Evidence map›Paper›PMID 31807602›Full record

ReviewRobotic surgery (Auckland)2019

Robotic-Assisted Spine Surgery: History, Efficacy, Cost, And Future Trends.

Marissa D'Souza, Julian Gendreau, Austin Feng, Lily H Kim, Allen L Ho, Anand Veeravagu

Erratum issued Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Robotic surgery (Auckland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06120426 (En Bloc Resection Versus Separation Surgery Combined With Radiotherapy for the Treatment of Spinal Oligometastatic Tumor-A Multi-center, Prospective, Randomized, Controlled Study.), which is not on this map. Cited by 152 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 7 pooled it
23.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06120426 recruitingnot on this mapstarted 2023, after this paper: background citation

En Bloc Resection Versus Separation Surgery Combined With Radiotherapy for the Treatment of Spinal Oligometastatic Tumor-A Multi-center, Prospective, Randomized, Controlled Study.

Typeobservational_patient_registrySponsorShanghai Changzheng HospitalRan2023 to 2027Enrolled182ConditionsSpinal Metastases, Spinal Tumor, Radiotherapy, Malignant Bone TumorArmstotal en bloc spondylectomy
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 7 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Computer-Assisted Orthopedic and Trauma Surgery.Deutsches Arzteblatt international · 2020
    Trial
  9. Article
  10. Analysis of root causes of adverse events with Mazor X and Mazor X stealth edition-guided spine surgeries: an FDA MAUDE database 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 · 2026
    Article
  11. Article
  12. Review
  13. A retrospective cohort analysis of roboticJournal of spine surgery (Hong Kong) · 2026
    Article
  14. Review
  15. Article
  16. Global analysis and prospects of assisted pedicle screw placement surgery: a bibliometric 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 · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review

92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Marissa D'SouzaMercer University School of Medicine, Macon, GA, USA.ORCID 0000-0001-7322-9939
Julian GendreauMercer University School of Medicine, Macon, GA, USA.
Austin FengDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Lily H KimDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Allen L HoDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-1485-451X
Anand VeeravaguDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Stanford University · USMercer University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robot-assisted spine surgery has recently emerged as a viable tool to enable less invasive and higher precision surgery. The first-ever spine robot, the SpineAssist (Mazor Robotics Ltd., Caesarea, Israel), gained FDA approval in 2004. With its ability to provide real-time intraoperative navigation and rigid stereotaxy, robotic-assisted surgery has the potential to increase accuracy while decreasing radiation exposure, complication rates, operative time, and recovery time. Currently, robotic assistance is mainly restricted to spinal fusion and instrumentation procedures, but recent studies have demonstrated its use in increasingly complex procedures such as spinal tumor resections and ablations, vertebroplasties, and deformity correction. However, robots do require high initial costs and training, and thus, require justification for their incorporation into common practice. In this review, we discuss the history of spinal robots along as well as currently available systems. We then examine the literature to evaluate accuracy, operative time, complications, radiation exposure, and costs - comparing robotic-assisted to traditional fluoroscopy-assisted freehand approaches. Finally, we consider future applications for robots in spine surgery.

Indexed as

computer assisted navigationMazor X®renaissancerobot-assisted surgeryrobotic navigationrobotic spine surgeryROSA®SpineaAssist®

Identifiers

PMID31807602
PMCPMC6844237
OpenAlexW2986836173

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.