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International Journal of Computer Assisted Radiology and Surgery

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10.02.2017 | Original Article

Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR

verfasst von: P. H. Richter, F. Gebhard, M. Salameh, K. Schuetze, M. Kraus

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 5/2017

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Abstract

Purpose

Innovations in intraoperative imaging lead to major changes in orthopaedic surgery. In our setting, a 3D flat-panel c-arm (Artis zeego) is mounted on a robotic arm offering an integrated aiming tool (Syngo iGuide). Our aim was to investigate the feasibility of Syngo iGuide for pedicle screw placement in comparison with fluoroscopic screw implantation.

Methods

In 10 lumbar models, 100 screws were implanted. In 5 models, a standard fluoroscopic technique was used. Syngo iGuide was used in all other models. Afterwards, CT-scans were performed and screw accuracy was investigated.

Results

The procedure time for the new technique was significantly longer in comparison with the standard technique. The post-operative CT showed the same accuracy in both groups.

Conclusions

Syngo iGuide proofed feasible for percutaneous implantation of pedicle screws in anatomic models. Syngo iGuide can be a help for screw implantation in difficult anatomic regions without the need of an additional navigation system.

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Titel: Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR
verfasst von: P. H. Richter
F. Gebhard
M. Salameh
K. Schuetze
M. Kraus
Publikationsdatum: 10.02.2017
Verlag: Springer International Publishing
Erschienen in: International Journal of Computer Assisted Radiology and Surgery / Ausgabe 5/2017
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-017-1529-1

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Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

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Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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