Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2025; 16(3): 103955
Published online Mar 18, 2025. doi: 10.5312/wjo.v16.i3.103955
Intraoperative imaging adequacy and its impact on unplanned return-to-theatre rates in pedicle screw instrumentation
Ramy Sherif, Ella Clifford Spence, Jessica Smith, Michael John Haydon McCarthy
Ramy Sherif, Department of Spinal Surgery, University Hospital of Wales, Cardiff CF14 4XW, United Kingdom
Ella Clifford Spence, Jessica Smith, Michael John Haydon McCarthy, Department of Spinal Surgery, Cardiff University, Cardiff CF14 4XW, United Kingdom
Author contributions: All authors designed and contributed to the conception, design, and drafting of the manuscript.
Institutional review board statement: This study did not require approval from an Institutional Review Board (IRB) as it involved a retrospective analysis of anonymized data. Since the data were de-identified and did not include any personally identifiable information, the study met the criteria for exemption from ethical approval under current regulations.
Informed consent statement: Informed consent was not required for this study as it involved a retrospective analysis of anonymized data. Since the data were de-identified and did not include any personally identifiable information, obtaining informed consent from individuals was not applicable.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest related to the research, authorship, and/or publication of this study. No financial, personal, or professional affiliations have influenced the design, conduct, analysis, or reporting of the research presented.
Data sharing statement: sharing statement: The data supporting the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ramy Sherif, MD, Department of Spinal Surgery, University Hospital of Wales, Heath Park Way, Cardiff CF14 4XW, United Kingdom. rsherif1983@yahoo.com
Received: December 5, 2024
Revised: January 13, 2025
Accepted: February 18, 2025
Published online: March 18, 2025
Processing time: 97 Days and 10.5 Hours
Core Tip

Core Tip: This study underscores the importance of adequate intraoperative imaging in minimizing unplanned returns to theatre rates within 90 days after pedicle screw instrumentation. The findings reveal that using both anteroposterior and lateral fluoroscopic views significantly reduces the risk of revision surgeries caused by screw malplacement. This approach provides a practical, cost-effective method to enhance surgical precision, improve patient safety, and optimize resource utilization, particularly in healthcare settings with limited access to advanced imaging technologies.