Thoracic pedicle screw fixation using computer-guided vs. fluoroscopy-guided navigation .
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Computer navigation versus fluoroscopy-guided navigation for thoracic pedicle screw placement: a meta-analysis
Neurosurg Rev. 2016 Jul;39(3):385-9114 studies with a total of 1723 patients were included in this meta-analysis to evaluate the clinical efficacy of thoracic pedicle screw placement between intraoperative computer navigation and fluoroscopy-guided navigation in thoracic spine surgery. Pooled outcomes included the malposition rate, operative time, complication rate, pedicle insertion time, and intraoperative blood loss. Findings indicated significant differences favouring intraoperative computer navigation for all outcomes, with the exception of a significantly shorter operative time observed with fluoroscopy-guided procedures.
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