作者
John-Peter Bonello, Robert Koucheki, Aazad Abbas, Johnathan Lex, Nicholas Nucci, Albert Yee, Henry Ahn, Joel Finkelstein, Stephen Lewis, Jeremie Larouche, Jay Toor
发表日期
2023/9
来源
European Spine Journal
卷号
32
期号
9
页码范围
2937-2948
出版商
Springer Berlin Heidelberg
简介
Purpose
The objective of this meta-analysis is to compare available computer-assisted navigation platforms by key performance metrics including pedicle screw placement accuracy, operative time, neurological complications, and blood loss.
Methods
A systematic review was conducted using major databases for articles comparing pedicle screw accuracy of computer-assisted navigation to conventional (freehand or fluoroscopy) controls via post-operative computed tomography. Outcome data were extracted and pooled by random-effects model for analysis.
Results
All navigation platforms demonstrated significant reduction in risk of breach, with Stryker demonstrating the highest accuracy compared to controls (OR 0.16 95% CI 0.06 to 0.41, P < 0.00001, I2 = 0%) followed by Medtronic. There were no significant differences in accuracy or most surgical outcome measures between platforms; however, BrainLab …
学术搜索中的文章
JP Bonello, R Koucheki, A Abbas, J Lex, N Nucci… - European Spine Journal, 2023