Percutaneous placement of posterior cervical screws using three-dimensional fluoroscopy

Spine
Langston T Holly, K T Foley

Abstract

The placement of percutaneous posterior cervical screws using three-dimensional fluoroscopic guidance was performed in intact human cadaver specimens. To determine the accuracy and feasibility of placing entirely percutaneous posterior cervical screws using a novel form of spinal image guidance. Conventional image guidance has been shown to increase the accuracy of many open cervical instrumentation procedures. There are presently no published studies reporting this novel method for guiding the percutaneous placement of posterior cervical screws. An isocentric C-arm was used to obtain CT images of three intact cadaver specimens. A percutaneous dynamic reference array was attached to the C2 spinous process of each specimen. Light-emitting diodes attached to the C-arm were tracked with an electro-optical camera. The image data set was then transferred to the image-guided workstation, which performed an automated registration. Using the workstation, trajectories were planned for bilateral C1-C2 transarticular, C3-C6 lateral mass, and C7 pedicle screw placement. Through 1.5-cm incisions, a drill guide fitted with light-emitting diodes was used for sequential, image-guided drilling, tapping, and placement of cannulated 4.0 mm screws...Continue Reading

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Citations

May 8, 2009·International Orthopaedics·Nai-Feng Tian, Hua-Zi Xu
Nov 24, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Eric W Nottmeier, Andrew B Foy
Jan 29, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Heiko KollerWolfgang Hitzl
Jan 23, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M ReinholdF Magerl
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Apr 6, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Christian SchaeferNils Hansen-Algenstaedt
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