ArticleNeurospine2021
Risk Factors of Unsatisfactory Robot-Assisted Pedicle Screw Placement: A Case-Control Study.
Article in Neurospine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis 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
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Accuracy and clinical characteristics of robot-assisted cervical spine surgery: a systematic review and meta-analysis.International orthopaedics · 2024Pooled it
- Feasibility of synthetic CT images for robotic pedicle screw planning and navigation.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
- Power-drill fluoroscopy-controlled technique as an alternative to navigation-assisted pedicle screw placement: A propensity score-matched retrospective cohort study.Brain & spine · 2026Article
- Accuracy and potential risk factors of pedicle screw placement using a noninvasive-registration robotic system in the thoracolumbar spine.Journal of robotic surgery · 2025Article
- Risk factors analysis for pedicle screw placement deviation in robot-assisted MIS-TLIF.BMC surgery · 2025Article
- Risk factors of inaccurate screw placement in robotic spine surgeries: why do robots make error and how to avoid them?Journal of robotic surgery · 2025Article
- A Retrospective Cohort Study Comparing Robot-Assisted and Conventional Fluoroscopy-Guided Pedicle Screw Placement.Journal of clinical medicine · 2025Article
- Spinal Robotics in Adult Spinal Deformity Surgery: Key Concepts and Technical Considerations.Asian journal of neurosurgery · 2025Review
- Factors causing deviation of robot-assisted pedicle screw placement for adolescent idiopathic scoliosis: why does deviation still occur even with robotics?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 · 2025Article
- Robotic-Guided Spine Surgery: Implementation of a System in Routine Clinical Practice-An Update.Journal of clinical medicine · 2025Article
- Mazor X robot-assisted upper and lower cervical pedicle screw fixation: a case report and literature review.BMC geriatrics · 2024Review
- Level-specific comparison of 3D navigated and robotic arm-guided screw placement: an accuracy assessment of 1210 pedicle screws in lumbar surgery.The spine journal : official journal of the North American Spine Society · 2024Article
- Feasibility and safety report on robotic assistance for cervical pedicle screw fixation: a cadaveric study.Scientific reports · 2024Article
- A Single-Center Experience of Robotic-Assisted Spine Surgery in Korea : Analysis of Screw Accuracy, Potential Risk Factor of Screw Malposition and Learning Curve.Journal of Korean Neurosurgical Society · 2024Article
- Article
- Assessing the Accuracy of Spinal Instrumentation Using Augmented Reality (AR): A Systematic Review of the Literature and Meta-Analysis.Journal of clinical medicine · 2023Review
- Article
- Severe Obesity Is an Independent Risk Factor of Early Readmission and Nonhome Discharge After Cervical Disc Replacement.Neurospine · 2023Article
- A Novel Free-hand Technique of Pedicle Screw Placement in the Lumbar Spine: Accuracy Evaluation and Preliminary Clinical Results.Orthopaedic surgery · 2023Article
- Effects of tracer position on screw placement technique in robot-assisted posterior spine surgery: a case-control study.BMC musculoskeletal disorders · 2023Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo identify potential risk factors of unsatisfactory screw position during robot-assisted pedicle screw fixation.
methodsA retrospective analysis of robot-assisted pedicle screw fixation performed in Beijing Jishuitan Hospital from March 2018 to March 2019 was conducted. Research data was collected from the medical record and imaging systems. Univariate tests were performed on the potential risk factors (patient's characteristics and surgical factors) of unsatisfactory screw position during robot-assisted pedicle screw fixation. For statistically significant variables in univariate tests, a logistic regression test was used to identify independent risk factors for unsatisfactory screw position.
resultsA total of 780 pedicle screws placed in 163 robot-assisted surgeries were analyzed. The rate of perfect screw positions was 93.08%, and the unsatisfactory rate was 6.92%. In patients with severe obesity (body mass index ≥ 30 kg/m2) (odds ratio [OR], 2.459; 95% confidence interval [CI], 1.199-5.044; p = 0.014), osteoporosis (T ≤ -2.5) (OR, 1.857; 95% CI, 1.046-3.295; p = 0.034), and the segments 3 levels away from the tracker (OR, 2.216; 95% CI, 1.119-4.387; p = 0.022), robot-assisted pedicle screw placement has a higher risk of screw malposition.
conclusionDuring robot-assisted pedicle screw placement for patients with severe obesity, osteoporosis, and segments 3 levels away from the tracker, vigilance should be maintained during surgery to avoid postoperative complications due to unsatisfactory screw position.
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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.