CT-to-fluoroscopy registration versus scan-and-plan registration for robot-assisted insertion of lumbar pedicle screws.

Journal: Neurosurgical focus
Published Date: Jan 1, 2022

Abstract

OBJECTIVE: Pedicle screw insertion for stabilization after lumbar fusion surgery is commonly performed by spine surgeons. With the advent of navigation technology, the accuracy of pedicle screw insertion has increased. Robotic guidance has revolutionized the placement of pedicle screws with 2 distinct radiographic registration methods, the scan-and-plan method and CT-to-fluoroscopy method. In this study, the authors aimed to compare the accuracy and safety of these methods.

Authors

  • Asham Khan
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
  • Mohamed A R Soliman
    1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo.
  • Nathan J Lee
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA. Electronic address: njl2116@cumc.columbia.edu.
  • Muhammad Waqas
    Department of Botanical and Environmental Science, Kohat University of Science and Technology, Kohat, 26000, Khyber Pakhtunkhwa, Pakistan.
  • Joseph M Lombardi
    Department of Orthopaedic Surgery, Columbia University Medical Center, The Spine Hospital at New York Presbyterian, New York, NY, USA.
  • Venkat Boddapati
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Lauren C Levy
    2Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York.
  • Jennifer Z Mao
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Department of Biomedical Sciences, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA; Department of Neurosurgery, Buffalo General Medical Center, Kaleida Health, Buffalo, New York, USA.
  • Paul J Park
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Justin Mathew
    Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA.
  • Ronald A Lehman
    Division of Spine Surgery, Columbia University Department of Orthopedic Surgery, The Spine Hospital at New York Presbyterian/Allen, 5141 Broadway, New York, NY 10034, USA.
  • Jeffrey P Mullin
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
  • John Pollina
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.

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