›PMID 34386229›Full record

ArticleAnnals of medicine and surgery (2012)2021

Prevalence of spine surgery navigation techniques and availability in Africa: A cross-sectional study.

Ulrick Sidney Kanmounye, Yvan Zolo, Faith C Robertson, Nourou Dine Adeniran Bankole, Kantenga Dieu Merci Kabulo, Jeff M Ntalaja, Juma Magogo, Ahmed Negida, Nqobile Thango, Ignatius Esene and 2 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

12 authors.

Ulrick Sidney KanmounyeResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Yvan ZoloResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Faith C RobertsonDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Nourou Dine Adeniran BankoleResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Kantenga Dieu Merci KabuloResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Jeff M NtalajaNeurosurgery Unit, Ngaliema General Provincial Reference Hospital, Kinshasa, Democratic Republic of the Congo.
Juma MagogoMuhimbili Orthopedic Institute, Dar es Salaam, Tanzania.
Ahmed NegidaResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Nqobile ThangoDivision of Neurosurgery, Department of Surgery, University of Cape Town, Cape Town, South Africa.
Ignatius EseneNeurosurgery Division, Faculty of Health Sciences, University of Bamenda, Bambili, Cameroon.
Brenton PennicookeDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Camilo A MolinaDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfrica has a large burden of spine pathology but has limited and insufficient infrastructure to manage these spine disorders. Therefore, we conducted this e-survey to assess the prevalence and identify the determinants of the availability of spine surgery navigation techniques in Africa. MATERIALS AND

methodsA two-part questionnaire was disseminated amongst African neurological and orthopedic surgery consultants and trainees from January 24 to February 23, 2021. The Chi-Square, Fisher Exact, and Kruskal-Wallis tests were used to evaluate bivariable relationships, and a p-value <0.05 was considered statistically significant.

resultsWe had 113 respondents from all regions of Africa. Most (86.7 %) participants who practiced or trained in public centers and centers had an annual median spine case surgery volume of 200 (IQR = 190) interventions. Fluoroscopy was the most prevalent spine surgery navigation technique (96.5 %), followed by freehand (55.8 %), stereotactic without intraoperative CT scan (31.9 %), robotic with intraoperative CT scan (29.2 %), stereotactic with intraoperative CT scan (8.8 %), and robotic without intraoperative CT scan (6.2 %). Cost of equipment (94.7 %), lack of trained staff to service (63.7 %), or run the equipment (60.2 %) were the most common barriers to the availability of spine instrumentation navigation. In addition, there were significant regional differences in access to trained staff to run and service the equipment (P = 0.001).

conclusionThere is a need to increase access to more advanced navigation techniques, and we identified the determinants of availability.

Indexed as

AccessAfricaComputer-assisted surgeryNeuronavigationSpine surgery

Identifiers

PMID34386229
PMCPMC8346523

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