ArticleScientific reports2020
Feasibility and accuracy of a robotic guidance system for navigated spine surgery in a hybrid operating room: a cadaver study.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Accuracy of augmented reality-assisted pedicle screw placement: a systematic review.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 · 2024Pooled it
- The use of hybrid operating rooms in neurosurgery, advantages, disadvantages, and future perspectives: a systematic review.Acta neurochirurgica · 2023Pooled it
- Augmented reality navigation in spine surgery: a systematic review.Acta neurochirurgica · 2021Pooled it
- AI-driven tissue discrimination sensing methods for robot-assisted spine surgery: a state-of-the-art review.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 · 2026Review
- 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 · 2026Article
- Robot-assisted pedicle screw placement by using optical navigation.Frontiers in robotics and AI · 2026Article
- The Clinical Impact of Augmented Reality Surgical Navigation on Pedicle Screw Placement and its Effect on Perioperative Outcomes: A Systematic Review.Spine surgery and related research · 2025Review
- Comparing radiation dose of image-guided techniques in lumbar fusion surgery with pedicle screw insertion; A systematic review.North American Spine Society journal · 2023Review
- Robotic Technology in Foot and Ankle Surgery: A Comprehensive Review.Sensors (Basel, Switzerland) · 2023Review
- Characterizing geometric distortions of 3D sequences in clinical head MRI.Magma (New York, N.Y.) · 2022Article
- Fluoroscopy-Guided Robotic System for Transforaminal Lumbar Epidural Injections.IEEE transactions on medical robotics and bionics · 2022Article
- Spine Surgery Assisted by Augmented Reality: Where Have We Been?Yonsei medical journal · 2022Review
- Percutaneous Robot-Assisted versus Freehand SOrthopaedic surgery · 2022Article
- Feasibility and Accuracy of Thoracolumbar Pedicle Screw Placement Using an Augmented Reality Head Mounted Device.Sensors (Basel, Switzerland) · 2022Article
- Navigation Techniques in Endoscopic Spine Surgery.BioMed research international · 2022Review
- Design of a robot-assisted system for transforaminal percutaneous endoscopic lumbar surgeries: study protocol.Journal of orthopaedic surgery and research · 2020Article
- Towards Optical Imaging for Spine Tracking without Markers in Navigated Spine Surgery.Sensors (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The combination of navigation and robotics in spine surgery has the potential to accurately identify and maintain bone entry position and planned trajectory. The goal of this study was to examine the feasibility, accuracy and efficacy of a new robot-guided system for semi-automated, minimally invasive, pedicle screw placement. A custom robotic arm was integrated into a hybrid operating room (OR) equipped with an augmented reality surgical navigation system (ARSN). The robot was mounted on the OR-table and used to assist in placing Jamshidi needles in 113 pedicles in four cadavers. The ARSN system was used for planning screw paths and directing the robot. The robot arm autonomously aligned with the planned screw trajectory, and the surgeon inserted the Jamshidi needle into the pedicle. Accuracy measurements were performed on verification cone beam computed tomographies with the planned paths superimposed. To provide a clinical grading according to the Gertzbein scale, pedicle screw diameters were simulated on the placed Jamshidi needles. A technical accuracy at bone entry point of 0.48 ± 0.44 mm and 0.68 ± 0.58 mm was achieved in the axial and sagittal views, respectively. The corresponding angular errors were 0.94 ± 0.83° and 0.87 ± 0.82°. The accuracy was statistically superior (p < 0.001) to ARSN without robotic assistance. Simulated pedicle screw grading resulted in a clinical accuracy of 100%. This study demonstrates that the use of a semi-automated surgical robot for pedicle screw placement provides an accuracy well above what is clinically acceptable.
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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.