An intraoperative 3D image-based navigation error during cervical pedicle screw insertion
A 67-year-old man underwent posterior cervical decompression surgery for ossification of the posterior longitudinal ligament (OPLL) with fixation using cervical pedicle screws (CPSs) guided by intraoperative 3D image-based navigation. Intraoperatively, while creating the screw hole using the navigation probe, the virtual trajectory on the intraoperative navigation screen showed a 10-degree angle discrepancy in the axial plane depending on whether a probing force was or was not applied for making the hole. This was potentially caused by vertebra rotation and a bent probe. Consequently, the CPSs were placed more laterally than the ideal trajectory, which resulted in <2 mm lateral perforation to the foramen transversarium. There were no screw insertion-related perioperative complications. Based on this case, we conclude that navigation error during CPS insertion can occur even with intraoperative 3D image-based navigation. The risk of a bowed navigation probe caused by posterior cervical muscle and vertebra rotation should be considered, even with use of a navigation reference frame.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:82 |
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| Enthalten in: |
Nagoya journal of medical science - 82(2020), 4 vom: 05. Nov., Seite 799-805 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nakashima, Hiroaki [VerfasserIn] |
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| Links: |
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| Themen: |
3D fluoroscopy |
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| Anmerkungen: |
Date Completed 24.09.2021 Date Revised 24.09.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.18999/nagjms.82.4.799 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM318770768 |
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| 100 | 1 | |a Nakashima, Hiroaki |e verfasserin |4 aut | |
| 245 | 1 | 3 | |a An intraoperative 3D image-based navigation error during cervical pedicle screw insertion |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a A 67-year-old man underwent posterior cervical decompression surgery for ossification of the posterior longitudinal ligament (OPLL) with fixation using cervical pedicle screws (CPSs) guided by intraoperative 3D image-based navigation. Intraoperatively, while creating the screw hole using the navigation probe, the virtual trajectory on the intraoperative navigation screen showed a 10-degree angle discrepancy in the axial plane depending on whether a probing force was or was not applied for making the hole. This was potentially caused by vertebra rotation and a bent probe. Consequently, the CPSs were placed more laterally than the ideal trajectory, which resulted in <2 mm lateral perforation to the foramen transversarium. There were no screw insertion-related perioperative complications. Based on this case, we conclude that navigation error during CPS insertion can occur even with intraoperative 3D image-based navigation. The risk of a bowed navigation probe caused by posterior cervical muscle and vertebra rotation should be considered, even with use of a navigation reference frame | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a 3D fluoroscopy | |
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| 650 | 4 | |a cervical pedicle screw | |
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| 650 | 4 | |a navigation error | |
| 700 | 1 | |a Ishikawa, Yoshimoto |e verfasserin |4 aut | |
| 700 | 1 | |a Ando, Kei |e verfasserin |4 aut | |
| 700 | 1 | |a Kobayashi, Kazuyoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Ishiguro, Naoki |e verfasserin |4 aut | |
| 700 | 1 | |a Imagama, Shiro |e verfasserin |4 aut | |
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