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• W2034171153 abstract "The technique of computer-assisted pedicle screw installation and its clinical benefit as compared with conventional pedicle screw installation was evaluated. Twenty-two patients had thoracic screw insertion under 3-dimentional computer-assisted navigation (92 screws) and 20 patients under conventional fluoroscopic control (84 screws). The 2 groups were compared for accuracy of screw placement, screw insertion time by postoperative thin-cut computed tomography scans, and statistical analysis. The cortical perforations were graded by 2-mm increments. In the computer group, 88 (95.65%) were grade I (good), 4 (4.35%) were grade II (<2 mm), and 0 were grade III (>2 mm) violations. There were 4 cortical violations (3.57%). In the conventional group, there were 14 cortical violations (16.67%), 70 (83.33%) were grade I (good), 11 (13.1%) were grade II (<2 mm), and 3 (3.57%) were grade III (>2 mm) violations ( P <.001). The number (19.57%) of upper thoracic pedicle screws (T1–T4) inserted under 3-dimensional computer-assisted navigation was significantly higher than that (3.57%) by conventional fluoroscopic control ( P <.001). Average screw insertion time in the conventional group was more than in the computer group ( P <.001). Three-dimensional computer-assisted navigation pedicle screw placement can increase accuracy, reduce surgical time, and be performed safely and effectively at all levels of the thoracic spine, particularly the upper thoracic spine." @default.
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• W2034171153 date "2010-08-11" @default.
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• W2034171153 title "Pedicle Screw Placement in the Thoracic Spine: A Comparison Study of Computer-Assisted Navigation and Conventional Techniques" @default.
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• W2034171153 doi "https://doi.org/10.3928/01477447-20100625-14" @default.
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