Evidence map›Paper›PMID 35062483›Full record

ArticleSensors (Basel, Switzerland)2022

Feasibility and Accuracy of Thoracolumbar Pedicle Screw Placement Using an Augmented Reality Head Mounted Device.

Henrik Frisk, Eliza Lindqvist, Oscar Persson, Juliane Weinzierl, Linda K Bruetzel, Paulina Cewe, Gustav Burström, Erik Edström, Adrian Elmi-Terander

Open access · goldAbstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Accuracy of augmented reality-assisted pedicle screw placement: a systematic review.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 · 2024
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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

9 authors at 2 institutions in 2 countries.

Henrik FriskDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0001-7317-1554
Eliza LindqvistBrainlab AG, Olof-Palme-Str. 9, 81829 München, Germany.
Oscar PerssonDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Juliane WeinzierlBrainlab AG, Olof-Palme-Str. 9, 81829 München, Germany.
Linda K BruetzelBrainlab AG, Olof-Palme-Str. 9, 81829 München, Germany.
Paulina CeweDepartment of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden.
Gustav BurströmDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Erik EdströmDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0002-8781-1169
Adrian Elmi-TeranderDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0002-3776-6136
Karolinska University Hospital · SEBrainlab (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the accuracy of augmented reality (AR) navigation using the Magic Leap head mounted device (HMD), pedicle screws were minimally invasively placed in four spine phantoms.

methodsAR navigation provided by a combination of a conventional navigation system integrated with the Magic Leap head mounted device (AR-HMD) was used. Forty-eight screws were planned and inserted into Th11-L4 of the phantoms using the AR-HMD and navigated instruments. Postprocedural CT scans were used to grade the technical (deviation from the plan) and clinical (Gertzbein grade) accuracy of the screws. The time for each screw placement was recorded.

resultsThe mean deviation between navigation plan and screw position was 1.9 ± 0.7 mm (1.9 [0.3-4.1] mm) at the entry point and 1.4 ± 0.8 mm (1.2 [0.1-3.9] mm) at the screw tip. The angular deviation was 3.0 ± 1.4° (2.7 [0.4-6.2]°) and the mean time for screw placement was 130 ± 55 s (108 [58-437] s). The clinical accuracy was 94% according to the Gertzbein grading scale.

conclusionThe combination of an AR-HMD with a conventional navigation system for accurate minimally invasive screw placement is feasible and can exploit the benefits of AR in the perspective of the surgeon with the reliability of a conventional navigation system.

Indexed as

Augmented RealityPedicle ScrewsSurgery, Computer-AssistedFeasibility StudiesLumbar VertebraeReproducibility of Resultsaugmented realityminimally invasive surgerypedicle screwphantomspine surgerysurgical navigation

Identifiers

PMID35062483
PMCPMC8779462
OpenAlexW4205592245

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.