Evidence map›Paper›PMID 40777083›Full record

ArticleBrain & spine2025

Intraoperative-CT-navigated percutaneous posterior positioning of pedicle screws in the cervical spine.

Holger Stadthalter, Michael Kreinest, Paul Alfred Grützner, Sven Yves Vetter

Abstract read
In one paragraph

Article in Brain & spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Holger StadthalterFriedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Universitätsklinikum Erlangen, Department of Trauma and Orthopaedic Surgery, Krankenhausstr. 12, 91054, Erlangen, Germany.
Michael KreinestBG Trauma Center Ludwigshafen, Department of Trauma and Orthopaedic Surgery, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany.
Paul Alfred GrütznerBG Trauma Center Ludwigshafen, Department of Trauma and Orthopaedic Surgery, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany.
Sven Yves VetterBG Trauma Center Ludwigshafen, Department of Trauma and Orthopaedic Surgery, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study was conducted to evaluate reliability and precision of a novel intraoperative computed tomography(iCT)-based navigated procedure to minimally invasive positioning of cervical pedicle screws. Methods: Ten cases were included. Pedicle screws were positioned percutaneously with iCT-based navigation between C3-C7 (Airo mobile CT scanner, Brainlab, Munich, Germany). In the control CT scan screws were assessed regarding affection of the pedicle cortices and neuroforamina. Image quality was evaluated with a subjective Likert-Scale (0-5) and a semi-objective Assessability score (0-4). Results: 40 screws were placed. Average subjective image quality was 3.57 ± 1.0, average assessability score was 3.59 ± 0.73.23 screws (58 %) were positioned centered in the pedicle. 4 screws perforated the medial wall by more than 2 mm [2.7-2.9]. 9 screws were positioned laterally by more than 2 mm [2.5-4.9]. No postoperative neurological deficits were observed. Conclusion: Even in shallow anatomic structures, iCT-navigated visualization of instruments and implants allows for minimally invasive surgery.

Indexed as

Cervical spine traumaComputer assisted surgeryIntraoperative computed tomographyPedicle screwsSurgical navigation

Identifiers

PMID40777083
PMCPMC12329274

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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.