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The impact of robotic assistance for lumbar fusion surgery on 90-day surgical outcomes and 1-year revisions – Lumbar Fusion

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The article compared the 90-day surgical outcomes and 1-year revision rates of robotic versus nonrobotic lumbar fusion surgery. A total of 415 patients were evaluated, with no significant difference found in total 90-day surgical complications or 1-year revisions between the two groups. The study concluded that both robotic-assisted and nonrobotic-assisted lumbar fusions carry a similar risk of complications and revision rates, although robotic surgery did result in longer operative duration. The findings suggest that robotic surgery does not significantly impact surgical outcomes compared to traditional methods

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Our study suggests that robotic-assisted and nonrobotic-assisted lumbar fusions are associated with a similar risk of 90-day surgical complications and 1-year revision rates; however, robotic surgery does increase time under anesthesia.

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J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):15-20. doi: 10.4103/jcvjs.jcvjs_145_23. Epub 2024 Mar 13. ABSTRACT OBJECTIVES: To evaluate the (1) 90-day surgical outcomes and (2) 1-year revision rate of robotic versus nonrobotic lumbar fusion surgery. METHODS: Patients >18 years of age who underwent primary lumbar fusion surgery at our institution were identified and propensity-matched in a 1:1,

J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):15-20. doi: 10.4103/jcvjs.jcvjs_145_23. Epub 2024 Mar 13.

ABSTRACT

OBJECTIVES: To evaluate the (1) 90-day surgical outcomes and (2) 1-year revision rate of robotic versus nonrobotic lumbar fusion surgery.

METHODS: Patients >18 years of age who underwent primary lumbar fusion surgery at our institution were identified and propensity-matched in a 1:1 fashion based on robotic assistance during surgery. Patient demographics, surgical characteristics, and surgical outcomes, including 90-day surgical complications and 1-year revisions, were collected. Multivariable regression analysis was performed. Significance was set to P < 0.05.

RESULTS: Four hundred and fifteen patients were identified as having robotic lumbar fusion and were matched to a control group. Bivariant analysis revealed no significant difference in total 90-day surgical complications (P = 0.193) or 1-year revisions (P = 0.178). The operative duration was longer in robotic surgery (287 + 123 vs. 205 + 88.3, P ≤ 0.001). Multivariable analysis revealed that robotic fusion was not a significant predictor of 90-day surgical complications (odds ratio [OR] = 0.76 [0.32-1.67], P = 0.499) or 1-year revisions (OR = 0.58 [0.28-1.18], P = 0.142). Other variables identified as the positive predictors of 1-year revisions included levels fused (OR = 1.26 [1.08-1.48], P = 0.004) and current smokers (OR = 3.51 [1.46-8.15], P = 0.004).

: Our study suggests that robotic-assisted and nonrobotic-assisted lumbar fusions are associated with a similar risk of 90-day surgical complications and 1-year revision rates; however, robotic surgery does increase time under anesthesia.

PMID:38644906 | PMC:PMC11029112 | DOI:10.4103/jcvjs.jcvjs_145_23

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The impact of robotic assistance for lumbar fusion surgery on 90-day surgical outcomes and 1-year revisions

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J Craniovertebr Junction Spine. 2024 Jan-Mar;15(1):15-20. doi: 10.4103/jcvjs.jcvjs_145_23. Epub 2024 Mar 13. ABSTRACT OBJECTIVES: To evaluate the (1) 90-day surgical outcomes and (2) 1-year revision rate of robotic versus nonrobotic lumbar fusion surgery. METHODS: Patients >18 years of age who underwent primary lumbar fusion surgery at our institution were identified and propensity-matched in a 1:1

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