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New funding sources being sought
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The aim of the study is to determine the relative effectiveness of the PediGuardTM , a device manufactured by SpineVision, Inc, for placement of a pedicle screw pilot (drill) hole and for reducing pedicle screw breaches during thoracic and lumbar pedicle screw fixation of the spine.
Hypothesis #1 The PediGuardTM will be more accurate for pedicle screw placement as compared to other standard manual techniques of similar size of pedicle screw insertion. At least 90% of screws placed with the PediGuardTM will be positioned correctly in the pedicle (defined as less than 2 mm breach by CT scan). In contrast, only 80% of screws using manual placement will be positioned correctly in the pedicle.
Hypothesis #2 The PediGuardTM will not be inferior to fluoroscopic techniques for pedicle screw insertion. Both techniques will achieve at least 90% accuracy in the placement of pedicle screws.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pediguard | Device | PediGuardâ„¢ is a hand-held drilling tool that allows real-time detection of vertebral pedicle and body breaches in all directions. |
| Measure | Description | Time Frame |
|---|---|---|
| At least 90% of screws placed with the PediGuardâ„¢ will be positioned correctly in the pedicle (defined as less than 2 mm breach by CT scan). | Post-op CT prior to discharge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Randal Betz, MD | Shriners Hospitals for Children | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Panorama Orthopedics and Spine Center | Golden | Colorado | 80401 | United States | ||
| Miami Children's Hospital |
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| Miami |
| Florida |
| United States |
| University of Miami | Miami | Florida | United States |
| Spine Institute | Louisville | Kentucky | 40202 | United States |
| NYU Hospital for Joint Diseases | New York | New York | 10010 | United States |
| Shriners Hospitals for Children | Philadelphia | Pennsylvania | 19140 | United States |
| Victoria Hospital | London | Ontario | N6A4G5 | Canada |