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Research ArticleMINIMALLY INVASIVE SURGERY
Open Access

Electromagnetic Navigation in Minimally Invasive Spine Surgery: Results of a Cadaveric Study to Evaluate Percutaneous Pedicle Screw Insertion

Justin F. Fraser, Ron Von Jako, John A. Carrino and Roger Härtl
International Journal of Spine Surgery January 2008, 2 (1) 43-47; DOI: https://doi.org/10.1016/SASJ-2007-0105-RR
Justin F. Fraser
aDepartment of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY
MD
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Ron Von Jako
bSurgical Development Leader, GE Healthcare Surgery
MD
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John A. Carrino
cDivision of Musculoskeletal Radiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD
MD, MPH
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Roger Härtl
aDepartment of Neurological Surgery, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY
MD
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  • Figure 1
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    Figure 1

    EM Navigation System

    The EM navigation system is the size and profile of a standard fluoroscopy C-arm, but has stereotactic capability (A). The cadaveric demonstration of percutaneous lumbar pedicle screw placement illustrates the EM transmitter and a precalibrated instrument tracking on the 2D field-of-view (B). An illustration of one field emitted by the EM transmitter demonstrates the detection of probes and other nearby precalibrated instruments (C).

  • Figure 2
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    Figure 2

    Distribution of All Breaches

    The overall number of breaches was compared for conventional versus EM-guided navigation for each type of breach. While the data showed a trend toward a higher critical breach rate for conventional fluoroscopy, analysis did not reach statistical significance.

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    Figure 3

    Distribution of Breaches in the Lumbar Spine

    The number of breaches in the lumbar spine (L1-L5) was compared for conventional versus EM-guided navigation for each type of breach. There was a significantly higher number of critical breaches for conventional fluoroscopy in the lumbar spine.

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    Table 1

    Rates of Breach by Type for Conventional Fluoroscopy (CF) Versus Electromagnetic Guidance (EM)

    Overall Breach Rate (%)Lumbar Breach Rate (%)
    Breach Type CF EM CF EM
    Pedicle32.142.833.333.3
    Vertebrae10.710.78.312.5
    Critical25.014.225.00.0
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International Journal of Spine Surgery
Vol. 2, Issue 1
1 Jan 2008
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Electromagnetic Navigation in Minimally Invasive Spine Surgery: Results of a Cadaveric Study to Evaluate Percutaneous Pedicle Screw Insertion
Justin F. Fraser, Ron Von Jako, John A. Carrino, Roger Härtl
International Journal of Spine Surgery Jan 2008, 2 (1) 43-47; DOI: 10.1016/SASJ-2007-0105-RR

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Electromagnetic Navigation in Minimally Invasive Spine Surgery: Results of a Cadaveric Study to Evaluate Percutaneous Pedicle Screw Insertion
Justin F. Fraser, Ron Von Jako, John A. Carrino, Roger Härtl
International Journal of Spine Surgery Jan 2008, 2 (1) 43-47; DOI: 10.1016/SASJ-2007-0105-RR
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  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
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Keywords

  • Minimally invasive spine fusion
  • percutaneous pedicle screw fixation
  • electromagnetic guidance

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