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1911, this operative procedure has gradually become the most widely used for treating spinal pathologies ( 4 ). Pedicle screw placement played an important role in the reconstruction of spinal stability, promoting fusion and early rehabilitation, and
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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with less patient discomfort. Minimally invasive or percutaneous pedicle screw placement was made easier with the advent of cannulated screws. The surgical procedure may be fluoroscopy-assisted or, recently, navigation-assisted. Fluoroscopy
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fundamental aid in the placement of screws or surgical plates, mainly thanks to the possibility of testing in advance of the procedure; examples include pedicle screw placement in a clinical case of severe congenital scoliosis 23 or, more in general
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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. Accuracy of pedicle screw placement based on preoperative computed tomography versus intraoperative data set acquisition for spinal navigation system . J Orthop Surg 2017 ; 25 : 2309499017718901 . 3. Conlan TK Beebe MJ
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(Mazor Robotics), Rosa (Zimmer Biomet) and Excelcius (Globus Medical). These robotic systems have demonstrated increased accuracy with pedicle screw placement when compared to open freehand technique. 42 , 43 Along with this, there is evidence that
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sternoclavicular dislocation to syndesmotic reduction. 16 , 17 The main indication of the o-arm remains in pedicle screw placement in combination with an intra-operative navigation system. The combination of these systems can reduce the pedicle screw
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RD . A prospective analysis of intraoperative electromyographic monitoring of pedicle screw placement with computed tomographic scan confirmation . Spine (Phila Pa 1976) 1995 ; 20 : 1375 – 1379 . 21. Sloan TB Heyer EJ
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1990s by Radermacher et al 10 for pedicle screw placement, total knee arthroplasty, decompression of the cervical spine and triple osteotomy of the pelvis. Several weeks prior to surgery, a CT or a MRI scan is taken of the patient’s bone. Using a
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Gebhard F Salameh M Schuetze K Kraus M . Feasibility of laser-guided percutaneous pedicle screw placement in the lumbar spine using a hybrid-OR . Int J CARS 2017 ; 12 ( 5 ): 873 - 879 . 22. von Recum J
Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
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surgical skills. Therefore, BPS is still the preferred method for posterior internal fixation. In recent years, with the rapid development of various TLIF auxiliary technologies such as O-arm fluoroscopy, navigation-assisted pedicle screw placement, and
