Effect of Robot-Assisted Surgery on Lumbar Pedicle Screw Internal Fixation in Patients with Osteoporosis

World Neurosurgery
Shuo FengYi Wei

Abstract

We sought to compare clinical outcomes of robot-assisted versus conventional freehand fluoroscopy-assisted lumbar pedicle screw insertion in patients with osteoporosis. This study included 80 patients with osteoporosis and lumbar disease treated with pedicle screw internal fixation in the Department of Spine Surgery, Beijing Jishuitan Hospital between June 2016 and July 2018. Patients were randomly assigned to receive either robot-assisted pedicle screw insertion (experimental group) or freehand fluoroscopy-assisted pedicle screw insertion (control group). The accuracy of screw placement was assessed with postoperative computed tomography. Operative time, pedicle screw placement time, radiation exposure to the medical team, and intraoperative blood loss were recorded. A total of 427 pedicle screws were inserted in 80 patients; 202 pedicle screws were placed in the experimental group, and 225 pedicle screws were placed in the control group. The accuracy of screw placement was significantly higher with robot-assisted pedicle screw insertion (98.5% [199/202]) compared with that achieved with the freehand technique (91.6% [206/225]) (P < 0.05). Robot-assisted pedicle screw insertion was associated with reductions in the mean total ...Continue Reading

Citations

Nov 30, 2019·Expert Review of Medical Devices·Qi ZhangWei Tian
Jul 30, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Junyu LiMiao Yu
Sep 10, 2020·Journal of Craniovertebral Junction and Spine·Kris B SiemionowCristian J Luciano
Oct 21, 2020·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·Jinpeng DuLiang Yan
Oct 15, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Hyung Cheol KimSeong Yi
Dec 29, 2020·International Journal of Clinical Practice·Weiguang FuShaohua Gong
Jul 30, 2021·Frontiers in Robotics and AI·Michael UngerAndreas Melzer
Oct 13, 2021·BMC Musculoskeletal Disorders·Shih-Hsiang ChouHsuan-Ti Huang

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