ArticleOrthopaedic surgery2021
Robot-Aided Minimally Invasive Lumbopelvic Fixation in Treatment of Traumatic Spinopelvic Dissociation.
Article in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Comprehensive clinical outcomes of TiRobot-assisted minimally invasive surgery for pelvic fractures: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic-Assisted Fixation and Cementation for Sacral Insufficiency Fractures: A Case Series and Technical Note.Journal of clinical medicine · 2026Article
- Open and Percutaneous Fixation of Traumatic Sacral Fracture-Dislocation with Spinopelvic Dissociation: Two Adolescent Cases and a Systematic Literature Review.Journal of clinical medicine · 2026Review
- Robotic-assisted percutaneous iliac fixation: Outcomes, history, and review.North American Spine Society journal · 2026Article
- The association between lumbopelvic fixation and improved pain and function in patients with unstable pathologic sacral fractures.Journal of neurosurgery. Spine · 2026Article
- Comparison of minimally invasive versus open spinopelvic fixation for unstable sacral fractures.Journal of orthopaedic surgery and research · 2026Article
- Fixation of unstable sacral fractures by transpedicular system: a prospective study.International orthopaedics · 2026Article
- Radiographic parameters and feasibility analysis of dual sacral-2 alar-iliac screw fixation using three-dimensional digital technology.BMC musculoskeletal disorders · 2025Article
- Article
- Clinical and radiological outcomes of lumbopelvic fixation in unstable Isler type II and III sacral fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Treatment of Type IV Fragility Fractures of Pelvis With Robotic-Assisted Minimally Invasive Triangular Fixation.Orthopaedic surgery · 2025Article
- Minimally Invasive and Navigation-Assisted Fracture Stabilization Following Traumatic Spinopelvic Dissociation.Journal of clinical medicine · 2025Review
- Traumatic lumbosacral instability: part 2-indications and techniques for surgical management.Archives of orthopaedic and trauma surgery · 2025Review
- A biomechanical investigation of three fixation methods for unilateral denis type II sacral fractures using finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Outcomes of Lumbosacral Fixation in Patients with Suicidal Jumper's Fractures: A Retrospective Study from a Single Center in Turkey.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Computed tomography and structured light imaging guided orthopedic navigation puncture system: effective reduction of intraoperative image drift and mismatch.Frontiers in surgery · 2024Article
- A feasibility study of robot-assisted percutaneous reduction and fixation technique for treating posterolateral depression tibial plateau fractures.Scientific reports · 2023Article
- Treatment of Unstable Sacral Fractures with Robotically-aided Minimally Invasive Triangular Fixation.Orthopaedic surgery · 2023Article
- Robotic guidance for percutaneous placement of triangular osteosynthesis in vertically unstable sacrum fractures: a single-center retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Recent Progress in the Classification and Operation of Sacral Fractures.Emergency medicine international · 2023Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the surgical strategy, safety, and efficacy of close reduction and robot-aided minimally invasive lumbopelvic fixation in treatment of traumatic spinopelvic dissociation.
methodsData of 32 patients (21 males and 11 females) with traumatic spinopelvic dissociation treated by lumbopelvic fixation with robot-aided minimally invasive technique or conventional open procedure in our institution from March 2010 to April 2019 were retrospectively analyzed, and divided into robot group and control group. Intraoperative blood loss, surgical time, fluoroscopy frequency, total drilling times, infection rate, hospitalization time, and sacral fracture healing time were reviewed. Radiographs and computed tomography (CT) scans were totally acquired to evaluate the reduction quality, residual fracture displacement, and Gras classification on screws insertion after surgery. According to the Majeed scoring system, functional outcome was assessed for each patient at the final follow-up.
resultsThere were 12 patients in the robot group and 20 patients in the control group with no significant difference about the demographic data. The average surgical time was 148.3 ± 40.5 min with intraoperative blood loss of 142.5±36.7 mL in the robot group and 185.0 ± 47.8 min with 612.5 ± 182.7 mL in the control group (P = 0.034, P = 0.000). The robot group had a shorter mean hospitalization time at 19.9 ± 7.0 days compared to the control group with 28.6 ± 5.4 days (P = 0.010). The fluoroscopy frequency was 35.4 ± 3.0 in the robot group and 45.5 ± 3.6 in the control group (P = 0.000) and total drilling times were 7.1 ± 1.1 and 9.6 ± 1.3 (P = 0.000), respectively. The infection rate was 0% (0/12) in the robot group and 15% (3/20) in the control group (P = 0.159). According to the Gras classification on screw positioning, there were 11 cases in Grade I and 1 case in Grade II in the robot group, and 14 cases in Grade I and 6 cases in Grade II in the control group. All the patients were followed up consecutively for at least 12 months, with an average follow-up period of 17.1 ± 3.6 months. All sacral fractures healed with an average time of 3.8 ± 0.6 months in the robot group and 4.7 ± 0.7 months in the control group (P = 0.000). According to Majeed functional assessment investigation, the mean score of the patients was 87.2 ± 4.0 in the robot group and 83.1 ± 4.5 in the control group (P = 0.015).
conclusionsRobot-aided minimally invasive lumbopelvic fixation for traumatic spinopelvic dissociation is a safe and feasible option with advantages of less intraoperative blood loss, less radiation damage, less hospitalization time, and better functional outcome.
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