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Accuracy of augmented reality-assisted pedicle screw placement: a systematic review.
Youssef, Salma; McDonnell, Jake M; Wilson, Kielan V; Turley, Luke; Cunniffe, Gráinne; Morris, Seamus; Darwish, Stacey; Butler, Joseph S.
Afiliación
  • Youssef S; School of Medicine, University College Dublin, Belfield, Dublin, Ireland.
  • McDonnell JM; National Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
  • Wilson KV; Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
  • Turley L; School of Medicine, University College Dublin, Belfield, Dublin, Ireland. kielan.wilson1@ucdconnect.ie.
  • Cunniffe G; National Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland. kielan.wilson1@ucdconnect.ie.
  • Morris S; Department of Orthopaedics, Tallaght University Hospital, Tallaght, Dublin, Ireland.
  • Darwish S; National Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland.
  • Butler JS; School of Medicine, University College Dublin, Belfield, Dublin, Ireland.
Eur Spine J ; 33(3): 974-984, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38177834
ABSTRACT

OBJECTIVE:

Conventional freehand methods of pedicle screw placement are associated with significant complications due to close proximity to neural and vascular structures. Recent advances in augmented reality surgical navigation (ARSN) have led to its adoption into spine surgery. However, little is known regarding its overall accuracy. The purpose of this study is to delineate the overall accuracy of ARSN pedicle screw placement across various models.

METHODS:

A systematic review was conducted of Medline/PubMed, Cochrane and Embase Library databases according to the PRISMA guidelines. Relevant data extracted included reports of pedicle screw placement accuracy and breaches, as defined by the Gertzbein-Robbins classification, in addition to deviation from pre-planned trajectory and entry point. Accuracy was defined as the summation of grade 0 and grade 1 events per the Gertzbein-Robbins classification.

RESULTS:

Twenty studies reported clinically accurate placed screws. The range of clinically accurate placed screws was 26.3-100%, with 2095 screws (93.1%) being deemed clinically accurate. Furthermore, 5.4% (112/2088) of screws were reported as grade two breaches, 1.6% (33/2088) grade 3 breaches, 3.1% (29/926) medial breaches and 2.3% (21/926) lateral breaches. Mean linear deviation ranged from 1.3 to 5.99 mm, while mean angular/trajectory deviation ranged 1.6°-5.88°.

CONCLUSION:

The results of this study highlight the overall accuracy of ARSN pedicle screw placement. However, further robust prospective studies are needed to accurately compare to conventional methods of pedicle screw placement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Tornillos Pediculares / Realidad Aumentada Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fusión Vertebral / Tornillos Pediculares / Realidad Aumentada Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Alemania