Robotic-assisted pedicle screw placement fails to reduce overall postoperative complications in fusion surgery

The Spine Journal : Official Journal of the North American Spine Society
Alexander M LieberAmrit S Khalsa

Abstract

Surgeons have increasingly adopted robotic-assisted lumbar spinal fusion due to indications that robotic-assisted surgery can reduce pedicle screw misplacement. However, the impact of robotic-assisted spinal fusion on patient outcomes is less clear. This study aimed to compare rates of perioperative complications between robotic-assisted and conventional lumbar spinal fusion. Retrospective cohort study. A total of 520 patients undergoing lumbar fusion were analyzed. The average ages of patients in the robotic-assisted versus conventional groups were 60.33 and 60.31, respectively (p=.987). Patients with a diagnosis of fracture, traumatic spinal cord injury, spina bifida, neoplasia, or infection were excluded. This study compared the rates perioperative major and minor complications for elective lumbar fusion between each cohort. This study screened hospital discharges in the United States from 2010 to 2014 using the National Inpatient Sample and the Nationwide Inpatient Sample (NIS). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes were used to identify 209,073 patients who underwent conventional lumbar fusion (ICD 81.04-8) and 279 patients who underwent robotic-assis...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 30, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Gregory J KirchnerVincent M Moretti

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