A Robot Arm-type Navigation System for Pedicle Screw Placement: A Feasibility Study / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 270-279, 2002.
Article
in Korean
| WPRIM
| ID: wpr-227230
ABSTRACT
STUDY DESIGN:
The study involved the development and accuracy testing of an intra-operative navigation system.OBJECTIVES:
This study was undertaken to develop a navigation system using a robot arm-type three-dimensional digitizer. And, to apply the developed system to pedicle screw insertion, and to evaluate its accuracy. SUMMARY OF LITERATURE REVIEW To the best of our knowledge, no navigation system has been developed using a robot armtype three-dimensional digitizer. MATERIALS ANDMETHODS:
We have developed a navigator using a three-dimensional digitizer (Microscribe 3-D G2, Immersion, USA) supported by a personal computer. Four types of patient-to-image registration techniques were implemented. During navigation, the central axis of the robot arm's stylus and arm extension can be displayed over multi-planar and three-dimensional images, which are reconstructed from axial CT scan images. Registration errors and target localization errors of the navigation system were evaluated using a phantom made from a plastic lumbo-sacral bone model. The accuracy of pedicle screw insertion was also evaluated by placing 18 pedicle screws in such bone models.RESULTS:
The registration error was 0.78 +/- 0.27 mm at fiducial registration and 0.76 +/- 0.24 mm at hybrid registration, and the target localization error was 1.34 +/- 0.32 mm at fiducial registration and 1.28 +/- 0.29 mm at hybrid registration. Of the 18 screws placed in the plastic bone models, one (6%) screw breached the pedicle wall.CONCLUSIONS:
We have developed a robot arm-type three-dimensional digitizer-based navigation system for pedicle screw insertion, and found that its accuracy is equal or slightly better than that of optical tracker-based navigators.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arm
/
Plastics
/
Axis, Cervical Vertebra
/
Microcomputers
/
Tomography, X-Ray Computed
/
Feasibility Studies
/
Imaging, Three-Dimensional
/
Immersion
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2002
Type:
Article
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