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    Improving treatment outcomes for individuals with acute spinal cord injury

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    Multipronged gene therapy restores walking in mice after complete spinal cord injury

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    NIH grants support Kessler Foundation scientists to advance research on neglect dyslexia and autism

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    Processing speed influences memory rehabilitation outcomes in TBI patients

    Two more universities set to join IUCRC BRAIN at University of Houston to advance neurotechnology

    Two more universities set to join IUCRC BRAIN at University of Houston to advance neurotechnology

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    New online course helps personal care assistants better understand spinal cord injury

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    New review looks at the impact of robotic exoskeletons on recovery of ambulation among individuals with acquired brain injury

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    Kessler Foundation researchers receive $1.7 million in grants to improve lives of TBI patients

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Intraoperative 3D imaging more effective in confirming the accuracy of pedicle screw placement during spine surgery

admin by admin
March 13, 2023
in Spine
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Intraoperative 3D imaging more effective in confirming the accuracy of pedicle screw placement during spine surgery

A research at Hospital for Particular Surgical procedure (HSS) discovered that intraoperative three-dimensional (3D) imaging was superior to two-dimensional radiographs in confirming the accuracy of pedicle screw placement throughout spine surgical procedure. The analysis was offered right now on the American Academy of Orthopaedic Surgeons (AAOS) Annual Assembly in Las Vegas.

Many spinal surgical procedures require the usage of implants known as pedicle screws to stabilize the spine. Exact positioning of those screws is essential for a profitable final result.

Two-dimensional biplanar radiographs [BPR] have been the gold normal to verify pedicle screw placement in spine fusion surgical procedure for a few years. Nonetheless, when using BPR, there may be the potential {that a} two-dimensional picture alone won’t correctly show the profitable placement of a screw. As a substitute, three-dimensional intraoperative imaging techniques at the moment are obtainable, providing improved visualization.”

Darren Lebl, MD, spine surgeon at HSS and principal investigator of the research

Dr. Lebl and colleagues got down to examine the accuracy of BPR versus 3D imaging when assessing intraoperative pedicle screw placement. “Our research is the primary to match the variations in intraoperative biplanar radiography and 3D imaging for pedicle screw accuracy in thoracic and lumbar circumstances utilizing robotic know-how,” Dr. Lebl famous.

Investigators analyzed knowledge from 103 sufferers who underwent spinal fusion by a single surgeon from 2019 to 2022. Pedicle screw placement was assessed with each intraoperative BPR and 3D imaging in every case.

“CT scans taken after surgical procedure had been in comparison with the findings of intraoperative BPR and 3D imaging to detect both false-positive or false-negative readings,” defined Fedan Avrumova, BS, an HSS scientific analysis coordinator who offered the research on the AAOS assembly. “False optimistic findings are cases when BPR imaging suggests the screw was not in an appropriate place, whereas in truth a extra superior 3D picture (intraoperative 3D scan or postoperative CT scan) confirmed the screw to be in an appropriate place. Conversely, a false unfavorable occasion was when a BPR picture led one to imagine or regarded as if the screw was in an appropriate place, when in truth a extra superior 3D picture or post-operative CT scan confirmed that it was in truth not acceptable.”

Postoperative CT imaging revealed a clinically vital variety of sufferers who had false-negative and false-positive screw placement readings on BPR. Nonetheless, screw place proven on intraoperative 3D imaging was discovered to be far more correct, Avrumova added.

“Primarily based on our research, BPR imaging could lead one to suppose a screw is suitable when in truth it isn’t, and in addition could miss many screws that aren’t in truth acceptable. In our research, it was roughly one % of circumstances the place this occurred. Nonetheless, for surgeons and facilities that implant tons of and 1000’s of screws per yr, that is going to end in a big scientific impression for many individuals,” Dr. Lebl famous. “Even one misplaced screw can have a big impression for a affected person, a surgeon, and a hospital system. Due to this fact, primarily based on these findings, we recommend that for intraoperative affirmation of screw place 3D imaging could quickly characterize a brand new normal of care.”

Supply:

Hospital for Particular Surgical procedure

Tags: 3D ImagingCTEducationHospitalImagingImplantsMusculoskeletalOrthopaedicOrthopedicsResearchSpineSpine FusionSurgery
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