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Pedicle screw placement in the thoracic and lumbar spine: comparison of two navigation systems with the conventional method under 2D fluoroscopy.

Pedicle screw placement in the thoracic and lumbar spine: comparison of two navigation systems with the conventional method under 2D fluoroscopy.

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
DRKS
Registry ID
DRKS00027635
Enrollment
180
Registered
2022-01-11
Start date
2022-06-01
Completion date
Unknown
Last updated
2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

S32.0 M46.4 M43.1 S22.0

Interventions

Group 1: 3D C-arm-based Pulse-navigated Pedicle screw placement (imaging system: Siemens Cios Spin 3D, navigation system: NuVasive Pulse) Group 2: intraoperative computed tomography-based navigated pe

Sponsors

Sektionsleiter WirbelsäulenchirurgieKlinik für Unfallchirurgie und OrthopädieBG Klinik Ludwigshafen
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Patients aged 18 years and older who have been indicated for surgical treatment of a pathology in the thoracic and/or lumbar spine using dorsal instrumentation and who have given informed consent to surgery are eligible for inclusion.

Exclusion criteria

Exclusion criteria: Exclusion criteria are dislocation fractures of the spine (type C according to AO Spine Classification) as well as revision surgery of the spine and interventions. In addition, patients are excluded if there are doubts about their ability to consent or if they do not have this ability.

Design outcomes

Primary

MeasureTime frame
Clinically relevant screw malposition rate on intraoperative (after completion of screw placement) or postoperative 3D imaging corresponding to grade C-E (>2mm) of the Gertzbein and Robbins classification.

Secondary

MeasureTime frame
operating time and navigation time intraoperative radiation dose postoperative complications (infections, neurological, wound healing disorder, postoperative bleeding/hematoma, revision surgery) postoperative pain/painkiller requirement length of hospital stay

Countries

Germany

Contacts

Public ContactEric Mandelka

AssistenzarztKlinik für Unfallchirurgie und OrthopädieBG Klinik Ludwigshafen

eric.mandelka@bgu-ludwigshafen.de0621 6810 0

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026