Accuracy of Sub-axial Cervical Pedicle Screw Placement：A Systematic Review with the Meta-analysis Comparing Free-hand and Assistant Techniques

Cheng PAN; Rongshuang YAN; Derui FEI; Xingfei DAI; Qitang LI; Yujian MA; Ying ZHANG

doi:10.12259/j.issn.2095-610X.S20230910

Volume 44 Issue 9

Sep. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(9): 32-38

Cheng PAN, Rongshuang YAN, Derui FEI, Xingfei DAI, Qitang LI, Yujian MA, Ying ZHANG. Accuracy of Sub-axial Cervical Pedicle Screw Placement：A Systematic Review with the Meta-analysis Comparing Free-hand and Assistant Techniques[J]. Journal of Kunming Medical University, 2023, 44(9): 32-38. doi: 10.12259/j.issn.2095-610X.S20230910

Citation:

Cheng PAN, Rongshuang YAN, Derui FEI, Xingfei DAI, Qitang LI, Yujian MA, Ying ZHANG. Accuracy of Sub-axial Cervical Pedicle Screw Placement：A Systematic Review with the Meta-analysis Comparing Free-hand and Assistant Techniques[J]. Journal of Kunming Medical University, 2023, 44(9): 32-38. doi: 10.12259/j.issn.2095-610X.S20230910

Citation:

Cheng PAN, Rongshuang YAN, Derui FEI, Xingfei DAI, Qitang LI, Yujian MA, Ying ZHANG. Accuracy of Sub-axial Cervical Pedicle Screw Placement：A Systematic Review with the Meta-analysis Comparing Free-hand and Assistant Techniques[J]. Journal of Kunming Medical University, 2023, 44(9): 32-38. doi: 10.12259/j.issn.2095-610X.S20230910

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Accuracy of Sub-axial Cervical Pedicle Screw Placement：A Systematic Review with the Meta-analysis Comparing Free-hand and Assistant Techniques

doi: 10.12259/j.issn.2095-610X.S20230910

Dept. of Orthopedics ，The 2nd Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650101，China

Received Date: 2023-04-01
Available Online: 2023-09-22
Publish Date: 2023-09-30

Abstract

Abstract

Objective To systematically compare the accuracy, direction of pedicle screw perforation, and screw-related complications of sub-axial cervical pedicle screw （sCPS） placement with and without assistant techniques. Methods A total of 26 studies involving 1697 patients and 6654 screws were included. Medline, Embase, and Cochrane databases were searched to collect the high-quality English literature on the accuracy of cervical pedicle screw （CPS） placement using different screw placement techniques from 2010.1 to 2022.12. Literature was screened according to the inclusion criteria, data was extracted, and a meta-analysis was performed using RevMan 5.4. Results The meta-analysis showed that assistant techniques had a higher accuracy rate for sCPS placement. Perforation of the lateral wall of the pedicle was more common than the medial wall, and free-hand screw placement was more common in the superior wall than the inferior wall. There was no statistically significant difference in the perforation rate between the superior and inferior walls with assistant techniques. Conclusion 1. Assistant techniques has a higher accuracy rate for sCPS placement than free-hand techniques. 2. Perforation of the lateral and inferior walls of the pedicle is more common than perforation of the medial and superior walls. 3. A unified evaluation standard is needed for assessing the accuracy of sCPS placement. 4. Different assistant screw placement techniques have their own advantages and disadvantages, and should be selected according to the actual conditions.
- Systematic review,
- Pediclescrew,
- Sub-axial cervical

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References(29)

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