A Systematic Review and Meta-analysis of Randomized Controlled Trials Comparing the Accuracy and Clinical Outcome of Pedicle Screw Placement Using Robot-Assisted Technology and Conventional Freehand Technique.

Global Spine Journal
Ahmad M Tarawneh, Khalid Mi Salem

Abstract

Systematic review and meta-analysis of randomized controlled trials (RCTs). This systematic review and meta-analysis was performed with the aim of exploring the differences in pedicle screw positioning accuracy, surgical time, length of hospital stay, postoperative back and leg Visual Analog Scale, revision surgeries, and intraoperative radiation time and exposure between robot-assisted technology and conventional freehand technique based on RCTs. Several databases, including the Cochrane library, PubMed, and EMBASE were systematically searched to identify potentially eligible articles. Meta-analysis was done using STATA 13 software. The odds ratios and 95% CIs were calculated for the studied categories. Seven RCTs involving 290 patients (1298 pedicle screws) in the robot-assisted group and 288 patients (1348 pedicle screws) in the conventional freehand group were analyzed. The results revealed that grade (A) and grade (A+B) screw accuracies were significantly superior in the robot-assisted group (P = .008 and P = .009, respectively). Overall surgical duration and number of revision surgeries were significantly higher in the robot-assisted group (P = .014 and P < .0001, respectively). Intraoperative radiation time and dosage we...Continue Reading

References

Jan 1, 1990·Spine·S D Gertzbein, S E Robbins
Jan 1, 1995·Journal of Image Guided Surgery·L P NolteL Zamorano
Dec 16, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·S H TanH C Chua
May 24, 2007·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Y BarzilayN Knoller
Sep 9, 2008·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Y BarzilayM Libergall
Sep 19, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thorsten TjardesHolger Baethis
Jan 7, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Rajeev VermaA Mohsen
Sep 24, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nai-Feng TianHua-Zi Xu
Mar 9, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sven Rainer KantelhardtVeit Rohde
Sep 15, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xiaobang HuIsador H Lieberman
Jan 4, 2013·Neurosurgery·Florian RoserGottlieb Maier
Dec 24, 2013·Journal of Neurosurgery. Spine·Alexander MasonAlan T Villavicencio
Jan 1, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Qiang YuanWei Tian
Mar 10, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ahmed A AoudeMichael H Weber

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