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Robot-assisted versus fluoroscopy-guided pedicle screw fixation of thoracolumbar compression fractures – Lumbar Fusion

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This article compares the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation for thoracolumbar compression fractures. The study included 85 patients, with 45 in the RA group and 40 in the FG group. The accuracy of pedicle screw placement, one-time success rate, volume of blood loss, operative time, pain scores, Cobb angle, and postoperative complications were analyzed. The results showed that the RA group had significantly higher rates of grade A screw placement, clinically acceptable screw placement, and one-time success rate compared to the FG group. However, there were no differences in other factors such as sex, age, body mass index, pain scores, Cobb angle, and postoperative complications between the two groups. Overall, RA surgery was found to have greater accuracy and one-time success rates for pedicle screw fixation of thoracolumbar compression fractures, while showing comparable clinical outcomes to FG surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative spine clinic in London

Published article

The aim of this study is to compare the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation of thoracolumbar compression fractures. We retrospectively enrolled 85 patients with surgically treated thoracolumbar compression fractures in our study (RA group, 45 patients; FG group, 40 patients). We analyzed the accuracy of pedicle screw placement by using the Gertzbein-Robbins classification, and calculated the one-time success rate (i.e., the…

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Medicine (Baltimore). 2023 Dec 1;102(48):e36430. doi: 10.1097/MD.0000000000036430.ABSTRACTThe aim of this study is to compare the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation of thoracolumbar compression fractures. We retrospectively enrolled 85 patients with surgically treated thoracolumbar compression fractures in our study (RA group, 45 patients; FG group, 40 patients). We,

Medicine (Baltimore). 2023 Dec 1;102(48):e36430. doi: 10.1097/MD.0000000000036430.

ABSTRACT

The aim of this study is to compare the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation of thoracolumbar compression fractures. We retrospectively enrolled 85 patients with surgically treated thoracolumbar compression fractures in our study (RA group, 45 patients; FG group, 40 patients). We analyzed the accuracy of pedicle screw placement by using the Gertzbein-Robbins classification, and calculated the one-time success rate (i.e., the rate of screws successfully inserted in the first attempt). We also evaluated volume of blood loss, operative time, visual analogue scale scores for pain, Cobb angle, and postoperative complications. The rates of grade A screw placement (96% vs 68.5%; P < .005), clinically acceptable screw placement (98.2% vs 86%; P < .005), and the one-time success rate (97.3% vs 82.5%; P < .005) were all significantly higher in the RA group than in the FG group. No differences were observed in sex, age, body mass index, volume of blood loss, operative time, visual analogue scale scores, Cobb angle, and postoperative complications between the 2 groups. Compared to FG surgery, RA surgery yielded greater accuracy and one-time success rates of pedicle screw fixation of thoracolumbar compression fractures, with comparable clinical outcomes.

PMID:38050284 | PMC:PMC10695527 | DOI:10.1097/MD.0000000000036430

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Robot-assisted versus fluoroscopy-guided pedicle screw fixation of thoracolumbar compression fractures

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Medicine (Baltimore). 2023 Dec 1;102(48):e36430. doi: 10.1097/MD.0000000000036430.ABSTRACTThe aim of this study is to compare the clinical outcomes and accuracy of robot-assisted (RA) versus fluoroscopy-guided (FG) pedicle screw fixation of thoracolumbar compression fractures. We retrospectively enrolled 85 patients with surgically treated thoracolumbar compression fractures in our study (RA group, 45 patients; FG group, 40 patients). We
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