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Navigated pedicle screw insertion has lower risk of perforation than freehand insertion

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Ace Report Cover
August 2013

Navigated pedicle screw insertion has lower risk of perforation than freehand insertion

Vol: 2| Issue: 7| Number:262| ISSN#: 2564-2537
Study Type:Meta-analysis/Systematic Review
OE Level Evidence:1
Journal Level of Evidence:N/A

Pedicle screw navigation: A systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion

J Neurosurg Spine. 2012 Aug;17(2):113-22. Epub 2012 Jun 22

Contributing Authors:
BJ Shin AR James IU Njoku R Hartl

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Synopsis

This meta-analysis identified 18 cohort studies and 2 randomized controlled trials, comparing computer-navigated and non-navigated pedicle screw placements. 8359 screws in total were identified in the 20 studies, in which 4814 were navigated and 3725 were non-navigated. Results from the analysis indicated that insertions with neuronavigation were associated with a significantly lower risk of pedic...

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