Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies

doi:10.1007/s00586-010-1577-5

科研成果详情

题名	Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies
作者	Tian, Nai-Feng; Huang, Qi-Shan; Zhou, Ping; Zhou, Yang; Wu, Rui-Kai; Lou, Yi; Xu, Hua-Zi
发表日期	2011-06
发表期刊	EUROPEAN SPINE JOURNAL 影响因子和分区
语种	英语
原始文献类型	Review
关键词	Navigated spine surgery Pedicle screw Computer tomography Fluoroscopy Accuracy
其他关键词	GUIDED SPINE SURGERY ; PROSPECTIVE CLINICAL-TRIAL ; THORACIC SPINE ; COMPUTED-TOMOGRAPHY ; SCOLIOSIS SURGERY ; IMAGE GUIDANCE ; PLACEMENT ; NAVIGATION ; FLUOROSCOPY ; LUMBAR
摘要	Studies revealed that navigation systems that provided intraoperative assistance might improve pedicle screw insertion accuracy, and also implied that different systems provided different pedicle screw insertion accuracy. A systematic review and meta-analysis was conducted to focus on the pedicle screw insertion accuracy with or without the assistance of image-guided system, and the variance among the different navigation systems. Comparative studies were searched on pedicle screw insertion accuracy between conventional and navigated method, and among different navigation systems. A total of 43 papers, including 28 clinical, 14 cadaveric and 1 model studies, were included in the current study. For clinical articles, there were 3 randomized clinical trials, 4 prospective comparative studies and 21 retrospective comparative studies. The incidence of pedicle violation among computer tomography-based navigation method group was statistically significantly less than that observed among the conventional group (OR 95% CI, in vivo: 0.32-0.60; in vitro: 0.24-0.75 P < 0.01). Two-dimensional fluoroscopy-based navigation system (OR 95% CI, in vivo: 0.27-0.48; in vitro: 0.43-0.88 P < 0.01) and three-dimension fluoroscopy-based navigation system (OR 95% CI, in vivo: 0.09-0.38; in vitro: 0.09-0.36 P < 0.01) also obtained significant reduced screw deviation rate over traditional methods. Between navigated approaches, statistically insignificant individual and pooled RR values were observed for all in vivo subgroups. Pooled estimate of in vitro studies show that computer tomography-based and three-dimension fluoroscopy-based navigation system provided more accurate pedicle screw insertion over two-dimension fluoroscopy-based navigation system. Our review showed that navigation provided a higher accuracy in the placement of pedicle screws compared with conventional methods. The superiority of navigation systems was obvious when they were applied to abnormal spinal structure. Although no strong in vivo evidence has detected significantly different pedicle screw placement accuracy among the three major navigation systems, meta-analysis revealed the variance in pedicle screw insertion accuracy with different navigation methods.
出版者	SPRINGER
出版地	NEW YORK
ISSN	0940-6719
EISSN	1432-0932
卷号	20 期号:6 页码:846-859
DOI	10.1007/s00586-010-1577-5
页数	14
WOS类目	Clinical Neurology ; Orthopedics
WOS研究方向	Neurosciences & Neurology ; Orthopedics
WOS记录号	WOS:000290800500003
收录类别	SCIE ; PUBMED
URL	查看原文
PubMed ID	20862593
PMC记录号	PMC3099151
通讯作者地址	[Xu, Hua-Zi]Wenzhou Med Coll, Affiliated Hosp 2, Dept Orthopaed Surg, Zhejiang Spine Res Ctr, 109 Xueyuanxi Rd, Wenzhou 325000, Peoples R China.
引用统计	被引频次：218[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/980
专题	第二临床医学院、附属第二医院、育英儿童医院附属第二医院
通讯作者	Xu, Hua-Zi
作者单位	Wenzhou Med Coll, Affiliated Hosp 2, Dept Orthopaed Surg, Zhejiang Spine Res Ctr, Wenzhou 325000, Peoples R China
第一作者单位	附属第二医院; 第二临床医学院，附属第二医院、育英儿童医院
通讯作者单位	附属第二医院; 第二临床医学院，附属第二医院、育英儿童医院
第一作者的第一单位	附属第二医院
推荐引用方式 GB/T 7714	Tian, Nai-Feng,Huang, Qi-Shan,Zhou, Ping,et al. Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies[J]. EUROPEAN SPINE JOURNAL,2011,20(6):846-859.
APA	Tian, Nai-Feng., Huang, Qi-Shan., Zhou, Ping., Zhou, Yang., Wu, Rui-Kai., ... & Xu, Hua-Zi. (2011). Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies. EUROPEAN SPINE JOURNAL, 20(6), 846-859.
MLA	Tian, Nai-Feng,et al."Pedicle screw insertion accuracy with different assisted methods: a systematic review and meta-analysis of comparative studies".EUROPEAN SPINE JOURNAL 20.6(2011):846-859.