ArticleGlobal spine journal2020
Assessment of Surgical Procedural Time, Pedicle Screw Accuracy, and Clinician Radiation Exposure of a Novel Robotic Navigation System Compared With Conventional Open and Percutaneous Freehand Techniques: A Cadaveric Investigation.
Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- A Pilot Human Cadaveric Study on Accuracy of the Augmented Reality Surgical Navigation System for Thoracolumbar Pedicle Screw Insertion Using a New Intraoperative Rapid Registration Method.Journal of digital imaging · 2023Trial
- Robotic-assisted percutaneous iliac fixation: Outcomes, history, and review.North American Spine Society journal · 2026Article
- Robotic-assisted pedicle screw placement achieves high accuracy and narrows the experience gap: a preclinical evaluation.Journal of robotic surgery · 2026Article
- Artificial Intelligence in Intraoperative Imaging and Navigation for Spine Surgery: A Narrative Review.Journal of clinical medicine · 2026Review
- Minimally invasive surgical techniques for the treatment of thoracolumbar burst fractures.Journal of clinical orthopaedics and trauma · 2026Review
- Lumbar spinal stenosis: current concept of management.Asian spine journal · 2026Article
- Global research hotspots and emerging trends in orthopedic robotic surgery: a comprehensive bibliometric analysis.Journal of robotic surgery · 2026Review
- Robotic-assisted pedicle screw placement improves accuracy, precision, and breach rates compared with freehand and image-guided navigation techniques: a cadaveric study.Spine deformity · 2025Article
- A General Framework for Characterizing Inaccuracy in Stereotactic Systems.Operative neurosurgery (Hagerstown, Md.) · 2025Review
- Markerless 2D/3D image guidance vs. 2D fluoroscopy in posterior pedicle screw fixation using intraoperative 2D imaging: An experimental study.Brain & spine · 2025Article
- The feasibility of robotic navigation in single position oblique lateral spine surgery. A technical note and a retrospective study.Frontiers in surgery · 2025Article
- Scoping review of robotics technology in spinal surgery with highlights of the Annual Seattle Science Foundation Course.Annals of translational medicine · 2024Review
- Minimally invasive robot-assisted direct pars repair: illustrative cases.Journal of neurosurgery. Case lessons · 2024Article
- Article
- Fully automated determination of robotic pedicle screw accuracy and precision utilizing computer vision algorithms.Journal of robotic surgery · 2024Article
- Minimally Invasive Placement of Pedicle Screws Using Robotic-Assisted Navigation and Magnetically Controlled Growing Rods in a Patient with Early-Onset Scoliosis: Technical Note and Case Report.Journal of orthopaedic case reports · 2024Article
- Effect of Insertional Direction of Pedicle Screw on Screw Loosening: A Biomechanical Study on Synthetic Bone Vertebra under a Physiology-like Load.Orthopaedic surgery · 2024Article
- A feasibility cadaver study for placing screws in various pelvic osseous fracture pathways using a robotic arm.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Assessment of the tolerance angle for pedicle screw insertion.Medical & biological engineering & computing · 2024Article
- Robotic pedicle screw placement for minimal invasive thoracolumbar spine surgery: a technical note.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCadaveric study.
objectiveTo evaluate accuracy, radiation exposure, and surgical time of a new robotic-assisted navigation (RAN) platform compared with freehand techniques in conventional open and percutaneous procedures.
methodsTen board-certified surgeons inserted 16 pedicle screws at T10-L5 (n = 40 per technique) in 10 human cadaveric torsos. Pedicle screws were inserted with (1) conventional MIS technique (L2-L5, patient left pedicles), (2) MIS RAN (L2-L5, patient right pedicles), (3) conventional open technique (T10-L1, patient left pedicles), and (4) open RAN (T10-L1, patient right pedicles). Output included (1) operative time, (2) number of fluoroscopic images, and (3) screw accuracy.
resultsIn the MIS group, compared with the freehand technique, RAN allowed for use of larger screws (diameter: 6.6 ± 0.6 mm vs 6.3 ± 0.5 mm; length: 50.3 ± 4.1 mm vs 46.9 ± 3.5 mm), decreased the number of breaches >2 mm (0 vs 7), fewer fluoroscopic images (0 ± 0 vs 108.3 ± 30.9), and surgical procedure time per screw (3.6 ± 0.4 minutes vs 7.6 ± 2.0 minutes) (all
conclusionRAN significantly improved accuracy and decreased radiation exposure in comparison to freehand techniques in both conventional open and percutaneous surgical procedures in cadavers. RAN significantly increased setup time compared with both conventional procedures.
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Registered trials
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