Evidence map›Paper›PMID 40825588›Full record

ArticleInternational journal of spine surgery2025

Clinical Efficiency and Radiation Safety of Fluoroscopy-Based 2D Intraoperative Computer Navigation in Biportal Spinal Endoscopy.

Don Young Park, Haley Nadone, Andy Ton, Ryan Hoang, Arthur Cowman, Michael Kim, Hao-Hua Wu, Hansen Bow, Sohaib Hashmi, Yu-Po Lee and 4 more

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Article in International journal of spine surgery, 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. Review
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

14 authors.

Don Young ParkDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA donparkmd@gmail.com.
Haley NadoneDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Andy TonDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Ryan HoangDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Arthur CowmanDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Michael KimDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Hao-Hua WuDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Hansen BowDepartment of Neurosurgery, University of California Irvine, Orange, CA, USA.
Sohaib HashmiDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Yu-Po LeeDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.
Michael OhDepartment of Neurosurgery, University of California Irvine, Orange, CA, USA.
Cheol Wung ParkDepartment of Neurosurgery, Woori Hospital, Seoul, South Korea.
Heo Dong HwaDepartment of Neurosurgery, Harrison Spinartus Hospital Chungdam, Seoul, South Korea.
Nitin BhatiaDepartment of Orthopedic Surgery, University of California Irvine, Orange, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic spine surgery is a minimally invasive technique that can treat spinal conditions while resulting in less pain and faster recovery than alternative techniques. However, achieving precise navigation is challenging without significant radiation exposure and increased surgical times. Fluoroscopy-based 2-dimensional navigation (2DNAV) is an emerging technology that offers real-time navigation using intraoperative fluoroscopy. This study evaluated the clinical efficiency and radiation safety of 2DNAV in biportal endoscopic spine surgery as compared with conventional C-arm fluoroscopy.

methodsThis prospective comparative cohort study included 20 biportal endoscopic patients using 2DNAV and 20 case-matched control patients using C-arm fluoroscopy. Primary outcomes included operative time, number of fluoroscopic images, radiation exposure time, and total radiation dose. Additionally, a visual analog scale for back and leg pain and the Oswestry Disability Index were obtained.

resultsMean operative time in the 2DNAV group (67.95 ± 14.4 minutes) was significantly shorter compared with the control group (83.0 ± 16.0 minutes,

conclusions2DNAV significantly reduced operative times and required significantly fewer fluoroscopic images with lower radiation exposure for patients. 2DNAV allowed for the successful completion of the procedures with no difference in clinical outcomes. CLINICAL RELEVANCE: 2DNAV provides real-time instrument tracking and computer navigation during endoscopic spine surgery with significantly decreased operative time and radiation exposure with similar clinical outcomes as conventional fluoroscopy. LEVEL OF EVIDENCE: 2:

Indexed as

biportal spinal endoscopyclinical efficiencycomputer navigationendoscopic spine surgeryfluoroscopyradiation safety

Identifiers

PMID40825588
PMCPMC12570055

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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.