Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems—A Systematic Review
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Zhang, J.; Xu, R.; Li, Z.; Zha, W. Cerebral infarction due to malposition of cervical pedicle screw. Medicine 2018, 97, 9937. [Google Scholar] [CrossRef]
- Richter, M.; Cakir, B.; Schmidt, R. Cervical pedicle screws: Conventional versus computer-assisted placement of cannulated screws. Spine 2005, 30, 2280–2287. [Google Scholar] [CrossRef]
- Perna, F.; Borghi, R.; Pilla, F.; Stefanini, N.; Mazzotti, A.; Chehrassan, M. Pedicle screw insertion techniques: An update and review of the literature. Musculoskelet. Surg. 2016, 100, 165–169. [Google Scholar] [CrossRef] [PubMed]
- Kaneyama, S.; Sugawara, T.; Sumi, M. Safe and accurate midcervical pedicle screw insertion procedure with the patient-specific screw guide template system. Spine 2015, 40, 341–348. [Google Scholar] [CrossRef] [PubMed]
- Abumi, K.; Itoh, H.; Taneichi, H.; Kaneda, K. Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: Description of the techniques and preliminary report. J. Spinal Disord. Tech. 1994, 7, 19–28. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jung, Y.G.; Jung, S.K.; Lee, B.J.; Lee, S.; Jeong, S.K.; Kim, M.; Park, J.H. The subaxial cervical pedicle screw for cervical spine diseases: The review of technical developments and complication avoidance. Neurol. Med.-Chir. 2020, 60, 231–243. [Google Scholar] [CrossRef] [Green Version]
- Helm, P.A.; Teichman, R.; Hartmann, S.L.; Simon, D. Spinal Navigation and Imaging: History, Trends, and Future. IEEE Trans. Med. Imaging 2015, 34, 1738–1746. [Google Scholar] [CrossRef] [PubMed]
- Abumi, K.; Shono, Y.; Ito, M.; Taneichi, H.; Kotani, Y.; Kaneda, K. Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine 2000, 8, 962–969. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Onishi, E.; Sekimoto, Y.; Fukumitsu, R.; Yamagata, S.; Matsushita, M. Cerebral infarction due to an embolism after cervical pedicle screw fixation. Spine 2010, 35, 63–66. [Google Scholar] [CrossRef]
- Scheufler, K.M.; Franke, J.; Eckardt, A.; Dohmen, H. Accuracy of image-guided pedicle screw placement using intraoperative computed tomography-based navigation with automated referencing, part I: Cervicothoracic spine. Neurosurgery 2011, 69, 782–795. [Google Scholar] [CrossRef]
- Tian, N.F.; Huang, Q.S.; Zhou, P.; Zhou, Y.; Wu, R.K.; Lou, Y.; Xu, H.Z. Pedicle screw insertion accuracy with different assisted methods: A systematic review and meta-analysis of comparative studies. Eur. Spine J. 2011, 20, 846–859. [Google Scholar] [CrossRef] [Green Version]
- Kotani, Y.; Abumi, K.; Ito, M.; Minami, A. Improved accuracy of computer-assisted cervical pedicle screw insertion. J. Neurosurg. 2003, 99, 257–263. [Google Scholar] [CrossRef] [Green Version]
- Nooh, A.; Lubov, J.; Aoude, A.; Aldebeyan, S.; Jarzem, P.; Ouellet, J.; Weber, M.H. Differences between Manufacturers of Computed Tomography-Based Computer-Assisted Surgery Systems Do Exist. Glob. Spine J. 2017, 7, 83–94. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Xiong, M.; Chen, R.; Jian, G.; Xia, T.; Liao, X.; Ye, Z.; Xu, T.; Huang, J.; Huang, Y.; Feng, Z.; et al. Clinical application of 3D printing in pedicle screw fixation and fusion for the treatment of old type ii odontoid fractures with posterior atlantoaxial dislocation. Int. J. Clin. Exp. Med. 2017, 10, 11244–11253. [Google Scholar]
- Jiang, L.; Dong, L.; Tan, M.; Qi, Y.; Yang, F.; Yi, P.; Tang, X. A modified personalized image-based drill guide template for atlantoaxial pedicle screw placement: A clinical study. Med. Sci. Monit. 2017, 23, 1325. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Karaikovic, E.E.; Daubs, M.D.; Madsen, R.W.; Gaines, R.W. Morphologic characteristics of human cervical pedicles. Spine 1997, 22, 493–500. [Google Scholar] [CrossRef] [PubMed]
- Ito, H.; Neo, M.; Yoshida, M.; Fujibayashi, S.; Yoshitomi, H.; Nakamura, T. Efficacy of computer-assisted pedicle screw insertion for cervical instability in RA patients. Rheumatol. Int. 2007, 27, 567–574. [Google Scholar] [CrossRef]
- Rajan, V.V.; Kamath, V.; Shetty, A.P.; Rajasekaran, S. Iso-C3D navigation assisted pedicle screw placement in deformities of the cervical and thoracic spine. Indian J. Orthop. 2010, 44, 163–165. [Google Scholar]
- Richter, M.; Mattes, T.; Cakir, B. Computer-assisted posterior instrumentation of the cervical and cervico-thoracic spine. Eur. Spine J. 2004, 13, 50–59. [Google Scholar] [CrossRef] [Green Version]
- Yu, W.; Wang, L.; He, S.F.; Guo, H.B.; Liu, D.S. Accuracy of X-ray fluoroscopy versus CT three-dimensional image navigation in cervical pedicle screw insertion. Chin. J. Tissue Eng. 2017, 21, 1758. [Google Scholar]
- Yukawa, Y.; Kato, F.; Yoshihara, H.; Yanase, M.; Ito, K. Cervical pedicle screw fixation in 100 cases of unstable cervical injuries: Pedicle axis views obtained using fluoroscopy. J. Neurosurg. Spine 2006, 5, 488–493. [Google Scholar] [CrossRef] [PubMed]
- Kowalski, J.M.; Ludwig, S.C.; Hutton, W.C.; Heller, J.G. Cervical spine pedicle screws: A biomechanical comparison of two insertion techniques. Spine 2000, 25, 2865–2867. [Google Scholar] [CrossRef]
- Joaquim, A.F.; Mudo, M.L.; Tan, L.A.; Riew, K.D. Posterior Subaxial Cervical Spine Screw Fixation: A Review of Techniques. Glob. Spine J. 2018, 8, 751–760. [Google Scholar] [CrossRef] [PubMed]
- Jones, E.L.; Heller, J.G.; Silcox, D.H.; Hutton, W.C. Cervical pedicle screws versus lateral mass screws: Anatomic feasibility and biomechanical comparison. Spine 1997, 22, 977–982. [Google Scholar] [CrossRef]
- Lee, S.H.; Kim, K.T.; Abumi, K.; Suk, K.S.; Lee, J.H.; Park, K.J. Cervical pedicle screw placement using the “key Slot Technique”: The feasibility and learning curve. J. Spinal Disord. Tech. 2012, 25, 415–421. [Google Scholar] [CrossRef]
- Verma, R.; Krishan, S.; Haendlmayer, K.; Mohsen, A. Functional outcome of computer-assisted spinal pedicle screw placement: A systematic review and meta-analysis of 23 studies including 5,992 pedicle screws. Eur. Spine J. 2010, 3, 370–375. [Google Scholar] [CrossRef] [Green Version]
- Shin, B.J.; James, A.R.; Njoku, I.U.; Härtl, R. Pedicle screw navigation: A systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion—A review. J. Neurosurg. Spine 2012, 2, 113–122. [Google Scholar] [CrossRef]
- Gelalis, I.D.; Paschos, N.K.; Pakos, E.E.; Politis, A.N.; Arnaoutoglou, C.M.; Karageorgos, A.C.; Ploumis, A.; Xenakis, T.A. Accuracy of pedicle screw placement: A systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques. Eur. Spine J. 2012, 2, 247–255. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bratschitsch, G.; Leitner, L.; Stücklschweiger, G.; Guss, H.; Sadoghi, P.; Puchwein, P.; Leithner, A.; Radl, R. Radiation Exposure of Patient and Operating Room Personnel by Fluoroscopy and Navigation during Spinal Surgery. Sci. Rep. 2019, 9, 1–5. [Google Scholar]
- Merloz, P.; Tonetti, J.; Pittet, L.; Coulomb, M.; Lavallée, S.; Troccaz, J.; Cinquin, P.; Sautot, P. Computer-assisted spine surgery. Comput. Aided Surg. 1998, 3, 297–305. [Google Scholar] [CrossRef]
- Yang, B.P.; Wahl, M.M.; Idler, C.S. Percutaneous Lumbar Pedicle Screw Placement Aided by Computer-Assisted Fluoroscopy-Based Navigation. Spine 2012, 37, 2055–2060. [Google Scholar] [CrossRef]
- Meng, X.T.; Guan, X.F.; Zhang, H.L.; He, S.S. Computer navigation versus fluoroscopy-guided navigation for thoracic pedicle screw placement: A meta-analysis. Neurosurg. Rev. 2016, 39, 385–391. [Google Scholar] [CrossRef]
- Mirza, S.K.; Wiggins, G.C.; Kuntz, I.V.C.; York, J.E.; Bellabarba, C.; Knonodi, M.A.; Chapman, J.R.; Shaffrey, C.I. Accuracy of thoracic vertebral body screw placement using standard fluoroscopy, fluoroscopic image guidance, and computed tomographic image guidance: A cadaver study. Spine 2003, 28, 402–413. [Google Scholar] [CrossRef]
- Kotani, T.; Akazawa, T.; Sakuma, T.; Koyama, K.; Nemoto, T.; Nawata, K.; Yamazaki, A.; Minami, S. Accuracy of pedicle screw placement in scoliosis surgery: A comparison between conventional computed tomography-based and O-arm-based navigation techniques. Asian Spine J. 2014, 8, 331. [Google Scholar] [CrossRef]
- Thomas, C.; Christopher, W.; Olga, I.; Banning, G. Could 3D Printing Change the World? Atlantic Council: Washington, DC, USA, 2011. [Google Scholar]
- Mobbs, R.J.; Sivabalan, P.; Li, J. Technique, challenges and indications for percutaneous pedicle screw fixation. J. Clin. Neurosci. 2011, 6, 741–749. [Google Scholar] [CrossRef]
- Kim, T.T.; Drazin, D.; Shweikeh, F.; Pashman, R.; Johnson, J.P. Clinical and radiographic outcomes of minimally invasive percutaneous pedicle screw placement with intraoperative CT (O-arm) image guidance navigation. Neurosurg. Focus 2014, 36, E1. [Google Scholar] [CrossRef]
Pedicle Screw Accuracy in the Cervical Spine- A Systematic Review | |
---|---|
PubMed Data range searched- Pedicle Screw Cervical Spine; Clinical Trials and Randomised Control Trials Results—27 | Cochrane Library Data range searched- Pedicle Screw Cervical Spine; Trials Results—29 |
Total number screened following exclusion of duplicates—50 | |
Articles undergoing full analysis—14 | Obviously irrelevant, inappropriate articles excluded following review of abstract—36 |
Inclusion Criteria- in vivo human trials; pedicle screw placement in the cervical spine; method of guidance detailed; post operative CT scanning to determine accuracy All aetiologies, all vertebrae in the cervical spine, all languages | |
Total Number of Papers Included—9 | Excluded—5 |
Total | Accurate | Cortex Breached | ||
---|---|---|---|---|
Yukawa 2006 [21] | Fluoroscopy | 419 | 359 | 60 |
Kotani 2003 [12] | Navigation | 78 | 77 | 1 |
Ito 2006 [17] | Navigation | 25 | 20 | 5 |
Fluoroscopy | 86 | 26 | 60 | |
Richter 2004 [19] | Navigation | 31 | 30 | 1 |
Jiang 2017 [15] | Template | 100 | 96 | 4 |
Fluoroscopy | 116 | 103 | 13 | |
Scheuffler 2010 [10] | Navigation | 138 | 117 | 21 |
Rajan 2010 [18] | Navigation | 98 | 89 | 9 |
Yu 2017 [20] | Fluoroscopy | 132 | 117 | 15 |
Navigation | 128 | 122 | 6 | |
Xiong 2017 [14] | Fluoroscopy | 24 | 21 | 3 |
Template | 52 | 51 | 1 |
Total | Accurate | Cortex Breached | Percentage | |
---|---|---|---|---|
Fluoroscopy | 777 | 626 | 151 | 80.57 |
Navigation | 498 | 455 | 43 | 91.37 |
Template | 152 | 147 | 5 | 96.71 |
Accurate | Inaccurate | Marginal Row Totals | |
---|---|---|---|
Fluoroscopy | 626 (658.77) [1.63] | 151 (118.23) [9.09] | 777 |
Navigation | 455 (422.23) [2.54] | 43 (75.77) [14.18] | 498 |
Marginal Column Totals | 1081 | 194 | 1275 (Grand Total) |
Accurate | Inaccurate | Marginal Row Totals | |
---|---|---|---|
Navigation | 455 (461.22) [0.08] | 43 (36.78) [1.05] | 498 |
Template | 147 (140.78) [0.28] | 5 (11.22) [3.45] | 152 |
Marginal Column Totals | 602 | 48 | 650 (Grand Total) |
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Mahmoud, A.; Shanmuganathan, K.; Rocos, B.; Sedra, F.; Montgomery, A.; Aftab, S. Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems—A Systematic Review. Tomography 2021, 7, 614-622. https://doi.org/10.3390/tomography7040052
Mahmoud A, Shanmuganathan K, Rocos B, Sedra F, Montgomery A, Aftab S. Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems—A Systematic Review. Tomography. 2021; 7(4):614-622. https://doi.org/10.3390/tomography7040052
Chicago/Turabian StyleMahmoud, Arin, Kanatheepan Shanmuganathan, Brett Rocos, Fady Sedra, Alexander Montgomery, and Syed Aftab. 2021. "Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems—A Systematic Review" Tomography 7, no. 4: 614-622. https://doi.org/10.3390/tomography7040052
APA StyleMahmoud, A., Shanmuganathan, K., Rocos, B., Sedra, F., Montgomery, A., & Aftab, S. (2021). Cervical Spine Pedicle Screw Accuracy in Fluoroscopic, Navigated and Template Guided Systems—A Systematic Review. Tomography, 7(4), 614-622. https://doi.org/10.3390/tomography7040052