Cleary Lab

Children's Research Institute

Washington · United States

NIH-funded
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NIH R01 · 2025

Image-guided robotic assistance to improve precision and reduce x-ray dose in orthopedic surgery for pediatric SCFE

Project Summary Placement of orthopaedic implants, such as guidewires and screws, is a common surgical task, and accurate placement is critical to the success of a range of orthopaedic procedures. However, the rate of screw misplacement is highly variable, with one study showing a 14% misplacement rate in the spine. While screws are often placed during open surgery, allowing direct visualization of bones, there is a growing trend toward percutaneous screw placement. The most studied procedure has been pedicle screw placement, where a meta-analysis showed that a significant percentage of screws are misplaced and that image guidance can improve placement accuracy. Misplaced screws can put…

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