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Research ArticleMIS
Open Access

Use of a quantitative pedicle screw accuracy system to assess new technology: Initial studies on O-arm navigation and its effect on the learning curve of percutaneous pedicle screw insertion

Joseph A. Sclafani, Gilad J. Regev, Jonathan Webb, Steven R. Garfin and Choll W. Kim
International Journal of Spine Surgery January 2011, 5 (3) 57-62; DOI: https://doi.org/10.1016/j.esas.2011.04.001
Joseph A. Sclafani
aDepartment of Orthopaedic Surgery, University of California, San Diego, CA
MD
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Gilad J. Regev
bSpine Surgery Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
MD
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Jonathan Webb
aDepartment of Orthopaedic Surgery, University of California, San Diego, CA
MD
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Steven R. Garfin
aDepartment of Orthopaedic Surgery, University of California, San Diego, CA
MD
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Choll W. Kim
aDepartment of Orthopaedic Surgery, University of California, San Diego, CA
cSpine Institute of San Diego, Center for Minimally Invasive Spine Surgery at Alvarado Hospital, San Diego, CA
MD, PhD
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  • For correspondence: chollkim@smiss.org
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  • Fig. 1
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    Fig. 1

    Parameters of screw accuracy scoring system. Axial computed tomography scan showing parameters of length, medial and lateral containment, and trajectory (A). Sagittal computed tomography scan showing sagittal containment and sagittal trajectory parameters (B). The clinically relevant parameters (medial and lateral containment, axial trajectory) are weighted for greater impact on the scoring scheme.

  • Fig. 2
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    Fig. 2

    Screen shot image of O-NAV monitor. The 3D imaging capabilities of O-NAV allow the surgeon increased visualization of the operative field. Up to 4 navigated images can be viewed at once when using O-NAV. The image configuration can be customized to the surgeon's preference.

  • Fig. 3
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    Fig. 3

    Clinical quantitative screw accuracy scores comparing O-NAV and C-NAV.

  • Fig. 4
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    Fig. 4

    Scores from cadaveric learning-curve study. Mean insertion time in minutes with traditional C-arm technique (A). Mean insertion time in minutes with O-NAV technique (B).

  • Fig. 5
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    Fig. 5

    Mean accuracy score from cadaveric learning-curve study. The initial 5 screws (1–5) and final 5 screws (12–16) inserted for each technique (O-NAV and C-NAV) are plotted.

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International Journal of Spine Surgery
Vol. 5, Issue 3
1 Jan 2011
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Use of a quantitative pedicle screw accuracy system to assess new technology: Initial studies on O-arm navigation and its effect on the learning curve of percutaneous pedicle screw insertion
Joseph A. Sclafani, Gilad J. Regev, Jonathan Webb, Steven R. Garfin, Choll W. Kim
International Journal of Spine Surgery Jan 2011, 5 (3) 57-62; DOI: 10.1016/j.esas.2011.04.001

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Use of a quantitative pedicle screw accuracy system to assess new technology: Initial studies on O-arm navigation and its effect on the learning curve of percutaneous pedicle screw insertion
Joseph A. Sclafani, Gilad J. Regev, Jonathan Webb, Steven R. Garfin, Choll W. Kim
International Journal of Spine Surgery Jan 2011, 5 (3) 57-62; DOI: 10.1016/j.esas.2011.04.001
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Keywords

  • navigation
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  • spinal instrumentation
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