Clinical accuracy of three-dimensional fluoroscopy (IsoC-3D)-assisted upper thoracic pedicle screw insertion

Yoshihisa Sugimoto, Yasuo Ito, Masao Tomioka, Tetsuya Shimokawa, Yasuyuki Shiozaki, Tetsuro Mazaki, Masato Tanaka

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Correct screw placement is especially difficult in the upper thoracic vertebrae. At the cervicothoracic junction (C7-T2), problems can arise because of the narrowness of the pedicle and the difficulty of using a lateral image intensifler there. Other upper thoracic vertebrae (T3-6) pose a problem for screw insertion also because of the narrower pedicle. We inserted 154 pedicle screws into 78 vertebrae (C7 to T6) in 38 patients. Screws were placed using intraoperative data acquisition by an isocentric C-arm fluoroscope (Siremobile Iso-C3D) and computer navigation. Out of 90 pedicle screws inserted into 45 vertebrae between C7 and T2, 87 of the 90 (96.7%) screws were classified as grade 1 (no perforation). Of 64 pedicle screws inserted into 33 vertebrae between T3 and T6, 61 of 64 (95.3%) screws were classified as grade 1. In this study, we reduced pedicle screw misplacement at the level of the C7 and upper thoracic (Tl-6) vertebrae using the three-dimensional fluoroscopy navigation system.

Original languageEnglish
Pages (from-to)209-212
Number of pages4
JournalActa medica Okayama
Issue number3
Publication statusPublished - Jul 2010


  • Iso-C3D
  • Navigation
  • Pedicle screw
  • Three-dimensional fluoroscopy
  • Upper thoracic

ASJC Scopus subject areas

  • General Biochemistry,Genetics and Molecular Biology


Dive into the research topics of 'Clinical accuracy of three-dimensional fluoroscopy (IsoC-3D)-assisted upper thoracic pedicle screw insertion'. Together they form a unique fingerprint.

Cite this