ArticleJournal of spine surgery (Hong Kong)2022
A multicenter study of the 5-year trends in robot-assisted spine surgery outcomes and complications.
Article in Journal of spine surgery (Hong Kong), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Spine-specific robots may offer superior screw placement accuracy in spinal surgery procedures. A systematic review and network and proportional meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Accuracy and postoperative assessment of robot-assisted placement of pedicle screws during scoliosis surgery compared with conventional freehand technique: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Effectiveness and safety of robot-assisted versus fluoroscopy-assisted pedicle screw implantation in scoliosis surgery: a systematic review and meta-analysis.Neurosurgical review · 2024Pooled it
- Impact of surgeon experience on the safety and accuracy of robot-assisted vs. navigation-guided percutaneous pedicle screw placement: a 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 · 2026Article
- A prospective multicentric trial on accuracy, efficiency, safety, and outcomes of robot-assisted thoracic pedicle screw fixation.Journal of robotic surgery · 2026Observational
- Global evolution of robot-assisted spine surgery: a bibliometric and knowledge-mapping study (1997-2026).Journal of robotic surgery · 2026Article
- Clinical outcomes and complications of robotic-assisted spine surgery: using the ExcelsiusGPS system: a single-surgeon case series.Journal of robotic surgery · 2025Article
- Robotically assisted spondylodesis for left-sided herniated disc L4-5 and spondylolysis L5-S1.Neurosurgical focus: Video · 2025Article
- Development of a classification system for potential sources of error in robotic-assisted spine surgery.Spine deformity · 2025Article
- The Role of Robot-Assisted Technique in Treating Adult Degenerative Scoliosis with Circumferential Minimal Invasive Correction Surgery - A Retrospective Analysis of 51 Consecutive Cases.Orthopedic research and reviews · 2025Article
- Robot-assisted three column trans-intervertebral osteotomy by combined navigated trajectories: A feasibility study and technical report.Brain & spine · 2025Article
- Comparison of robot-assisted versus fluoroscopically guided treatment of atlantoaxial dislocation in combination with high-riding vertebral artery: a preliminary study.Journal of orthopaedic surgery and research · 2024Article
- Is robot-assisted pedicle screw placement really superior to conventional surgery? An overview of systematic reviews and meta-analyses.EFORT open reviews · 2024Article
- [History and trends of robot-assisted spine surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Robotic-assisted spine surgery-a narrative review.Journal of spine surgery (Hong Kong) · 2024Review
- Top 25 Most-Cited Articles on Robotic-Assisted Lumbar Spine Surgery.International journal of spine surgery · 2024Article
- Single-Position Robotic-Assisted Prone Lateral Fusion: Technical Description and Feasibility.Asian spine journal · 2024Article
- Analysis of the Screw Accuracy and Postoperative Efficacy of Screw Placement in Single Position and Bipedal Position in Robot-Assisted Oblique Lumbar Interbody Fusion: Preliminary Results of Mazor X Stealth Usage.Orthopaedic surgery · 2024Article
- Article
- Clinical efficacy of robotic spine surgery: an updated systematic review of 20 randomized controlled trials.EFORT open reviews · 2023Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Although a growing amount of literature that suggests robots are safe and can achieve comparable outcomes to conventional techniques, much of this literature is limited by small sample sizes and single-surgeon or single center series. Furthermore, it is unclear what the impact of robotic technology has made on operative and clinical outcomes over time. This is the first and largest multicenter study to examine the trends in outcomes and complications after robot-assisted spine surgery over a 5-year period. Methods: Adult (≥18 years old) patients who underwent spine surgery with robot-assistance between 2015 and 2019 at four unique spine centers. The robotic systems used included the Mazor Renaissance, Mazor X, and Mazor Stealth Edition. Patients with incomplete data were excluded from this study. The minimum follow-up was 90 days. Results: A total of 722 adult patients were included (117 Renaissance, 477 X, 128 Stealth). Most patient and operative factors (e.g., sex, tobacco status, total instrumented levels, and pelvic fixation,) were similar across the years. Mean ± standard deviation Charlson comorbidity index (CCI) was 1.5±1.5. The most commonly reported diagnoses included high grade spondylolisthesis (40.6%), degenerative disc disease (18.4%), and degenerative scoliosis (17.6%). Mean (standard deviation) number of instrumented levels was 3.8±3.4. From 2015 to 2019, average robot time per screw improved from 7.2 to 5.5 minutes (P=0.004, R Conclusions: At four institutions among seven surgeons, we demonstrate robot screw accuracy, reliability, operative efficiency, and radiation exposure improved significantly from 2015 to 2019. 90-day complication rates remained low and LOS decreased significantly with time. These findings further validate continued usage of robot-assisted spine surgery and the path toward improved value-based care.
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