Article
Clinical Neurology
Chao Li, Zheng Wang, Donglai Li, Yonghao Tian, Suomao Yuan, Lianlei Wang, Xinyu Liu
Summary: This study compared the safety and accuracy of cannulated pedicle screw placement using a robotic-navigation technique, O-arm-based navigation technique, or freehand technique. The results showed that both robotic-navigation and O-arm-based navigation techniques can effectively increase the accuracy and safety of pedicle screw insertion compared to the freehand technique.
EUROPEAN SPINE JOURNAL
(2023)
Article
Medicine, General & Internal
Masato Tanaka, Sumeet Sonawane, Koji Uotani, Yoshihiro Fujiwara, Kittipong Sessumpun, Taro Yamauchi, Shinsuke Sugihara
Summary: Percutaneous biopsy under C-arm free O-arm navigation is an effective technique for obtaining sufficient material from spinal pathologies. It allows for precise tissue sampling with 3-D imaging and could potentially serve as an alternative to repeat CT-guided or open biopsy procedures.
Article
Engineering, Biomedical
Zhao-Quan Liu, Cheng-Ta Hsieh, Wei-En Hsu, Ching-Shiow Tseng, Chih-Ju Chang
Summary: In this study, a novel robotic navigation system was utilized for accurate and safe trans-pedicle screws placement in thoracolumbar spine surgery. Results showed a high success rate and no vascular or nerve injuries post-operation, indicating the potential of the system as a reliable and easy-to-use tool for similar procedures.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2022)
Review
Medicine, General & Internal
Charles Baird, James Archer, Adrian Gardner, Alison B. Rushton, Nicola R. Heneghan
Summary: Early-onset scoliosis (EOS) is a rare spinal deformity affecting children under the age of 10, with associated morbidity and impact on quality of life. This review aims to evaluate the evidence on measurement properties relevant to health-related quality of life outcomes in the EOS population, focusing on patients undergoing treatment under the age of 10. The study will assess the measurement properties of reliability, validity, and responsiveness of the instrument, with findings to be rated against criteria for good measurement properties following the COSMIN methodology.
Article
Clinical Neurology
Masato Tanaka, Yoshihiro Fujiwara, Koji Uotani, Taro Yamauchi, Hauo Misawa
Summary: Computer-assisted spinal surgery has gained attention for reducing radiation exposure and complications in spinal deformity. This study evaluated the efficacy and safety of C-arm-free anterior correction for adolescent idiopathic scoliosis, showing it to be a safe and effective option with no significant differences in intraoperative blood loss or surgical time compared to traditional surgery. Follow-up outcomes were excellent for both groups.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Elie Massaad, Ganesh M. Shankar, John H. Shin
Summary: Computer-assisted navigation has significantly impacted spine surgery by providing surgeons with tools to accurately place instrumentation and guide procedures beyond screw placement, such as osteotomy planning and tumor resection. The use of navigation technology in surgeries for correcting spinal deformities and resecting spinal tumors is crucial for improving accuracy and outcomes in these technically demanding procedures.
OPERATIVE NEUROSURGERY
(2021)
Article
Clinical Neurology
Alisson R. Teles, Sultan Aldebeyan, Ahmed Aoude, Ganesh Swamy, Fred H. Nicholls, Kenneth C. Thomas, W. Bradley Jacobs
Summary: The study aimed to verify the validity of GAP score, SRS-Schwab score, and Roussouly theoretical apex of lordosis in predicting mechanical complications in ASD. The results showed that GAP score had no discriminant ability, SRS-Schwab score had modest predictive value, and pelvic tilt and sagittal vertical axis at 6 weeks postoperatively were significantly associated with later mechanical complications. There was no significant association between matched Roussouly theoretical apex of lordosis and final outcome.
Article
Medicine, General & Internal
Faisal R. Jahangiri, Rafia H. Jahangiri, Hooria Asad, Laila Farooq, Wadana H. Khattak
Summary: Scoliosis is a spine deformity that can be corrected with pedicle screw placement, but it carries risks of nerve injury. This study utilized multimodal intraoperative neurophysiological monitoring (IONM) to monitor the nerve function during surgery and successfully detected and reversed nerve injuries. The use of multimodal IONM is recommended for scoliosis correction procedures.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Clinical Neurology
Mohammed Banat, Johannes Wach, Abduallah Salemdawod, Majd Bahna, Jasmin Scorzin, Hartmut Vatter
Summary: This study compared the efficacy of spinal dorsal instrumentation with intraoperative navigation using different imaging technologies. The results showed that navigation coupled with O-arm had significant advantages in accuracy over navigation with 3D C-arm fluoroscopy. Both systems still offer a high level of accuracy in screw placement.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
D. C. Kieser, S. Yuksel, L. Boissiere, C. Yilgor, D. T. Cawley, K. Hayashi, A. Alanay, F. S. Kleinstueck, F. Pellise, F. J. S. Perez-Grueso, Vital Jean-Marc, A. Bourghli, E. R. Acaroglu, I Obeid
Summary: This study analyzed whether responses to each question of the SRS22, ODI, and SF-36 questionnaires are influenced by radiological parameters. The results showed that 78% of the SRS-22 questions, 60% of the ODI questions, and 8% of the SF-36 questions were sensitive to radiological parameters. Sagittal imbalance is closely associated with overall outcome, but has a greater impact on mental status and function.
EUROPEAN SPINE JOURNAL
(2022)
Article
Clinical Neurology
Jae Hyuk Yang, Hong Jin Kim, Dong-Gune Chang, Seung Woo Suh
Summary: Results showed that COSS was more effective in correcting the main curve, but MISS had shorter hospital stays, less blood loss, and better cosmesis. There were no significant differences in the global balance factors between the two groups.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Sleiman Haddad, Alba Vila-Casademunt, Caglar Yilgor, Susana Nunez-Pereira, Manuel Ramirez, Javier Pizones, Ahmet Alanay, Frank Kleinstuck, Ibrahim Obeid, Francisco Javier Sanchez Perez-Grueso, Ferran Pellise
Summary: This study compared the surgical outcomes between combined anterior-posterior approaches and all-posterior approach in adult spinal deformity (ASD) patients. The results showed that combined approaches had longer surgeries, more blood loss, and longer ICU stays, but comparable complication rates. However, they had significantly less readmissions and reoperations at 2 years. Combined approaches achieved more individualized and harmonious deformity correction and improved long-term functional outcomes.
EUROPEAN SPINE JOURNAL
(2022)
Article
Clinical Neurology
Nitin Agarwal, Amaan Rahman, Rachel Jacobs, Tavis Taylor, Nallammai Muthiah, Nima Alan, Alp Ozpinar, Daryl Fields, David Kojo Hamilton
Summary: Patient feedback surveys are crucial for understanding patient outcomes and needs. In this study, provider-independent, patient-controlled social media posts on Instagram were analyzed to gain insight into patient experiences following scoliosis correction surgery. The majority of posts were from females seeking or offering online support, mainly focused on postoperative concerns such as surgical scars. Using social media platforms like Instagram can help healthcare providers improve postoperative care based on patient feedback.
NEUROSURGICAL FOCUS
(2021)
Review
Clinical Neurology
Tarush Rustagi, Kalidutta Das, Harvinder S. Chhabra
Summary: Intraoperative ultrasound plays a crucial role in spine surgery by assisting in determining decompression and planning surgeries, it is easy to use and interpret.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Joshua W. Hayes, Iain Feeley, Martin Davey, Kyle Borain, Connor Green
Summary: The systematic review and meta-analysis evaluated the potential benefits of dual-surgeon approach compared to single-surgeon operations for scoliosis corrective surgery. The results showed that dual-surgeon approach led to shorter operative time, lower blood loss, and shorter length of hospital stay, indicating potential improvement in outcomes for complex scoliosis surgery.
EUROPEAN SPINE JOURNAL
(2021)
