| dc.contributor.advisor | Kantelhardt, Sven PD Dr. | |
| dc.contributor.author | Bärwinkel, Stefan | |
| dc.date.accessioned | 2014-01-27T09:33:07Z | |
| dc.date.available | 2014-02-05T23:50:04Z | |
| dc.date.issued | 2014-01-27 | |
| dc.identifier.uri | http://hdl.handle.net/11858/00-1735-0000-0022-5E06-3 | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-4333 | |
| dc.language.iso | deu | de |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Genauigkeit der Implantatlage und perioperativer klinischer Verlauf nach konventioneller, minimalinvasiver und Roboter-assistierter Implantation von Pedikelschrauben | de |
| dc.type | doctoralThesis | de |
| dc.title.translated | Perioperative course and accuracy of screw positioning in conventional, open robotic-guided and percutaneous robotic-guided, pedicle screw placement | de |
| dc.contributor.referee | Hell, Anna-Kathrin Prof. Dr. | |
| dc.date.examination | 2014-01-28 | |
| dc.description.abstracteng | Robotic-guided and percutaneous pedicle screw placement are emerging technologies. We here report a retrospective cohort analysis comparing conventional open to open robotic-guided and percutaneous robotic-guided pedicle screw placement. 112 patient records and CT scans were analyzed concerning the intraoperative and perioperative course. 35 patients underwent percutaneous, 20 open robotic-guided and 57 open conventional pedicle screw placement. 94.5% of robot-assisted and 91.4% of conventionally placed screws were found to be accurate. Percutaneous robotic and open robotic-guided subgroups did not differ obviously. Average X-ray exposure per screw was 34 s in robotic-guided compared to 77 s in conventional cases. Subgroup analysis indicates that percutaneously operated patients required less opioids, had a shorter hospitalization and lower rate of adverse events in the perioperative period. The use of robotic guidance significantly increased accuracy of screw positioning while reducing the X-ray exposure. Patients seem to have a better perioperative course following percutaneous procedures. | de |
| dc.contributor.coReferee | Oppermann, Martin Prof. Dr. | |
| dc.subject.ger | Spine assist | de |
| dc.subject.eng | Spine assist | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-11858/00-1735-0000-0022-5E06-3-7 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Chirurgie - Allgemein- und Gesamtdarstellungen (PPN619875968) | de |
| dc.description.embargoed | 2014-02-05 | |
| dc.identifier.ppn | 777119811 | |