{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T15:05:10Z","timestamp":1781708710561,"version":"3.54.5"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2023,3]]},"DOI":"10.1016\/j.wneu.2022.12.034","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T20:21:57Z","timestamp":1671049317000},"page":"e440-e446","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"special_numbering":"C","title":["O-Arm Accuracy and Radiation Exposure in Adult Deformity Surgery"],"prefix":"10.1016","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7436-4267","authenticated-orcid":false,"given":"Davide Marco","family":"Croci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2985-1517","authenticated-orcid":false,"given":"Sarah","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0209-8665","authenticated-orcid":false,"given":"Seth W.","family":"Streitmatter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9433-7955","authenticated-orcid":false,"given":"Brandon A.","family":"Sherrod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7154-1275","authenticated-orcid":false,"given":"Jeremy","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9119-9462","authenticated-orcid":false,"given":"Kyril L.","family":"Cole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3615-3792","authenticated-orcid":false,"given":"Austin S.","family":"Gamblin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8583-8544","authenticated-orcid":false,"given":"Erica F.","family":"Bisson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8510-0139","authenticated-orcid":false,"given":"Marcus D.","family":"Mazur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8208-621X","authenticated-orcid":false,"given":"Andrew T.","family":"Dailey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2022.12.034_bib1","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1016\/j.wneu.2014.06.023","article-title":"Accuracy of pedicle screw placement in the thoracic and lumbosacral spine using a conventional intraoperative fluoroscopy-guided technique: a national neurosurgical education and training center analysis of 1236 consecutive screws","volume":"82","author":"Nevzati","year":"2014","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.034_bib2","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.2106\/00004623-199911000-00003","article-title":"Complications associated with pedicle screws","volume":"81","author":"Lonstein","year":"1999","journal-title":"J\u00a0Bone Joint Surg"},{"key":"10.1016\/j.wneu.2022.12.034_bib3","doi-asserted-by":"crossref","first-page":"E56","DOI":"10.1097\/01.brs.0000252094.64857.ab","article-title":"Randomized clinical study to compare the accuracy of navigated and non-navigated thoracic pedicle screws in deformity correction surgeries","volume":"32","author":"Rajasekaran","year":"2007","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib4","doi-asserted-by":"crossref","first-page":"113","DOI":"10.3171\/2012.5.SPINE11399","article-title":"Pedicle screw navigation: a systematic review and meta-analysis of perforation risk for computer-navigated versus freehand insertion","volume":"17","author":"Shin","year":"2012","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib5","doi-asserted-by":"crossref","first-page":"E347","DOI":"10.1097\/BSD.0b013e31829047a7","article-title":"Prospective comparison study between the fluoroscopy-guided and navigation coupled with O-arm-guided pedicle screw placement in the thoracic and lumbosacral spines","volume":"28","author":"Shin","year":"2015","journal-title":"J\u00a0Spinal Disord Tech"},{"key":"10.1016\/j.wneu.2022.12.034_bib6","doi-asserted-by":"crossref","first-page":"325","DOI":"10.3171\/spi.2004.100.4.0325","article-title":"Thoracic pedicle screws: postoperative computerized tomography scanning assessment","volume":"100","author":"Heary","year":"2004","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.034_bib7","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3171\/2018.12.SPINE181142","article-title":"Augmented reality-assisted pedicle screw insertion: a cadaveric proof-of-concept study","volume":"31","author":"Molina","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib8","first-page":"71","article-title":"Polymethylmethacrylate-augmented fenestreted pedicle-screw fixation in low bone quality patients: a case series and literature review","volume":"32","author":"Ghermandi","year":"2018","journal-title":"J\u00a0Biol Regul Homeost Agents"},{"key":"10.1016\/j.wneu.2022.12.034_bib9","doi-asserted-by":"crossref","first-page":"2917","DOI":"10.1007\/s00586-017-5195-3","article-title":"Pedicle screw insertion accuracy in terms of breach and reposition using a new intraoperative cone beam computed tomography imaging technique and evaluation of the factors associated with these parameters of accuracy: a series of 695 screws","volume":"26","author":"Cordemans","year":"2017","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.12.034_bib10","doi-asserted-by":"crossref","first-page":"397","DOI":"10.3171\/2018.1.SPINE17927","article-title":"Use of the Airo mobile intraoperative CT system versus the O-arm for transpedicular screw fixation in the thoracic and lumbar spine: a retrospective cohort study of 263 patients","volume":"29","author":"Scarone","year":"2018","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib11","doi-asserted-by":"crossref","first-page":"e326","DOI":"10.1016\/j.wneu.2020.08.123","article-title":"Surgical technique and accuracy of S2 alar-iliac screw insertion using intraoperative O-Arm navigation: an analysis of 120 screws","volume":"144","author":"Tamaki","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.034_bib12","first-page":"1","article-title":"The 2007 recommendations of the International Commission on radiological Protection","volume":"146-6453","year":"2007","journal-title":"Ann Int Comm Radiol Prot"},{"key":"10.1016\/j.wneu.2022.12.034_bib13","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ejmp.2020.11.006","article-title":"Effective dose and image quality for intraoperative imaging with a cone-beam CT and a mobile multi-slice CT in spinal surgery: a phantom study","volume":"81","author":"Casiraghi","year":"2021","journal-title":"Phys Med"},{"key":"10.1016\/j.wneu.2022.12.034_bib14","doi-asserted-by":"crossref","first-page":"305","DOI":"10.3233\/XST-2009-023100231","article-title":"Dosimetric characterization of a cone-beam O-arm\u2122 imaging system","volume":"17","author":"Zhang","year":"2009","journal-title":"J\u00a0X Ray Sci Technol"},{"key":"10.1016\/j.wneu.2022.12.034_bib15","doi-asserted-by":"crossref","first-page":"196","DOI":"10.3171\/2013.11.SPINE13413","article-title":"The accuracy of pedicle screw placement using intraoperative image guidance systems","volume":"20","author":"Mason","year":"2014","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib16","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00264-009-0792-3","article-title":"Image-guided pedicle screw insertion accuracy: a meta-analysis","volume":"33","author":"Tian","year":"2009","journal-title":"Int Orthop"},{"key":"10.1016\/j.wneu.2022.12.034_bib17","doi-asserted-by":"crossref","first-page":"E373","DOI":"10.1097\/BRS.0000000000002449","article-title":"Pedicle screw insertion accuracy using O-Arm, robotic guidance, or freehand technique: a comparative study","volume":"43","author":"Laudato","year":"2018","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib18","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.jocn.2020.01.025","article-title":"Image-guided pedicle screws using intraoperative cone-beam CT and navigation. A cost-effectiveness study","volume":"72","author":"Lee","year":"2020","journal-title":"J\u00a0Clin Neurosci"},{"issue":"1","key":"10.1016\/j.wneu.2022.12.034_bib19","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2021.10.FOCUS21467","article-title":"Workflow and performance of intraoperative CT, cone-beam CT, and robotic cone-beam CT for spinal navigation in 503 consecutive patients","volume":"52","author":"Kendlbacher","year":"2022","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2022.12.034_bib20","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1038\/s41598-017-19054-7","article-title":"Radiological and clinical differences among three assisted technologies in pedicle screw fixation of adult degenerative scoliosis","volume":"8","author":"Fan","year":"2018","journal-title":"Sci Rep"},{"key":"10.1016\/j.wneu.2022.12.034_bib21","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.1007\/s00586-022-07268-x","article-title":"Intraoperative imaging and navigated spinopelvic instrumentation: S2-alar-iliac screws combined with tricortical S1 pedicle screw fixation","volume":"31","author":"Sargut","year":"2022","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.12.034_bib22","doi-asserted-by":"crossref","first-page":"e489","DOI":"10.1016\/j.wneu.2020.04.052","article-title":"Comparison of radiation exposure between O-Arm navigated and C-Arm guided screw placement in minimally invasive transforaminal lumbar interbody fusion","volume":"139","author":"Chang","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.034_bib23","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1093\/ons\/opx142","article-title":"Operative and perioperative durations in O-Arm vs C-Arm fluoroscopy for lumbar instrumentation","volume":"14","author":"Knafo","year":"2018","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"10.1016\/j.wneu.2022.12.034_bib24","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.spinee.2019.04.003","article-title":"Evaluation of surgeon and patient radiation exposure by imaging technology in patients undergoing thoracolumbar fusion: systematic review of the literature","volume":"19","author":"Pennington","year":"2019","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2022.12.034_bib31","doi-asserted-by":"crossref","first-page":"605","DOI":"10.31083\/j.jin2003064","article-title":"Radiation exposure during computerized tomography-based neuroimaging for acute ischemic stroke: a case-control study","volume":"20","author":"Kapur","year":"2021","journal-title":"J Integr Neurosci"},{"key":"10.1016\/j.wneu.2022.12.034_bib32","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1259\/bjr\/69070614","article-title":"Adult patient radiation doses from non-cardiac CT examinations: a review of published results","volume":"84","author":"Pantos","year":"2011","journal-title":"Br J Radiol"},{"key":"10.1016\/j.wneu.2022.12.034_bib33","first-page":"1","article-title":"Assessment of radiation doses and image quality of multiple low-dose CT exams in COVID-19 clinical management","author":"Bai","year":"2021","journal-title":"Chin J Acad Radiol"},{"key":"10.1016\/j.wneu.2022.12.034_bib34","doi-asserted-by":"crossref","first-page":"35S","DOI":"10.1016\/j.jvs.2010.05.141","article-title":"Radiation exposure in endovascular procedures","volume":"53","author":"Ketteler","year":"2011","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.wneu.2022.12.034_bib35","doi-asserted-by":"crossref","first-page":"3669","DOI":"10.1007\/s00330-018-5405-3","article-title":"Monitoring neurointerventional radiation doses using dose-tracking software: implications for the establishment of local diagnostic reference levels","volume":"28","author":"Acton","year":"2018","journal-title":"Eur Radiol"},{"key":"10.1016\/j.wneu.2022.12.034_bib36","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1007\/s00234-002-0780-4","article-title":"Patient and occupational dose in neurointerventional procedures","volume":"44","author":"Kemerink","year":"2002","journal-title":"Neuroradiology"},{"key":"10.1016\/j.wneu.2022.12.034_bib37","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1177\/1708538114540641","article-title":"Patient radiation exposure during carotid artery stenting","volume":"23","author":"Stani\u0161i\u0107","year":"2015","journal-title":"Vascular"},{"key":"10.1016\/j.wneu.2022.12.034_bib38","doi-asserted-by":"crossref","first-page":"110","DOI":"10.5469\/neuroint.2018.00983","article-title":"Patient radiation dose in neurointerventional radiologic procedure: a tertiary care experience","volume":"13","author":"Riabroi","year":"2018","journal-title":"Neurointervention"},{"key":"10.1016\/j.wneu.2022.12.034_bib25","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1177\/1708538114540641","article-title":"Patient radiation exposure during carotid artery stenting","volume":"23","author":"Stani\u0161i\u0107","year":"2015","journal-title":"Vascular"},{"issue":"2","key":"10.1016\/j.wneu.2022.12.034_bib26","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2015.11.FOCUS15485","article-title":"Patient radiation exposure during transforaminal lumbar endoscopic spine surgery: a prospective study","volume":"40","author":"Iprenburg","year":"2016","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2022.12.034_bib27","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1088\/0952-4746\/36\/4\/975","article-title":"Updated effective doses in radiology","volume":"36","author":"Vilar-Palop","year":"2016","journal-title":"J\u00a0Radiol Prot"},{"key":"10.1016\/j.wneu.2022.12.034_bib28","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1177\/2192568220953391","article-title":"The 90-day reoperations and readmissions in complex adult spinal deformity surgery","volume":"12","author":"Lee","year":"2022","journal-title":"Global Spine J"},{"key":"10.1016\/j.wneu.2022.12.034_bib29","doi-asserted-by":"crossref","first-page":"320","DOI":"10.3171\/2014.5.SPINE13567","article-title":"Safety and efficacy of pedicle screw placement using intraoperative computed tomography: consecutive series of 1148 pedicle screws","volume":"21","author":"Bydon","year":"2014","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.12.034_bib30","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1007\/s00586-015-3814-4","article-title":"Accuracy and workflow of navigated spinal instrumentation with the mobile AIRO(\u00ae) CT scanner","volume":"25","author":"Hecht","year":"2016","journal-title":"Eur Spine J"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022017399?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022017399?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:16:36Z","timestamp":1761815796000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875022017399"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":38,"alternative-id":["S1878875022017399"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.12.034","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"O-Arm Accuracy and Radiation Exposure in Adult Deformity Surgery","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.12.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}