An innovative 2D optical navigation workflow for percutaneous pedicle screw fixation in thoracolumbar fractures: comparison with O-arm 3D navigation - Takeaways - MDSpire

An innovative 2D optical navigation workflow for percutaneous pedicle screw fixation in thoracolumbar fractures: comparison with O-arm 3D navigation

  • By

  • Ren Gao

  • Kangheng Niu

  • Le Cheng

  • Zhong Wei

  • Xuepeng Wang

  • Tanjun Wei

  • Biwang Huang

  • Feng Xu

  • Chengjie Xiong

  • June 26, 2026

  • 0 min

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  • 1

    The study analyzed 105 patients with thoracolumbar fractures who underwent percutaneous pedicle screw fixation using two navigation systems.

  • 2

    The 2D-navigation group had shorter operative times and lower radiation doses compared to the 3D-navigation group.

  • 3

    Screw placement accuracy was similar between the 2D and 3D navigation groups, with rates of 99.2% and 98.1%, respectively.

  • 4

    Both navigation methods resulted in significant postoperative improvements in visual analog scale and Oswestry Disability Index scores.

  • 5

    CUSUM analysis indicated that proficiency was achieved earlier with the 2D navigation system than with the 3D system.

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