Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Ethics and Patients’ Section
2.2. Preoperative Measurements
2.3. Fabrication of the Spine Model and 3D Navigation Templates
2.4. Surgical Procedures and the Use of 3D Navigation Templates
2.5. Methods of Pedicle Screw Grading
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Trial Registration
Data Availability Statement
Conflicts of Interest
References
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Template Group | Free-Hand Group | |
---|---|---|
Number | 8 | 7 |
Age (Year) | 27.8 ± 12.8 | 29.9 ± 18.4 |
Gender(M/F) | (0/8) | (1/6) |
Diagnosis | Idiopathic scoliosis (5 cases) | Idiopathic scoliosis (5 cases) |
Congenital scoliosis (3 cases) | Degenerative scoliosis (2 cases) | |
Mean Cobb Angle (°) | 61 ± 11° | 56 ± 17° (* n = 6) |
Pedicle Number | Mean Pedicle Width (mm) | Mean PRU Width (mm) | ||
---|---|---|---|---|
Template | 138 | 6.1 ± 2.6 | - | |
Free-hand | 126 | 6.2 ± 2.6 | - | |
Thoracic | Template | 101 | 5.5 ± 2.1 | 12.7 ± 2.1 (* n = 100) |
Free-hand | 91 | 5.5 ± 2.0 | 12.4 ± 2.3 (n = 91) | |
Concave | Template | 72 | 6.1 ± 2.5 | 13.0 ± 2.1 |
Free-hand | 63 | 6.3 ± 2.5 | 12.4 ± 2.3 | |
Convex | Template | 66 | 6.1 ± 2.6 | 12.4 ± 2.1 |
Free-hand | 63 | 6.2 ± 2.7 | 11.6 ± 3.3 |
Grade 0 | Grade I | Grade II | Grade III | Grade IV | Total | |
---|---|---|---|---|---|---|
Free-hand (** n = 6) | 18 | 21 | 15 | 1 | 0 | 55 |
Template | 20 | 39 | 10 | 4 | 1 | 74 |
G 0 | G 1 | G 2 | G 3 | Total | Accuracy | Safety | ||
---|---|---|---|---|---|---|---|---|
Total | Template | 97 | 27 | 14 | 0 | 138 | 70.3% | 89.9% |
Free-hand | 78 | 36 | 12 | 0 | 126 | 61.9% | 90.5% | |
Thoracic | Template | 76 | 16 | 9 | 0 | 101 | 75.3% | 91.1% |
Free-hand | 55 | 27 | 9 | 0 | 91 | 60.4% | 90.1% | |
Concave | Template | 46 | 20 | 6 | 0 | 72 | 63.9% | 91.7% |
Free-hand | 34 | 19 | 10 | 0 | 63 | 54.0% | 84.1% | |
Convex | Template | 51 | 7 | 8 | 0 | 65 | 77.3% | 89.2% |
Free-hand | 44 | 17 | 2 | 0 | 63 | 69.8% | 96.8% |
Free-Hand | Template | |||
---|---|---|---|---|
Rotation Classification | Grade I | Grade II | Grade I | Grade II |
Accuracy | 69.2% | 56.0% | 76.1% | 55.0% |
Template | Free-Hand | |
---|---|---|
Number of vertebrae | 74 | 69 |
Drainage volume (mL) | 1027.9 ± 414.2 | 982.4 ± 225.4 |
Complications | CSF leak (2 cases) | None |
Postoperative hospital stay (day) | 15.4 ± 5.1 | 14.1 ± 6.8 |
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Jiang, C.-H.; Shi, Y.; Sun, Y.-M.; Cai, M.-J.; Wu, H.-L.; Hu, L.-S.; Yu, L.-M.; Wang, P.; Shen, J.; Huang, Y.-C.; et al. Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis. Bioengineering 2023, 10, 756. https://doi.org/10.3390/bioengineering10070756
Jiang C-H, Shi Y, Sun Y-M, Cai M-J, Wu H-L, Hu L-S, Yu L-M, Wang P, Shen J, Huang Y-C, et al. Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis. Bioengineering. 2023; 10(7):756. https://doi.org/10.3390/bioengineering10070756
Chicago/Turabian StyleJiang, Cheng-Hao, Yan Shi, Yong-Mei Sun, Ming-Jun Cai, Hai-Long Wu, Li-Sheng Hu, Li-Min Yu, Peng Wang, Jie Shen, Yong-Can Huang, and et al. 2023. "Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis" Bioengineering 10, no. 7: 756. https://doi.org/10.3390/bioengineering10070756
APA StyleJiang, C. -H., Shi, Y., Sun, Y. -M., Cai, M. -J., Wu, H. -L., Hu, L. -S., Yu, L. -M., Wang, P., Shen, J., Huang, Y. -C., & Yu, B. -S. (2023). Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis. Bioengineering, 10(7), 756. https://doi.org/10.3390/bioengineering10070756