Evidence map›Paper›PMID 32989623›Full record

ReviewJournal of robotic surgery2021

Robotic-assisted cortical bone trajectory (CBT) screws using the Mazor X Stealth Edition (MXSE) system: workflow and technical tips for safe and efficient use.

John A Buza, Christopher R Good, Ronald A Lehman, John Pollina, Richard V Chua, Avery L Buchholz, Jeffrey L Gum

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of robotic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Robotic-assisted fixation with cortical bone trajectory versus conventional pedicle trajectory for short-segment lumbar decompression and fusion surgery: a retrospective 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 · 2026
    Article
  3. 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
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John A Buza *Department of Spine Surgery, Norton Leatherman Spine Center, 210 E. Gray St. Suite 900, Louisville, KY, 40202, USA.
Christopher R GoodVirginia Spine Institute, Reston, VA, USA.
Ronald A LehmanDaniel and Jane Och Spine Hospital, New York Presbyterian, Columbia University Medical Center, New York, NY, USA.
John PollinaDepartment of Neurosurgery, University at Buffalo, Buffalo, NY, USA.
Richard V ChuaNorthwest Neurospecialists, Tuscon, AZ, USA.
Avery L BuchholzDepartment of Neurosurgery, University of Virginia Health System, Charlottesville, VA, USA.
Jeffrey L Gum *Department of Spine Surgery, Norton Leatherman Spine Center, 210 E. Gray St. Suite 900, Louisville, KY, 40202, USA. Jeffrey.Gum@nortonhealthcare.org.ORCID http://orcid.org/0000-0003-0471-9437

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted spine surgery has a number of potential advantages, including more precise pre-operative planning, a high degree of accuracy in screw placement, and significantly reduced radiation exposure to the surgical team. While the current primary goal of these systems is to improve the safety of spine surgery by increasing screw accuracy, there are a number of technical errors that may increase the risk of screw malposition. Given the learning curve associated with this technology, it is important for the surgeon to have a thorough understanding of all required steps. In this article, we will demonstrate the setup and workflow of a combined navigation and robotic spine surgery platform using the Mazor X Stealth Edition (MXSE) system to place cortical-based trajectory (CBT) screws, including a review of all technical tips and pearls to efficiently perform this procedure with minimal risk of screw malposition. In this article, we will review surgical planning, operating room setup, robotic arm mounting, registration, and CBT screw placement using the MXSE system.

Indexed as

Pedicle ScrewsWorkflowHumansRobotic Surgical ProceduresSpinal FusionSpineMazor XRobotic surgerySpineTechniqueWorkflow

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.