Standard navigation versus intraoperative computed tomography navigation in upper cervical spine trauma

International Journal of Computer Assisted Radiology and Surgery
Barbara CarlChristopher Nimsky

Abstract

In surgery of C1-C2 fractures, standard navigation for screw placement based on preoperative image data was compared with intraoperative imaging guidance applying intraoperative computed tomography (iCT) with a special focus on accuracy of screw placement, workflow, and radiation exposure. A single surgeon series of 16 consecutive patients with C1-C2 trauma was retrospectively analyzed. Seven patients were operated with standard navigation; preoperative image data were registered by a 20-point surface-matching process for each vertebra. Nine patients were operated with iCT guidance, allowing automatic navigation registration. Screw placement was examined and graded with either iCT or postoperative CT. Dose length product of CT and dose area products of fluoroscopy scans were assessed; effective radiation doses were estimated based on conversion factors. Radiation doses of intraoperative and postoperative X-ray and/or CT diagnostics for each group were summarized to compare the total effective doses. A total number of 72 screws were placed, 26 in the standard navigation group including 24 screws in C1 and C2, and 46 screws in the iCT group including 34 screws in C1 and C2. 15.38% (n = 4) of the C2 screws showed a grade 1 deviati...Continue Reading

References

Sep 16, 1998·The Australian and New Zealand Journal of Surgery·P Dewey, I Incoll
Jul 21, 1999·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·C VillasJ L Zubieta
Jul 25, 2000·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·T LaineD Schlenzka
Nov 15, 2001·Spine·J Harms, R P Melcher
Apr 9, 2004·Lancet·Amy Berrington de González, Sarah Darby
Aug 23, 2006·Spine·Florian T GebhardMarkus Arand
Jun 21, 2008·Radiology·Fred A MettlerMahadevappa Mahesh
Aug 20, 2008·Radiology·Walter HudaMohammad R Khorasani
Aug 28, 2009·The New England Journal of Medicine·Reza FazelBrahmajee K Nallamothu
Sep 19, 2009·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·Thorsten TjardesHolger Baethis
Apr 28, 2011·Medical Physics·Walter HudaWenjun He
Nov 25, 2011·Neurosurgery·Pierluigi VergaraDavid Choi
Jun 16, 2012·AJNR. American Journal of Neuroradiology·A-L ManninenM T Nieminen
Jan 1, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Michael KrausSebastian Weckbach
Mar 4, 2014·Neurosurgical Focus·Gazanfar RahmathullaMark A Pichelmann
Jul 25, 2014·Acta neurochirurgica·Pavel BarsaPetr Suchomel
Feb 24, 2015·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·Nils HechtPeter Vajkoczy
Dec 22, 2015·The Spine Journal : Official Journal of the North American Spine Society·Daniel MendelsohnJohn Street
May 22, 2016·World Neurosurgery·Uri P Hadelsberg, Ran Harel
Feb 28, 2017·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·Joël GreffierAhmed Larbi
Jun 10, 2017·Journal of Neurosurgery. Spine·Marcus CzabankaPeter Vajkoczy
Jul 25, 2017·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·Nathalie PireauLudovic Kaminski

❮ Previous
Next ❯

Citations

Jul 22, 2020·Journal of Orthopaedic Surgery and Research·Parisa AzimiAli Montazeri
Oct 30, 2021·Journal of Orthopaedic Surgery·Nicole LangeHanno S Meyer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.