Publication:
Comparing the trajectory accuracy of pedicle screws placed with a free-hand technique and a three-dimensional computed tomography-assisted navigation system in spine surgery: A retrospective study

dc.contributor.authorÇetiner, Eyyup
dc.contributor.authorAkesen, Selcan
dc.contributor.authorBilgin, Yücel
dc.contributor.authorÖnder, Cem
dc.contributor.authorGüler, Saltuk Buğra
dc.contributor.authorAkesen, Burak
dc.contributor.buuauthorAKESEN, SELCAN
dc.contributor.buuauthorBİLGİN, YÜCEL
dc.contributor.buuauthorGüler, Saltuk Buğra
dc.contributor.buuauthorAKESEN, BURAK
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı.
dc.contributor.researcheridELR-9087-2022
dc.contributor.researcheridIAI-7796-2023
dc.contributor.researcheridADT-9515-2022
dc.contributor.researcheridAAH-9833-2021
dc.date.accessioned2024-09-10T08:30:38Z
dc.date.available2024-09-10T08:30:38Z
dc.date.issued2023-02-28
dc.description.abstractObjective: We evaluated a free-hand technique and a three-di-mensional computerized tomography (3D-CT)-assisted naviga-tion technique, which are pedicle screw placement techniques used in spinal surgery, regarding screw placement and reliability.Material and Method: A total of 1664 screws in 73 patients with spinal deformities who underwent spinal instrumentation using pedicle screws were evaluated in this study. Forty patients were in the free-hand technique group, and 33 patients were in the 3D-CT-assisted navigation technique group. The placement and reliability of pedicle screws in all patients were evaluated using the Gertzbein-Robbins classification using CT images taken in the postoperative period.Result: There were no significant differences found regarding age, body mass index (BMI), sex (female or male), or deformity (scoliosis or kyphosis) (p>0.05). When the pedicle screws were evaluated in terms of transverse penetration, the 3D-CT-assisted navigation technique was determined Grade A (89.6%), as was the free-hand technique (76.5%), but the 3D-CT-assisted navi-gation technique was statistically more reliable (p<0.001). When the pedicle screws were evaluated in terms of anterior penetra-tion, both the 3D-CT-assisted navigation technique (92.5%) and the free-hand technique (82.9%) were determined Grade A, but the 3D-CT-assisted navigation technique was statistically more reliable (p<0.001).Conclusion: According to our studys results, the 3D-CT-assist-ed navigation technique is more reliable than the free-hand technique in surgeries involving spine deformities for pedicle screw insertion.
dc.identifier.doi10.26650/IUITFD.1198451
dc.identifier.eissn1305-6441
dc.identifier.endpage144
dc.identifier.issue2
dc.identifier.startpage138
dc.identifier.urihttps://doi.org/10.26650/IUITFD.1198451
dc.identifier.urihttps://iupress.istanbul.edu.tr/en/journal/jmed/article/comparing-the-trajectory-accuracy-of-pedicle-screws-placed-with-a-free-hand-technique-and-a-three-dimensional-computed-tomography-assisted-navigation-system-in-spine-surgery-a-retrospective-study
dc.identifier.urihttps://hdl.handle.net/11452/44472
dc.identifier.volume86
dc.identifier.wos000962867000001
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherİstanbul Üniversitesi
dc.relation.journalJournal of Istanbul Faculty of Medicine-İstanbul Tıp Fakültesi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectInternal-fixation
dc.subjectScoliosis
dc.subjectSpine deformity
dc.subjectNavigation
dc.subjectPosterior instrumenta-tion
dc.subjectGeneral & internal medicine
dc.titleComparing the trajectory accuracy of pedicle screws placed with a free-hand technique and a three-dimensional computed tomography-assisted navigation system in spine surgery: A retrospective study
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublication2f7b198f-534a-49d9-98a3-c64383445bdf
relation.isAuthorOfPublication6c76eee8-6a44-4d69-a10c-613e41eaf796
relation.isAuthorOfPublication7d69bf4b-5b6e-4ffb-8c62-24c57cf808aa
relation.isAuthorOfPublication.latestForDiscovery2f7b198f-534a-49d9-98a3-c64383445bdf

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