Robot-assisted Percutaneous Pedicle Screw Placement: Evaluation of Accuracy of the First 100 Screws and Comparison to Cohort of Fluoroscopy-guided Screws. (Record no. 5411)

MARC details
000 -LEADER
fixed length control field 02863nam a22003737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200902s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1878-8750
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.wneu.2020.07.203 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1878-8750(20)31725-3 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32758652
245 ## - TITLE STATEMENT
Title Robot-assisted Percutaneous Pedicle Screw Placement: Evaluation of Accuracy of the First 100 Screws and Comparison to Cohort of Fluoroscopy-guided Screws.
251 ## - Source
Source World Neurosurgery. 2020 Aug 03
252 ## - Abbreviated Source
Abbreviated source World Neurosurg. 2020 Aug 03
253 ## - Journal Name
Journal name World neurosurgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-09-02
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Our breach rates with ExcelsiusGPS were low and consistent with others reported in the literature, as well as with other robotic systems. Our series demonstrates equivalent accuracy of placement of PPS with this robotic platform compared to fluoroscopic guidance and suggests a relatively short learning curve. Copyright (c) 2020 Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: We reviewed prospectively collected data from our first 100 robot-assisted PPS. We graded accuracy of screws on CT imaging and compared to a prior cohort of 90 PPS placed using fluoroscopy. We also analyzed the effect of various demographic and perioperative metrics on accuracy.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: Percutaneous pedicle screws (PPS) are used to stabilize the spine after interbody fusion in minimally invasive approaches. Recently, robotic assistance has been developed to improve the accuracy of PPS. We report our initial experience with ExcelsiusGPS and compare its accuracy to our historical cohort of fluoroscopy-guided PPS.
520 ## - SUMMARY, ETC.
Abstract RESULTS: We placed 103 PPS in the first 20 consecutive patients with postoperative CT imaging using ExcelsiusGPS. All screws were placed at L2 to S1. Our robot-assisted cohort had six breaches, with only two breaches greater than 2mm, yielding an overall breach rate of 5.8% and a significant breach rate of 1.9%. In comparison, our fluoroscopy-guided cohort had a breach rate of 3.3% and a significant breach rate of 1.1%, which was not significantly different. More breaches occurred in the first half of cases, suggesting a learning curve with robotic assistance. No demographic or perioperative metrics had a significant effect on accuracy.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Neurosurgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fayed, Islam
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tai, Alex
790 ## - Authors
All authors Fayed I, Makariou E, Sandhu FA, Sayah A, Tai A, Triano M, Voyadzis JM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.wneu.2020.07.203">https://dx.doi.org/10.1016/j.wneu.2020.07.203</a>
Public note https://dx.doi.org/10.1016/j.wneu.2020.07.203
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 Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 09/02/2020   32758652 32758652 09/02/2020 09/02/2020 Journal Article

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