Navigated percutaneous cervical pedicle screw placement: the impact of surgical experience and feasibility
Objective - Surgical treatment of cervical instabilities using pedicle screws poses risks of nerve and vessel injury, particularly in percutaneous procedures due to limited visual feedback. Navigation can reduce screw misplacement, but data on its usability across different experience levels in perc...
Gespeichert in:
| Hauptverfasser: | , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
October 2025
|
| In: |
World neurosurgery
Year: 2025, Jahrgang: 202, Pages: 1-11 |
| ISSN: | 1878-8769 |
| DOI: | 10.1016/j.wneu.2025.124369 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.wneu.2025.124369 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S1878875025007259 
|
| Verfasserangaben: | Jula Gierse, Kevin Klockow, Eric Mandelka, Benno Bullert, Fenna Brunken, Paul Alfred Gruetzner, Sven Yves Vetter |
MARC
| LEADER | 00000naa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1948927756 | ||
| 003 | DE-627 | ||
| 005 | 20260115115045.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 260115s2025 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.wneu.2025.124369 |2 doi | |
| 035 | |a (DE-627)1948927756 | ||
| 035 | |a (DE-599)KXP1948927756 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Gierse, Jula |d 1995- |e VerfasserIn |0 (DE-588)130882761X |0 (DE-627)1869403142 |4 aut | |
| 245 | 1 | 0 | |a Navigated percutaneous cervical pedicle screw placement |b the impact of surgical experience and feasibility |c Jula Gierse, Kevin Klockow, Eric Mandelka, Benno Bullert, Fenna Brunken, Paul Alfred Gruetzner, Sven Yves Vetter |
| 264 | 1 | |c October 2025 | |
| 300 | |b Illustrationen, Diagramme | ||
| 300 | |a 11 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Online verfügbar 7 August 2025, Version des Artikels 8 September 2025 | ||
| 500 | |a Gesehen am 15.01.2026 | ||
| 520 | |a Objective - Surgical treatment of cervical instabilities using pedicle screws poses risks of nerve and vessel injury, particularly in percutaneous procedures due to limited visual feedback. Navigation can reduce screw misplacement, but data on its usability across different experience levels in percutaneous approaches remains limited. - Methods - Two surgeons performed navigated cervical pedicle screw placement on human specimens using two C-arm cone-beam computed tomography-based navigation systems (navigation system 1 [NAV1], navigation system 2). One surgeon was an experienced spine surgeon, and the other was a second-year resident (RS). Screw position was assessed via C-arm cone-beam computed tomography scans, and placement time was recorded. - Results - A total of 112 screws were placed, 56 per surgeon/system. Accuracy comparisons showed no significant difference (P = 0.060). However, RS achieved significantly better accuracy with NAV1 (P = 0.037∗). Experienced spine surgeon achieved an accuracy rate of 89.3% with NAV1 and 85.7% with navigation system 2 (P > 0.99), requiring significantly less time than RS (P < 0.001∗∗). - Conclusions - This study provides valuable insights into the feasibility and challenges of navigated percutaneous cervical pedicle screw placement. Both surgeons achieved accurate screw placement; however, the differences in RS's accuracy highlight the pivotal role of experience in cervical spine surgery for the safe application of navigation systems. Additionally, this study identifies pitfalls that should be considered in clinical practice and in the education of young spine surgeons when adopting new technologies. | ||
| 650 | 4 | |a Accuracy | |
| 650 | 4 | |a Cadaver study | |
| 650 | 4 | |a Cervical pedicle screws | |
| 650 | 4 | |a Cervical spine navigation | |
| 650 | 4 | |a Intraoperative 3D imaging | |
| 650 | 4 | |a Surgical experience | |
| 700 | 1 | |a Klockow, Kevin |e VerfasserIn |0 (DE-588)1386807400 |0 (DE-627)1948929376 |4 aut | |
| 700 | 1 | |a Mandelka, Eric |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bullert, Benno |d 1995- |e VerfasserIn |0 (DE-588)1341253953 |0 (DE-627)1902104250 |4 aut | |
| 700 | 1 | |a Brunken, Fenna |e VerfasserIn |4 aut | |
| 700 | 1 | |a Grützner, Paul Alfred |d 1962- |e VerfasserIn |0 (DE-588)111926688 |0 (DE-627)728553473 |0 (DE-576)372572863 |4 aut | |
| 700 | 1 | |a Vetter, Sven Y. |d 1977- |e VerfasserIn |0 (DE-588)13390444X |0 (DE-627)557959306 |0 (DE-576)300182740 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t World neurosurgery |d Amsterdam : Elsevier, 2010 |g 202(2025) vom: Okt., Artikel-ID 124369, Seite 1-11 |h Online-Ressource |w (DE-627)615134904 |w (DE-600)2530041-6 |w (DE-576)321461150 |x 1878-8769 |7 nnas |a Navigated percutaneous cervical pedicle screw placement the impact of surgical experience and feasibility |
| 773 | 1 | 8 | |g volume:202 |g year:2025 |g month:10 |g elocationid:124369 |g pages:1-11 |g extent:11 |a Navigated percutaneous cervical pedicle screw placement the impact of surgical experience and feasibility |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.wneu.2025.124369 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |7 0 |
| 856 | 4 | 0 | |u https://www.sciencedirect.com/science/article/pii/S1878875025007259 |x Verlag |z kostenfrei |3 Volltext |7 0 |
| 951 | |a AR | ||
| 992 | |a 20260115 | ||
| 993 | |a Article | ||
| 994 | |a 2025 | ||
| 998 | |g 13390444X |a Vetter, Sven Y. |m 13390444X:Vetter, Sven Y. |d 910000 |d 910200 |d 50000 |e 910000PV13390444X |e 910200PV13390444X |e 50000PV13390444X |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 7 |y j | ||
| 998 | |g 111926688 |a Grützner, Paul Alfred |m 111926688:Grützner, Paul Alfred |d 50000 |e 50000PG111926688 |k 0/50000/ |p 6 | ||
| 998 | |g 1341253953 |a Bullert, Benno |m 1341253953:Bullert, Benno |p 4 | ||
| 998 | |g 1386807400 |a Klockow, Kevin |m 1386807400:Klockow, Kevin |d 50000 |e 50000PK1386807400 |k 0/50000/ |p 2 | ||
| 999 | |a KXP-PPN1948927756 |e 4849660436 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"language":["eng"],"note":["Online verfügbar 7 August 2025, Version des Artikels 8 September 2025","Gesehen am 15.01.2026"],"relHost":[{"language":["eng"],"pubHistory":["73.2010 -"],"origin":[{"publisherPlace":"Amsterdam","dateIssuedKey":"2010","publisher":"Elsevier","dateIssuedDisp":"2010-"}],"part":{"pages":"1-11","volume":"202","extent":"11","text":"202(2025) vom: Okt., Artikel-ID 124369, Seite 1-11","year":"2025"},"id":{"issn":["1878-8769"],"eki":["615134904"],"zdb":["2530041-6"]},"title":[{"title_sort":"World neurosurgery","title":"World neurosurgery"}],"disp":"Navigated percutaneous cervical pedicle screw placement the impact of surgical experience and feasibilityWorld neurosurgery","recId":"615134904","physDesc":[{"extent":"Online-Ressource"}],"note":["Gesehen am 20.03.25"],"type":{"media":"Online-Ressource","bibl":"periodical"}}],"recId":"1948927756","physDesc":[{"noteIll":"Illustrationen, Diagramme","extent":"11 S."}],"name":{"displayForm":["Jula Gierse, Kevin Klockow, Eric Mandelka, Benno Bullert, Fenna Brunken, Paul Alfred Gruetzner, Sven Yves Vetter"]},"title":[{"title":"Navigated percutaneous cervical pedicle screw placement","title_sort":"Navigated percutaneous cervical pedicle screw placement","subtitle":"the impact of surgical experience and feasibility"}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"person":[{"family":"Gierse","role":"aut","display":"Gierse, Jula","given":"Jula"},{"display":"Klockow, Kevin","role":"aut","family":"Klockow","given":"Kevin"},{"given":"Eric","family":"Mandelka","display":"Mandelka, Eric","role":"aut"},{"role":"aut","display":"Bullert, Benno","family":"Bullert","given":"Benno"},{"family":"Brunken","role":"aut","display":"Brunken, Fenna","given":"Fenna"},{"role":"aut","display":"Grützner, Paul Alfred","family":"Grützner","given":"Paul Alfred"},{"role":"aut","display":"Vetter, Sven Y.","family":"Vetter","given":"Sven Y."}],"id":{"doi":["10.1016/j.wneu.2025.124369"],"eki":["1948927756"]},"origin":[{"dateIssuedKey":"2025","dateIssuedDisp":"October 2025"}]} | ||
| SRT | |a GIERSEJULANAVIGATEDP2025 | ||