gms | German Medical Science

69. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Mexikanischen und Kolumbianischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

03.06. - 06.06.2018, Münster

Artikel

Artikel empfehlen

The accuracy of screws placement in the cervical, thoracic, lumbar, and sacral spinal levels using O-arm 3D imaging system and stealth navigation

Meeting Abstract

Suche in Medline nach

  • Mohamed Boshara - Krankenhaus Köln-Mehrheim, Klinik für Neurochirurgie, Köln, Deutschland
  • Mehran Mahvash - Krankenhaus Köln-Mehrheim, Klinik für Neurochirurgie, Köln, Deutschland
  • Makoto Nakamura - Krankenhaus Köln-Mehrheim, Klinik für Neurochirurgie, Köln, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 69. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Mexikanischen und Kolumbianischen Gesellschaft für Neurochirurgie. Münster, 03.-06.06.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. DocP050

doi: 10.3205/18dgnc391, urn:nbn:de:0183-18dgnc3915

Veröffentlicht: 18. Juni 2018

© 2018 Boshara et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: To assess the accuracy & efficiency of screws and spinal stabilization using O-arm 3D imaging system and stealth navigation in neurosurgical department.

Methods: Single center, retrospective, clinical study. All patients, who underwent spinal stabilization utilizing the O-arm 3-dimensional (3D) imaging system as an intraoperative 3D scan, together with a navigation system received postoperative CT scanning of the correspondent spinal level were included in our study. The accuracy of each screw was determined radiologically; using validated classification methods.

Results: During a period of 5 years (January 2012 to December 2016) a total of 3160 screws were placed in 606 Patients. In 97.1 %, the screws were correctly placed. 1.8% of the screws were revised during the same procedure. When the surgeon perceived the screws to be correctly placed, the CT scan verified his assessment in 98.5% of the cases, only 6 patients required to be directly re-operated during the same hospital stay.

Conclusion: The use of the O-arm in combination with a navigation system prove to be accurate and reliable for screw placement in all spinal levels.