ArticleBone & joint research2020
The safety and accuracy of robot-assisted pedicle screw internal fixation for spine disease: a meta-analysis.
Article in Bone & joint research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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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
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Robot-assisted technique versus freehand technique for spine surgery: an umbrella review.Annals of medicine · 2025Pooled it
- Efficacy and safety of robotic spine surgery: systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Pooled it
- Computer-assisted cannulated screw internal fixation versus conventional cannulated screw internal fixation for femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Biomechanical Analysis of Different Internal Fixation Combined with Different Bone Grafting for Unstable Thoracolumbar Fractures in the Elderly.BioMed research international · 2022Trial
- Robotic-assisted percutaneous iliac fixation: Outcomes, history, and review.North American Spine Society journal · 2026Article
- Robot-assisted pedicle screw placement in spinal surgery: an updated systematic umbrella review and meta-meta-analysis of comparisons against freehand and navigation-guided techniques.EFORT open reviews · 2026Article
- The Application of Orthopedic Surgical Robot-Assisted Technology in Various Clinical Scenarios Involving Bone Tumors.Orthopaedic surgery · 2026Article
- Evaluation of a new robotic spinal surgical system for K-wire placement characterized by tracker registration and lateral force sensing.Journal of robotic surgery · 2025Article
- Risk factors analysis for pedicle screw placement deviation in robot-assisted MIS-TLIF.BMC surgery · 2025Article
- Accuracy of robot-assisted anterior transpedicular screws in the subaxial cervical spine: an experimental study on human specimens.Frontiers in robotics and AI · 2025Article
- Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws.International journal of spine surgery · 2024Article
- Review
- Robotic assistance in lumbar fusion surgery: trends and patterns from 2016-2019.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 · 2023Article
- Detection of Common Anatomical Landmarks and Vertical Trajectories for Freehand Pedicle Screw Placement.Orthopaedic surgery · 2023Article
- Is There a Difference in Screw Accuracy, Robot Time Per Screw, Robot Abandonment, and Radiation Exposure Between the Mazor X and the Renaissance? A Propensity-Matched Analysis of 1179 Robot-Assisted Screws.Global spine journal · 2023Article
- Clinical application of spinal robot in cervical spine surgery: safety and accuracy of posterior pedicle screw placement in comparison with conventional freehand methods.Neurosurgical review · 2023Article
- Robotics in Cervical Spine Surgery: Feasibility and Safety of Posterior Screw Placement.Neurospine · 2023Article
- The effect of cement augmentation on pedicle screw fixation under various load cases : results from a combined experimental, micro-CT, and micro-finite element analysis.Bone & joint research · 2021Article
- Spine Image Guidance and Robotics: Exposure, Education, Training, and the Learning Curve.International journal of spine surgery · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to systematically compare the safety and accuracy of robot-assisted (RA) technique with conventional freehand with/without fluoroscopy-assisted (CT) pedicle screw insertion for spine disease.
methodsA systematic search was performed on PubMed, EMBASE, the Cochrane Library, MEDLINE, China National Knowledge Infrastructure (CNKI), and WANFANG for randomized controlled trials (RCTs) that investigated the safety and accuracy of RA compared with conventional freehand with/without fluoroscopy-assisted pedicle screw insertion for spine disease from 2012 to 2019. This meta-analysis used Mantel-Haenszel or inverse variance method with mixed-effects model for heterogeneity, calculating the odds ratio (OR), mean difference (MD), standardized mean difference (SMD), and 95% confidence intervals (CIs). The results of heterogeneity, subgroup analysis, and risk of bias were analyzed.
resultsTen RCTs with 713 patients and 3,331 pedicle screws were included. Compared with CT, the accuracy rate of RA was superior in Grade A with statistical significance and Grade A + B without statistical significance. Compared with CT, the operating time of RA was longer. The difference between RA and CT was statistically significant in radiation dose. Proximal facet joint violation occurred less in RA than in CT. The postoperative Oswestry Disability Index (ODI) of RA was smaller than that of CT, and there were some interesting outcomes in our subgroup analysis.
conclusionRA technique could be viewed as an accurate and safe pedicle screw implantation method compared to CT. A robotic system equipped with optical intraoperative navigation is superior to CT in accuracy. RA pedicle screw insertion can improve accuracy and maintain stability for some challenging areas.Cite this article:
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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.