Article
Clinical Neurology
Xin-Jin Su, Zhen-Dong Lv, Zhi Chen, Kun Wang, Chao Zhu, Hao Chen, Ying-Chao Han, Qing-Xin Song, Li-Feng Lao, Yu-Hui Zhang, Quan Li, Hong-Xing Shen
Summary: This study compared the accuracy and clinical outcomes of robot-assisted and fluoroscopy-guided pedicle screw placement in posterior cervical surgery. The results showed that the robot-assisted group had higher success rate and accuracy, as well as less radiation time and dose, but longer operative time.
GLOBAL SPINE JOURNAL
(2022)
Review
Clinical Neurology
Nida Fatima, Elie Massaad, Muhamed Hadzipasic, Ganesh M. Shankar, John H. Shin
Summary: Robot-assisted pedicle screw placement demonstrated higher accuracy and lower complication rates compared to conventional free-hand technique. Additionally, robotic-assisted surgery reduced intraoperative radiation time and dosage, but resulted in longer surgical duration.
Review
Clinical Neurology
Abhijith Matur, Paolo Palmisciano, Henry O. Duah, Sai S. Chilakapati, Joseph S. Cheng, Owoicho Adogwa
Summary: A systematic review and meta-analysis showed that robotic and navigated pedicle screw placement techniques have higher accuracy and better safety profiles compared to fluoroscopic freehand techniques.
Article
Clinical Neurology
Julia Yi, Matthew C. MacAllister, James P. Caruso, Paolo Palmisciano, Zachary D. Johnson, Giuseppe E. Umana, Mazin Al Tamimi, Carlos A. Bagley, Salah G. Aoun
Summary: This case report describes a rare case of nontraumatic pedicle fracture and compares conservative management with surgical treatment (open fusion or percutaneous fixation). A 60-year-old woman with L4 and L5 pedicle fracture and subsequent L3 pedicle fracture during conservative management underwent percutaneous pediculosynthesis with screw fixation without fusion. The treatment resulted in fracture healing and symptom improvement.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Fan Feng, Xiuyuan Chen, Zude Liu, Yingchao Han, Hao Chen, Quan Li, Lifeng Lao, Hongxing Shen
Summary: The study demonstrates that robot-assisted technology has advantages in spinal surgery, particularly in the upper thoracic region and deformity cases, making it easier and safer to insert pedicle screws. It also allows for a shorter learning curve for junior surgeons.
EUROPEAN SPINE JOURNAL
(2023)
Article
Surgery
Aria M. Jamshidi, Dustin H. Massel, Jason I. Liounakos, Zmira Silman, Christopher R. Good, Samuel R. Schroerlucke, Andrew Cannestra, Victor Hsu, Jae Lim, Faissal Zahrawi, Pedro M. Ramirez, Thomas M. Sweeney, Michael Y. Wang
Summary: Robotic navigation systems significantly reduce radiation exposure in spine surgeries, addressing the growing concern among surgeons performing minimally invasive procedures.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2021)
Article
Orthopedics
Yongtao Liu, Xiaoji Zhou, Yuan Li, Peng Wang
Summary: The study investigated the safety and accuracy of a new self-guided pedicle tap for pedicle screw placement. The experiment was conducted on adult spine specimens using both conventional taps and the new self-guided pedicle taps. The results showed that the new tap achieved safe and accurate screw placement with a low-cost and convenient procedure, indicating its potential clinical value.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Biotechnology & Applied Microbiology
Christos Tsagkaris, Anna-Katharina Calek, Marie-Rosa Fasser, Jose Miguel Spirig, Sebastiano Caprara, Mazda Farshad, Jonas Widmer
Summary: The aim of this study was to verify the optimization algorithm for pedicle screw placement in a cadaveric study and to quantify the effect of optimization. Results showed that optimization of the pedicle screw trajectory improved the pull-out strength and pull-out strain energy only for vertebrae with high elastic modulus values.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2023)
Review
Orthopedics
Yiyang Li, Yan Wang, Xinlong Ma, Jianxiong Ma, Benchao Dong, Peichuan Yang, Yadi Sun, Liyun Zhou, Jiahui Shen
Summary: Through a systematic review and meta-analysis, it was found that robot-assisted pedicle screw placement technique offers greater accuracy and improved clinical outcomes compared to the traditional freehand technique. The robot-assisted technique showed superior results in Delta VAS, Delta ODI, intraoperative blood loss, and length of hospitalization, while there was no significant difference in operative time.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Surgery
Kai Yan, Qi Zhang, Wei Tian
Summary: This study compared the accuracy and safety of robot-assisted and free-hand pedicle screw placement in the thoracolumbar spine. The robot-assisted group showed higher rates of perfect screw position and lower screw deviation compared to the free-hand group. These findings suggest that robot-assisted spine surgery is a precise and safe procedure.
Article
Clinical Neurology
Kevin K. Kumar, Bhavya Parikh, Rashad Jabarkheel, Benjamin Dirlikov, Harminder Singh
Summary: A comparison study was conducted on fluoroscopic versus iCT navigation for CBT pedicle screw fixation, showing fewer trajectory-related complications such as medial breaches in the iCT-guided group. Overall, there were significantly fewer trajectory-related complications in the iCT cohort compared to the fluoroscopic cohort.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
Article
Orthopedics
Ren-Jie Zhang, Lu-Ping Zhou, Lai Zhang, Hua-Qing Zhang, Jian-Xiang Zhang, Cai-Liang Shen
Summary: The TINAVI robot-assisted technique is associated with high accuracy in pedicle screw placement and a low rate of proximal facet joint violation (FJV). Factors such as female sex, BMI < 25.9, age < 61 years old, and facet angle >= 45 degrees are related to the accuracy of screw placement and proximal FJV.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Lin-Zhen Xie, Qi-Long Wang, Qi Zhang, Da He, Wei Tian
Summary: This study compared the accuracy of pedicle screw placement among various types of robot-assisted spinal surgeries and estimated the rank probability of each technique. The results showed that the TiRobot robot had the highest accuracy, followed by the Renaissance and Orthbot. There was no significant difference in accuracy among the Orthbot-assisted technique, Renaissance-assisted technique, conventional freehand technique, and SpineAssist-assisted technique.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Jie Chang, Lipeng Yu, Qingqing Li, Boyao Wang, Lei Yang, Min Cheng, Feng Wang, Long Zhang, Lei Chen, Kun Li, Liang Liang, Wei Zhou, Weihua Cai, Yongxin Ren, Zhiyi Hu, Zhenfei Huang, Tao Sui, Jin Fan, Junwen Wang, Bo Li, Xiaojian Cao, Guoyong Yin
Summary: A new high-precision orthopedic surgical robot (Tuoshou) was developed in this study and compared with the existing TiRobot through a multicenter, randomized controlled trial, demonstrating Tuoshou's superior performance in terms of positioning and navigation accuracy.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Clinical Neurology
Ahmad M. Tarawneh, Shahnawaz Haleem, Daniel D'Aquino, Nasir Quraishi
Summary: This study aimed to evaluate the accuracy and safety of navigation-based approaches compared to fluoroscopic techniques for cervical pedicle screw (CPS) placement. The results showed that navigation-assisted techniques had lower CPS misplacement rates and neurovascular complication rates compared to fluoroscopy-guided techniques.
JOURNAL OF NEUROSURGERY-SPINE
(2021)