Evidence map›Paper›PMID 34993583›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 Society2022

Comparison of radiation exposure and surgery time between an intraoperative CT with automatic surface registration and a preoperative CT with manual surface registration in navigated spinal surgeries.

Martin Mohammed Marzouk, Yama Afghanyar, Mark Mahmoud Marzouk, Sarah Halima Boussouf, Philipp Hartung, Marcus Richter

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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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Martin Mohammed MarzoukSpine Center, St. Josefs-Hospital Wiesbaden, Beethovenstraße 20, 65189, Wiesbaden, Hesse, Germany. martin.marzouk@yahoo.com.ORCID 0000-0002-1099-2192
Yama AfghanyarCenter for Orthopaedic and Trauma Surgery, St. Josefs-Hospital Wiesbaden, Beethovenstraße 20, 65189, Wiesbaden, Hesse, Germany.
Mark Mahmoud MarzoukJustus-Liebig-Universität Gießen, Ludwigstraße 23, 35390, Gießen, Hesse, Germany.
Sarah Halima BoussoufDepartment of Internal Medicine, Hospital of Hofheim, Lindenstraße 10, 65719, Hofheim, Hesse, Germany.
Philipp HartungSpine Center, St. Josefs-Hospital Wiesbaden, Beethovenstraße 20, 65189, Wiesbaden, Hesse, Germany.
Marcus RichterSpine Center, St. Josefs-Hospital Wiesbaden, Beethovenstraße 20, 65189, Wiesbaden, Hesse, Germany.
St. Josefs Hospital · DEJustus-Liebig-Universität Gießen · DEUniversity of Hohenheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective matched case-control study was conducted to compare two CT based surgery techniques for navigated screw placement in spinal surgery, whether a reduction of radiation exposure and surgery time could be achieved.

methodsWe matched cases treated with an intraoperative CT (iCT), regarding the type and number of implants, with cases treated with a preoperative CT (pCT) of one main surgeon. Outcome measures were radiation exposure due to intraoperative control x-rays, radiation exposure due to CT images, and the duration of surgery.

resultsThe required radiation exposure could be significantly reduced in the iCT group. For the intraoperative control X-rays by 69% (median (MED) 88.50/standard deviation (SD) 107.84 and MED 286.00/SD 485.04 for iCT and pCT respectively-in Gycm

conclusionThe results show that spinal navigation using an intraoperative CT with automatic registration compared to a preoperative CT and intraoperative manual surface registration, allows a significant reduction of radiation exposure, without prolonged surgery time. A significant benefit regarding cut-to-suture-time can be gained with surgeries of a larger scale.

Indexed as

Radiation ExposureSurgery, Computer-AssistedCase-Control StudiesHumansRetrospective StudiesTomography, X-Ray ComputedAutomatic surface registrationIntraoperative CTNavigated spine surgeryRadiation exposure

Identifiers

PMID34993583
OpenAlexW4206064888

What OpenQuestion holds

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Registered trials

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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.