ArticleOrthopaedic surgery2019
Comparison of Superior-Level Facet Joint Violations Between Robot-Assisted Percutaneous Pedicle Screw Placement and Conventional Open Fluoroscopic-Guided Pedicle Screw Placement.
Article in Orthopaedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
43 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Robot-assisted technique versus freehand technique for spine surgery: an umbrella review.Annals of medicine · 2025Pooled it
- Spine-specific robots may offer superior screw placement accuracy in spinal surgery procedures. A systematic review and network and proportional meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Meta-analysis of TiRobot-assisted lumbar interbody fusion for degenerative lumbar disease: a comprehensive evaluation of screw placement accuracy and clinical safety.Journal of robotic surgery · 2025Pooled it
- Comparison of robot-assisted versus fluoroscopy-guided transforaminal lumbar interbody fusion (TLIF) for lumbar degenerative diseases: a systematic review and meta-analysis of randomized controlled trails and cohort studies.Systematic reviews · 2024Pooled it
- Superior facet joint violation between open and minimally invasive techniques in lumbar fusion surgery: An updated systematic review and meta-analysis.Journal of the Chinese Medical Association : JCMA · 2023Pooled it
- Accuracy and safety of robot-assisted cortical bone trajectory screw placement: a comparison of robot-assisted technique with fluoroscopy-assisted approach.BMC musculoskeletal disorders · 2022Trial
- Thoracolumbar burst fractures: robot-assisted mono-segment fixation with vertebral body grafting versus short-segment fixation - a propensity score-matched cohort study.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 · 2026Article
- 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
- Impact of robot-assisted cortical bone trajectory (CBT) screw placement on enhanced recovery after surgery (ERAS) in midline lumbar interbody fusion (MIDLIF): a retrospective study.Journal of robotic surgery · 2026Article
- Superior facet joint violation after lumbar pedicle screw placement: a scoping review of prevalence, biomechanics, and implications for adjacent segment disease.Asian spine journal · 2025Article
- Accuracy of Robotic-Guided Pedicular Screw Insertion in Thoracolumbar Spinal Surgery.Journal of clinical medicine · 2025Article
- Robot-assistedWorld journal of orthopedics · 2025Article
- Robot-Assisted vs Fluoroscopy-Guided Minimally Invasive Transforaminal Lumbar Interbody Fusion for Lumbar Degenerative Diseases: A Comparative Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Review
- Robotic-assisted minimally invasive transforaminal lumbar interbody fusion: A meta-analysis of perioperative and postoperative outcomes.Qatar medical journal · 2025Review
- Proximal facet joint violation and breaches after percutaneous insertion of 311 lumbar pedicle screws using the pedicle axis fluoroscopic view.Brain & spine · 2025Article
- A Network Meta-Analysis Comparing the Efficacy and Safety of Pedicle Screw Placement Techniques Using Intraoperative Conventional, Navigation, Robot-Assisted, and Augmented Reality Guiding Systems.International journal of spine surgery · 2024Article
- Article
- Hybrid-3D robotic suite in spine and trauma surgery - experiences in 210 patients.Journal of orthopaedic surgery and research · 2024Article
- Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo compare the superior-level facet joint violations (FJV) between robot-assisted (RA) percutaneous pedicle screw placement and conventional open fluoroscopic-guided (FG) pedicle screw placement in a prospective cohort study.
methodsThis was a prospective cohort study without randomization. One-hundred patients scheduled to undergo RA (n = 50) or FG (n = 50) transforaminal lumbar interbody fusion were included from February 2016 to May 2018. The grade of FJV, the distance between pedicle screws and the corresponding proximal facet joint, and intra-pedicle accuracy of the top screw were evaluated based on postoperative CT scan. Patient demographics, perioperative outcomes, and radiation exposure were recorded and compared. Perioperative outcomes include surgical time, intraoperative blood loss, postoperative length of stay, conversion, and revision surgeries.
resultsOf the 100 screws in the RA group, 4 violated the proximal facet joint, while 26 of 100 in the FG group had FJV (P = 0.000). In the RA group, 3 and 1 screws were classified as grade 1 and 2, respectively. Of the 26 FJV screws in the FG group, 17 screws were scored as grade 1, 6 screws were grade 2, and 3 screws were grade 3. Significantly more severe FJV were noted in the FG group than in the RA group (P = 0.000). There was a statistically significant difference between RA and FG for overall violation grade (0.05 vs 0.38, P = 0.000). The average distance of pedicle screws from facet joints in the RA group (4.16 ± 2.60 mm) was larger than that in the FG group (1.92 ± 1.55 mm; P = 0.000). For intra-pedicle accuracy, the rate of perfect screw position was greater in the RA group than in the FG group (85% vs 71%; P = 0.017). No statistically significant difference was found between the clinically acceptable screws between groups (P = 0.279). The radiation dose was higher in the FG group (30.3 ± 11.3 vs 65.3 ± 28.3 μSv; P = 0.000). The operative time in the RA group was significantly longer (184.7 ± 54.3 vs 117.8 ± 36.9 min; P = 0.000).
conclusionsCompared to the open FG technique, minimally invasive RA spine surgery was associated with fewer proximal facet joint violations, larger facet to screw distance, and higher intra-pedicle accuracy.
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