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Research ArticleArticles

Fluoroscopy-guided pedicle screw accuracy with a mini-open approach: a tomographic evaluation of 470 screws in 125 patients

José Antonio Soriano-Sánchez, Luis Alberto Ortega-Porcayo, Carlos Francisco Gutiérrez-Partida, Luis Rodolfo Ramírez-Barrios, Ramses Uriel Ortíz-Leyva, Manuel Rodríguez-García and Oscar Sánchez-Escandón
International Journal of Spine Surgery January 2015, 9 54; DOI: https://doi.org/10.14444/2054
José Antonio Soriano-Sánchez
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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Luis Alberto Ortega-Porcayo
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
2Department of Neurosurgery, National Institute of Neurology and Neurosurgery “Manuel Velasco Suárez,” Mexico City, Mexico
MD
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Carlos Francisco Gutiérrez-Partida
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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Luis Rodolfo Ramírez-Barrios
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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Ramses Uriel Ortíz-Leyva
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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Manuel Rodríguez-García
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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Oscar Sánchez-Escandón
1Neurological Center, American British Cowdray Medical Center, Mexico City, Mexico
MD
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    Fig. 1

    Postoperative axial CT image depicting the classification used for accuracy assessment. A. No breach. B. Minor breach ≤2 mm. C. Major breach ≥3 mm.

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    Fig. 2

    Fluoroscopic-guided screw placement technique using the true AP and lateral views.

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    Fig. 3

    Stacked bar graphdemonstrating the number of pedicles without pedicle breach, minor pedicle breach and major pedicle breach at each level.

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    Table 1
    Observer A (Screws/%)Observer B (Screws/%)Observer C (Screws/%)Mean(Screws/%)
    No breach431/91.7426/90.64425/90.43427.33/90.92
    Minor breach (≤2 mm)36/7.6640/8.5142/8.9439.33/8.37
    Major breach (≥3 mm)3/0.644/0.853/0.643.33/0.71
    KappaObserver A-B κ=0.769 Observer B-C
    κ=0.928
    Observer A-C κ=0.784
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Fluoroscopy-guided pedicle screw accuracy with a mini-open approach: a tomographic evaluation of 470 screws in 125 patients
José Antonio Soriano-Sánchez, Luis Alberto Ortega-Porcayo, Carlos Francisco Gutiérrez-Partida, Luis Rodolfo Ramírez-Barrios, Ramses Uriel Ortíz-Leyva, Manuel Rodríguez-García, Oscar Sánchez-Escandón
International Journal of Spine Surgery Jan 2015, 9 54; DOI: 10.14444/2054

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Fluoroscopy-guided pedicle screw accuracy with a mini-open approach: a tomographic evaluation of 470 screws in 125 patients
José Antonio Soriano-Sánchez, Luis Alberto Ortega-Porcayo, Carlos Francisco Gutiérrez-Partida, Luis Rodolfo Ramírez-Barrios, Ramses Uriel Ortíz-Leyva, Manuel Rodríguez-García, Oscar Sánchez-Escandón
International Journal of Spine Surgery Jan 2015, 9 54; DOI: 10.14444/2054
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Keywords

  • accuracy
  • computed tomography
  • electromonitoring
  • fluoroscopy
  • minimally invasive
  • mini-open
  • pedicle screw

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