INTRODUCTION Pedicle screws are commonly employed to restore spinal stability and correct deformities. The Renaissance robotic system was developed to improve the accuracy of pedicle screw placement. PURPOSE In this study, we developed an intraoperative classification system for evaluating the accuracy of pedicle screw placements through secondary registration. Furthermore, we evaluated the b...

OBJECTIVE Pedicle screw fixation for spine arthrodesis is a useful procedure for the treatment of spinal disorders. However, instrument failure often occurs, and pedicle screw loosening is the initial step of a range of complications. The authors recently used a modified transpedicular polymethylmethacrylate (PMMA) screw augmentation technique to overcome pedicle screw loosening. Here, they rep...

PURPOSE Many studies have been conducted to date regarding whether the right hepatic vein is the accurate border that divides the anterior and posterior section of the right liver. It has been reported that the Glisson pedicle of the right liver may be an anatomical variation that does not have a consistent morphology. We analyzed the relationship between the true borders of the anterior and po...

background: the accuracy of pedicle screw placement is essential for lumbar and thoracolumbar spine fracture fixation. purpose: the aim of the present study was to assess the accuracy of the pedicle screw placement with conventional c-arm fuoroscopy-guided in these patients. methods: a retrospective review identified patients who underwent operative management with thoracolumbar instruments at ...

AIM To demonstrate the incidence of screw misplacement and revision rates in a group of 72 patients that underwent pedicle screw fixation for spinal pathologies using the conventional, fluoroscopy-guided open technique. MATERIAL AND METHODS Data from 72 consecutive patients with spinal instability that received 472 screws between April 2011 and May 2013 were reviewed and pedicle wall breach w...

BACKGROUND Pedicle screw fixation to stabilize lumbar spinal fusion has become the gold standard for posterior stabilization. A significant percentage of surgical candidates are classified as obese or morbidly obese. For these patients, the depth of the incisions and soft tissue makes it extremely difficult to insert pedicle screws along the pedicle axis. As such, the pedicle screws can only be...

BACKGROUND Use of computer-assisted insertion of pedicle screws has some advantages owing to the reportedly decreased incidence of pedicle breach and clinical events. Registration-based methods based on preoperative computed tomography imaging, 2D fluoroscopy, and 3D fluoroscopy are the most popular, however each has its limitations. O-arm-based navigation, which uses intraoperative acquisition...

STUDY DESIGN Prospective randomized controlled trial. OBJECTIVE The aim of this study was to monitor the quality control of robot-assisted pedicle screw fixation accuracy by using a cumulative summation (CUSUM) test at the initial stage of its application. SUMMARY OF BACKGROUND DATA Although robot-assisted pedicle screw fixation reduces screw misplacement rates and provides critical support...

OBJECT Minimally invasive transforaminal lumbar interbody fusion (TLIF) is an increasingly popular method for achieving lumbar decompression and fusion. The procedure is technically more demanding than open fusion, with correspondingly more theoretical risk of complication. The authors describe the use of intraoperative electromyography (EMG) as an adjunct to surgery to reduce the risk of compl...

Fig . 1.A, Shallow oblique view of lumbar spine (about 10° of rotation) on anteroposterior fluoroscopy demonstrates borders of "third pedicle ": inferior margin of superior lamina (short arrow). superior margin of inferior lamina (long arrow) , and cortical margins of spinous process and pedicle (arrowheads). B, Using "third pedicle" as target , spinal needle is passed parallel to central fluor...