ArticleBrain & spine2023
Implications of navigation in thoracolumbar pedicle screw placement on screw accuracy and screw diameter/pedicle width ratio.
Article in Brain & spine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed, 15 citations in OpenAlex.
- Influence of Lateral Perforation on the Biomechanical Stability of Thoracic Pedicle Screws.Global spine journal · 2026Article
- First experience with a novel image guidance technology for posterior pedicle screw fixation: A cadaveric study on 2D/3D registration-based spine surgery.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 · 2026Article
- Complications With Navigation-Assistance in Thoraco-Lumbar Spine Surgery.Global spine journal · 2026Article
- Article
- The accuracy of pedicle screw placement in thoracolumbar fractures: A comparative study of automated cone-beam CT-based navigation and conventional fluoroscopy.Brain & spine · 2026Article
- Time cost of the intraoperative CT in dorsal spinal fusion surgery in degenerative spinal disorders - a retrospective analysis of 518 degenerative cases.Brain & spine · 2026Article
- Article
- Accuracy of Lumbar Pedicle Screw Placement Based on Insertion Techniques in a Single-Center Retrospective Study.Cureus · 2025Article
- Intraosseous ultrasound for assessment of pedicle screw holes in the thoracolumbar spine based on endoscopic ultrasound: An experimental study.Acta neurochirurgica · 2025Article
- Clinical and Radiological Outcome of Posterior Cervical Fusion Using Philips AlluraXper FD20 Angiography Suite.Brain sciences · 2025Article
- Markerless 2D/3D image guidance vs. 2D fluoroscopy in posterior pedicle screw fixation using intraoperative 2D imaging: An experimental study.Brain & spine · 2025Article
- Article
- Comparison of 3D-navigation and fluoroscopic guidance in percutaneous pedicle screw placement for traumatic fractures of the thoracolumbar junction.Brain & spine · 2024Article
- 3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: There is ample evidence that higher accuracy can be achieved in thoracolumbar pedicle screw placement by using spinal navigation. Still, to date, the evidence regarding the influence of the use of navigation on the screw diameter to pedicle width ratio remains limited. Research question: The aim of this study was to investigate the implications of navigation in thoracolumbar pedicle screw placement not only on screw accuracy, but on the screw diameter to pedicle width ratio as well. Material and methods: In this single-center single-surgeon study, 45 Patients undergoing navigated thoracolumbar pedicle screw placement were prospectively included. The results were compared with a matched comparison group of patients in which screw placement was performed under fluoroscopic guidance. The screw accuracy and the screw diameter to pedicle width ratio of every screw were compared between the groups. Results: Screw accuracy was significantly higher in the navigation group compared to the fluoroscopic guidance group, alongside with a significant increase of the screw diameter to pedicle width ratio by approximately 10%. In addition, both the intraoperative radiation dose and the operating time tended to be lower in the study group. Conclusion: This study was able to show that navigated thoracolumbar pedicle screw placement not only increases the accuracy of screw placement but also facilitates the selection of the adequate screw sizes, which according to the literature has positive effects on fixation strength. Meanwhile, the use of navigation did not negatively affect the time needed for surgery or the patient's intraoperative exposure to radiation.
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