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. 2019 Oct 24;18:197–203. doi: 10.1016/j.jor.2019.10.002

Table 6.

Literature review on the use of various imaging modalities as guidance for the insertion of pedicle screws.

Authors Year Number of screws Pedicle violation rate according to spinal region and navigation modality
Oertel et al.16 2011 278 Thoraco-lumbar: 3.2% (O-arm)
Tormenti et al.17 2010 375 Thoraco-lumbar, on iCT: 1.2%
Fluoroscopy: 5.2%
Rajasekaran et al.18 (RCT) 2007 478 Thoracic: Navigated 2%,
Fluoroscopy 23%
Chiu et al.10 2017 1002 Thoraco-lumbo-sacral, fluoroscopy: 11.2%
Mason et al.19 (systematic analysis) 2014 3719 cervical
1223 thoracic
4368 lumbar
Fluoroscopy, 8.3–50.3% (mean, 23.6%)
2D navigation, 5.0–26.3% (mean, 16.1%).
3D navigation. 0.0–19.1% (mean, 7.0%)
Van de Kelft et al.20 2012 1922 Cervical, thoracic, lumbosacral:
2.5% (O-arm)
Dinesh et al.21 2012 261 Thoracic: 2.7% (iCT)

2D, two-dimensional; 3D, three-dimensional; iCT, immunofluorescent computed tomography; RCT, randomised controlled trial.