ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022
Robotic-guided placement of cervical pedicle screws: feasibility and accuracy.
Article in 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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Accuracy and clinical characteristics of robot-assisted cervical spine surgery: a systematic review and meta-analysis.International orthopaedics · 2024Pooled it
- The Woodpecker variable-speed drilling protocol for robot-assisted subaxial cervical pedicle screw placement: technique and a consecutive series of 1027 screws.Journal of robotic surgery · 2026Article
- Machine-Learning-Based Prediction of Cervical Pedicle Screw Malposition from Clinical and Anatomical Features.Journal of clinical medicine · 2026Article
- Robotic-assisted anterior and posterior cervical spine surgeries.Musculoskeletal surgery · 2026Article
- Article
- Robot-assisted pedicle screw placement by using optical navigation.Frontiers in robotics and AI · 2026Article
- Robot-Assisted Cervical Pedicle Screw Placement: Case Series and Technical Description.International journal of spine surgery · 2025Article
- Recent progress in surgical treatment of cervical spine myelopathy - A narrative review.Journal of clinical orthopaedics and trauma · 2025Article
- [Robotically assisted and navigated pedicle screw placement at the subaxial cervical spine].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Accuracy of cervical pedicle screw placement using a patient-specific template guide system and risk factor analysis for screw perforation: CT-based evaluation of 437 screws.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
- A surgeon-controlled mode of robotic assistance with posterolateral approach helps achieve highly medialized cervical pedicle screw placement to avoid vertebral artery injury.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
- S8 Navigation system combined with an ultrasonic osteotome for three-dimensional real-time dynamic visualization decompression to reduce postoperative neurological deterioration in thoracic ossification of the ligamentum flavum.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
- Navigated percutaneous placement of cervical pedicle screws: An anatomical feasibility study.Brain & spine · 2025Article
- Robotic assistance for upper cervical instrumentation: report on accuracy and safety.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
- Scoping review of robotics technology in spinal surgery with highlights of the Annual Seattle Science Foundation Course.Annals of translational medicine · 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
- Accurate Placement and Revisions for Cervical Pedicle Screws Placed With or Without Navigation: A Systematic Review and Meta-Analysis.Global spine journal · 2024Article
- Article
- Article
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIt has been shown that pedicle screw instrumentation in the cervical spine has superior biomechanical pullout strength and stability. However, due to the complex and variable anatomy of the cervical pedicles and the risk of catastrophic complications, cervical pedicle screw placement is not widely utilized. STUDY
designA retrospective, consecutive patient review.
objectiveTo review and report our experience with robotic guided cervical pedicle screw placement.
methodsWe retrospectively reviewed preoperative and postoperative CT scans of 12 consecutive patients who underwent cervical pedicle screw fixation with robotic guidance. Screw placement and deviation from the preoperative plan were assessed using the robotic system's planning software by fusing the preoperative CT (with the planned cervical pedicle screws) to the post-op CT. This process was carried out by manually aligning the anatomical landmarks on the two CTs. Once a satisfactory fusion was achieved, the software's measurement tool was used manually to compare the planned vs. actual screw placements in the axial, sagittal and coronal planes within the instrumented pedicle in a resolution of 0.1 mm. Medical charts were reviewed for technical issues and intra-operative complications.
resultsEighty-eight cervical pedicle screws were reviewed in 12 patients; mean age = 65 years, M:F = 2:1, and mean BMI = 27.99. No intra-operative complications related to the cervical pedicle screw placement were reported. Robotic guidance was successful in all 88 screws: eight in C2, 14 in C3, 16 in each of C4 and C5, 19 in C6, and 15 at C7. There were 14 pedicle screw breaches (15.9%); all were medial, less than 1 mm, and with no clinical consequences. In the axial plane, the screws deviated from the preoperative plan by 1.32 ± 1.17 mm and in the sagittal plane by 1.27 ± 1.00 mm. In the trajectory view, the overall deviation was 2.20 ± 1.17 mm. Although differences were observed in screw deviation from the pre-op plan between the right and left sides, they were not statistically significant (p > 0.05).
conclusionThis study indicates that robotic-guided cervical pedicle screw placement is feasible and safe. The medial breaches did not result in any clinical consequences.
Indexed as
Identifiers
What OpenQuestion holds
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.