ArticleGlobal spine journal2024
Accurate Placement and Revisions for Cervical Pedicle Screws Placed With or Without Navigation: A Systematic Review and Meta-Analysis.
Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Impact of a novel spine stabilization technique on intervertebral movement in cervical spine surgery using a humanoid surgical robotic system.North American Spine Society journal · 2026Article
- Review
- Intraoperative Navigation in Cervical Spine Surgery.Journal of clinical medicine · 2026Review
- Minimally invasive cervical spine stabilization: A multicenter study of completely percutaneous pedicle screw-rod instrumentation.Brain & spine · 2026Article
- Accuracy and safety of navigated pedicle screw insertion in cervical spine fractures.Frontiers in surgery · 2026Article
- Accuracy, safety, and functional outcomes of O-arm navigation-guided posterior cervical spine fixation: An ambispective cohort of 147 screws.Surgical neurology international · 2026Article
- Accuracy of Navigated High-Speed Drill-Assisted Cervical and Upper Thoracic Pedicle Screw Placement-A Single Center Experience with 1112 Pedicle Screws.Journal of clinical medicine · 2025Article
- Navigated percutaneous placement of cervical pedicle screws: An anatomical feasibility study.Brain & spine · 2025Article
- Comparison of open and percutaneous navigated pedicle screw placement for traumatic injuries of the subaxial cervical spine.Brain & spine · 2025Article
- Case Report: Cervical carbon fiber-reinforced PEEK pedicle screw fixation with 3D custom-made template guides for spinal oncology surgery.Frontiers in surgery · 2025Article
- Design, fabrication, and evaluation of single- and multi-level 3D-printed non-covering cervical spinal fusion surgery templates.Frontiers in bioengineering and biotechnology · 2024Article
- Robot-assisted cervical pedicle screw placement using a novel hybrid dilator technique: A clinical series of 565 screws.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review and meta-analysis.
objectivesTo evaluate the accuracy of placement for cervical pedicle screws with and without the use of spinal navigation.
methodsA structured search was conducted in electronic databases without any language or date restrictions. Eligible studies reported the proportion of accurately placed cervical pedicle screws measured on intraoperative or postoperative 3D imaging, and reported whether intraoperative navigation was used during screw placement. Randomized Studies (MINORS) criteria were used to evaluate the methodological quality of how accuracy was assessed for cervical pedicle screws.
resultsAfter screening and critical appraisal, 4697 cervical pedicle screws from 18 studies were included in the meta-analysis. The pooled proportion for cervical pedicle screws with a breach up to 2 mm was 94% for navigated screws and did not differ from the pooled proportion for non-navigated screws (96%). The pooled proportion for cervical pedicle screws placed completely in the pedicle was 76% for navigated screws and did not differ from the pooled proportion for non-navigated screws (82%). Intraoperative screw reposition rates and screw revision rates as a result of postoperative imaging also did not differ between navigated and non-navigated screw placement.
conclusionsThis systematic review and meta-analysis found that the use of spinal navigation systems does not significantly improve the accuracy of placement of cervical pedicle screws compared to screws placed without navigation. Future studies evaluating intraoperative navigation for cervical pedicle screw placement should focus on the learning curve, postoperative complications, and the complexity of surgical cases.
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Registered trials
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