The contribution of E3D imaging integrated with robotic navigation: analysis of the first 80 consecutive posterior spinal fusion cases. (Record no. 14553)

MARC details
000 -LEADER
fixed length control field 04512nam a22007577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240807s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1863-2483
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1007/s11701-024-02014-5 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC11228004 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38972955
245 ## - TITLE STATEMENT
Title The contribution of E3D imaging integrated with robotic navigation: analysis of the first 80 consecutive posterior spinal fusion cases.
251 ## - Source
Source Journal of Robotic Surgery. 18(1):282, 2024 Jul 08.
252 ## - Abbreviated Source
Abbreviated source J. robot. surg.. 18(1):282, 2024 Jul 08.
253 ## - Journal Name
Journal name Journal of robotic surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2025
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2024 Jul 08
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status MEDLINE
266 ## - Date added to catalog
Date added to catalog 2024-08-07
266 ## - Date added to catalog
Date Medline record created 2024/07/07 23:08
520 ## - SUMMARY, ETC.
Abstract Eighty consecutive complex spinal robotic cases utilizing intraoperative 3D CT imaging (E3D, Group 2) were compared to 80 age-matched controls using the Excelsius robot alone with C-arm Fluoroscopic registration (Robot Only, Group 1). The demographics between the two groups were similar-severity of deformity, ASA Score for general anesthesia, patient age, gender, number of spinal levels instrumented, number of patients with prior spinal surgery, and amount of neurologic compression. The intraoperative CT scanning added several objective factors improving patient safety. There were significantly fewer complications in the E3D group with only 3 of 80 (4%) patients requiring a return to the operating room compared to 11 of 80 (14%) patients in the Robot Only Group requiring repeat surgery for implant related problems (Chi squared analysis = 5.00, p = 0.025). There was a significant reduction the amount of fluoroscopy time in the E3D Group (36 s, range 4-102 s) compared to Robot only group (51 s, range 15-160 s) (p = 0.0001). There was also shorter mean operative time in the E3D group (257 +/- 59.5 min) compared to the robot only group (306 +/- 73.8 min) due to much faster registration time (45 s). A longer registration time was required in the Robot only group to register each vertebral level with AP and Lateral fluoroscopy shots. The estimated blood loss was also significantly lower in Group 2 (mean 345 +/- 225 ml) vs Group 1 (474 +/- 397 ml) (p = 0.012). The mean hospital length of stay was also significantly shorter for Group 2 (3.77 +/- 1.86 days) compared to Group 1 (5.16 +/- 3.40) (p = 0.022). There was no significant difference in the number of interbody implants nor corrective osteotomies in both groups-Robot only 52 cases vs. 42 cases in E3D group.Level of evidence: IV, Retrospective review. Copyright © 2024. The Author(s).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Imaging, Three-Dimensional
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Operative Time
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Robotic Surgical Procedures
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Spinal Fusion
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Tomography, X-Ray Computed
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged, 80 and over
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Fluoroscopy/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Imaging, Three-Dimensional/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Middle Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postoperative Complications/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Robotic Surgical Procedures/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Spinal Fusion/is [Instrumentation]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Spinal Fusion/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Surgery, Computer-Assisted/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Tomography, X-Ray Computed/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Young Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Neurosurgery Residency
656 ## - INDEX TERM--OCCUPATION
Department Orthopaedic Surgery
656 ## - INDEX TERM--OCCUPATION
Department Spine Center
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Asdourian, Paul
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Brooks, Daina M
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Cunningham, Bryan W
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Lemma, Mesfin
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors McAfee, Paul C
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Moatz, Bradley
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Soda, Mosope
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Stewart, Jeffrey
Institution Code MGUH
Program Neurosurgery Residency
Degree MD
790 ## - Authors
All authors Stewart JJ, Asdourian P, Moatz B, Soda M, Lemma M, Cunningham BW, Brooks DM, McAfee PC
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1007/s11701-024-02014-5">https://dx.doi.org/10.1007/s11701-024-02014-5</a>
Public note https://dx.doi.org/10.1007/s11701-024-02014-5
858 ## - ORCID
ORCID text McAfee, Paul C
Orcid <a href="http://orcid.org/0000-0002-3033-5464">http://orcid.org/0000-0002-3033-5464</a>
Name http://orcid.org/0000-0002-3033-5464
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38972955 08/07/2024 08/07/2024 Journal Article

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