ArticleScientific reports2018
Radiological and clinical differences among three assisted technologies in pedicle screw fixation of adult degenerative scoliosis.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 10 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Enhanced accuracy and safety of TiRobot-assisted pedicle screw placement in spinal deformity: an age-stratified meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted versus navigation-guided spinal surgery: a meta-analysis of perioperative, clinical outcomes, and complications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Clinical efficacy and platform-specific analysis of robotic navigation systems in adolescent idiopathic scoliosis: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Comparative clinical performance of robotic-assisted systems in spinal deformity surgery: focus on perioperative outcomes and pedicle screw accuracy.Journal of robotic surgery · 2026Pooled it
- Single-arm meta-analysis on robotic spine instrumentation for young patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- A comparison of key performance metrics of major robotic platforms in spine surgery: a network meta-analysis of 14,462 screws.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 · 2025Pooled it
- Robot-assisted pedicle screw insertion versus navigation-based and freehand techniques for posterior spinal fusion in scoliosis: a systematic review and meta-analysis.Spine deformity · 2024Pooled it
- Effectiveness and safety of robot-assisted versus fluoroscopy-assisted pedicle screw implantation in scoliosis surgery: a systematic review and meta-analysis.Neurosurgical review · 2024Pooled it
- Impact of robot-assisted spine surgery on health care quality and neurosurgical economics: A systemic review.Neurosurgical review · 2020Pooled it
- Guideline for Thoracolumbar Pedicle Screw Placement Assisted by Orthopaedic Surgical Robot.Orthopaedic surgery · 2019Guideline
- Augmented Reality Navigation System Enhances the Accuracy of Spinal Surgery Pedicle Screw Placement: A Randomized, Multicenter, Parallel-Controlled Clinical Trial.Orthopaedic surgery · 2025Trial
- Robot-assisted surgery for degenerative lumbar spine diseases: a disease-specific bibliometric and knowledge-mapping analysis.Journal of robotic surgery · 2026Article
- Global research trends and hotspots in robot-assisted spinal surgery for spinal deformity: a bibliometric analysis.Journal of robotic surgery · 2026Article
- Robotic versus intraoperative image-based navigated thoraco-lumbar pedicle screw fixation: a systematic review and meta-analysis.Musculoskeletal surgery · 2026Review
- Advancements in sagittal alignment parameters and management of adult spine deformities.Journal of spine surgery (Hong Kong) · 2026Review
- Radiation Exposure in Robotic-Assisted Versus Conventional and Navigation-Assisted Spine Surgery: A Systematic Review, Meta-Analysis, and Meta-Regression of 3205 Patients.Journal of clinical medicine · 2026Review
- Robot-assistedWorld journal of orthopedics · 2025Article
- Current Applications and Future Directions of Technologies Used in Adult Deformity Surgery for Personalized Alignment: A Narrative Review.Journal of personalized medicine · 2025Review
- Comparison Between 3D-Printed Drill Guides and Freehand Surgery for Pedicle Screw Instrumentation in Children and Adolescents with Congenital Scoliosis: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2025Review
- Robotic assistance for upper cervical instrumentation: report on accuracy and safety.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 · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to compare the clinical and radiological differences among three advanced guided technologies in adult degenerative scoliosis. A total of 1012 pedicle screws were inserted in 83 patients using a spine robot (group A), 886 screws were implanted in 75 patients using a drill guide template (group B), and 1276 screws were inserted in 109 patients using CT-based navigation (group C). Screw positions were evaluated using postoperative CT scans according to the Gertzbein and Robbins classification. Other relevant data were also collected. Perfect pedicle screw insertion (Grade A) accuracy in groups A, B, and C was 91.3%, 81.3%, and 84.1%, respectively. Clinically acceptable accuracy of screw implantation (Grades A + B) respectively was 96.0%, 90.6%, and 93.0%. Statistical analysis showed the perfect and clinically acceptable accuracy in group A was significant different compared with groups B and C. Group A exhibited the lowest intra-op radiation dose and group B showed the shortest surgical time compared with the other two groups. Robotic-assisted technology demonstrated significantly higher accuracy than the drill guide template or CT-based navigation systems for difficult screw implantations in adult degenerative scoliosis and reduced the intra-op radiation dose, although it failed to reduce surgery time.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.