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.author | Çetiner, Eyyup | |
dc.contributor.author | Akesen, Selcan | |
dc.contributor.author | Bilgin, Yücel | |
dc.contributor.author | Önder, Cem | |
dc.contributor.author | Güler, Saltuk Buğra | |
dc.contributor.author | Akesen, Burak | |
dc.contributor.buuauthor | AKESEN, SELCAN | |
dc.contributor.buuauthor | BİLGİN, YÜCEL | |
dc.contributor.buuauthor | Güler, Saltuk Buğra | |
dc.contributor.buuauthor | AKESEN, BURAK | |
dc.contributor.department | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı. | |
dc.contributor.department | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı. | |
dc.contributor.researcherid | ELR-9087-2022 | |
dc.contributor.researcherid | IAI-7796-2023 | |
dc.contributor.researcherid | ADT-9515-2022 | |
dc.contributor.researcherid | AAH-9833-2021 | |
dc.date.accessioned | 2024-09-10T08:30:38Z | |
dc.date.available | 2024-09-10T08:30:38Z | |
dc.date.issued | 2023-02-28 | |
dc.description.abstract | Objective: 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.doi | 10.26650/IUITFD.1198451 | |
dc.identifier.eissn | 1305-6441 | |
dc.identifier.endpage | 144 | |
dc.identifier.issue | 2 | |
dc.identifier.startpage | 138 | |
dc.identifier.uri | https://doi.org/10.26650/IUITFD.1198451 | |
dc.identifier.uri | https://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.uri | https://hdl.handle.net/11452/44472 | |
dc.identifier.volume | 86 | |
dc.identifier.wos | 000962867000001 | |
dc.indexed.wos | WOS.ESCI | |
dc.language.iso | en | |
dc.publisher | İstanbul Üniversitesi | |
dc.relation.journal | Journal of Istanbul Faculty of Medicine-İstanbul Tıp Fakültesi Dergisi | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | Internal-fixation | |
dc.subject | Scoliosis | |
dc.subject | Spine deformity | |
dc.subject | Navigation | |
dc.subject | Posterior instrumenta-tion | |
dc.subject | General & internal medicine | |
dc.title | 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.type | Article | |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | 2f7b198f-534a-49d9-98a3-c64383445bdf | |
relation.isAuthorOfPublication | 6c76eee8-6a44-4d69-a10c-613e41eaf796 | |
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relation.isAuthorOfPublication.latestForDiscovery | 2f7b198f-534a-49d9-98a3-c64383445bdf |