ArticleBMC surgery2022
Comparison of accuracy and safety between second-generation TiRobot-assisted and free-hand thoracolumbar pedicle screw placement.
Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Single-arm meta-analysis on robotic spine instrumentation for young patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Analysis of root causes of adverse events with Mazor X and Mazor X stealth edition-guided spine surgeries: an FDA MAUDE database 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
- Robotic versus intraoperative image-based navigated thoraco-lumbar pedicle screw fixation: a systematic review and meta-analysis.Musculoskeletal surgery · 2026Review
- The global landscape of robot-assisted pedicle screws: a bibliometric and thematic evolution analysis.Journal of robotic surgery · 2026Review
- Biomechanical Study of Pedicle Screw Fixation Comparing Intracortical Pedicle Screw and Oversized Pedicle Screw.Spine surgery and related research · 2026Article
- Robot-assisted pedicle screw placement by using optical navigation.Frontiers in robotics and AI · 2026Article
- Accuracy and effectiveness of thoracolumbar pedicle screw placement with a mixed reality head mounted device: first clinical experience and results.Brain & spine · 2026Article
- Robot-assisted spinal surgery: technological maturity, clinical evidence, and future directions.Frontiers in robotics and AI · 2026Review
- A comparative study of tunnel placement accuracy in robotic-assisted versus traditional combined anterior and posterior cruciate ligament reconstruction.Journal of robotic surgery · 2025Article
- Evaluating the feasibility of pinless robot-assisted spine surgery: a prospective study of 750 cases and 3,924 screws in the thoracolumbar spine in India.Asian spine journal · 2025Article
- Ninety-Day Complication and Revision Surgery Rates Using Navigated Robotics in Thoracolumbar Spine Surgery: A PRoGRSS Interim Analysis.International journal of spine surgery · 2025Article
- Percutaneous endoscopic lumbar partial laminectomy assisted by a new miniature parallel surgical robot system: a trial on a cadaveric specimen.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- A Network Meta-Analysis Comparing the Efficacy and Safety of Pedicle Screw Placement Techniques Using Intraoperative Conventional, Navigation, Robot-Assisted, and Augmented Reality Guiding Systems.International journal of spine surgery · 2024Article
- Flattening the learning curve - Early experience of robotic-assisted pedicle screw placement in spine surgery.Journal of orthopaedics · 2024Article
- Analysis of guide wire displacement in robot-assisted spinal pedicle screw implantation.Journal of robotic surgery · 2024Article
- Review
- [Short-term effectiveness of orthopedic robot-assisted resection for osteoid osteoma].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study.Journal of orthopaedic surgery and research · 2023Article
- Using a 3D Navigation Template to Increase the Accuracy of Thoracic Pedicle Screws in Patients with Scoliosis.Bioengineering (Basel, Switzerland) · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRobot-assisted spine surgery aims to improve the accuracy of screw placement. We compared the accuracy and safety between a novel robot and free hand in thoracolumbar pedicle screw placement.
methodsEighty patients scheduled to undergo robot-assisted (40 patients) and free-hand (40 patients) pedicle screw placement were included. The patients' demographic characteristics, radiographic accuracy, and perioperative outcomes were compared. The accuracy of screw placement was based on cortical violation and screw deviation. Safety outcomes mainly included operative time, blood loss, revision, and complications.
resultsA total of 178 and 172 screws were placed in the robot-assisted and free-hand groups, respectively. The rate of perfect screw position (grade A) was higher in the robot-assisted group than in the free-hand group (91.0% vs. 75.6%; P < 0.001). The rate of clinically acceptable screw position (grades A and B) was also higher in the robot-assisted group than in the free-hand group (99.4% vs. 90.1%; P < 0.001). The robot-assisted group had significantly lower screw deviation than the free-hand group [1.46 (0.94, 1.95) mm vs. 2.48 (1.09, 3.74) mm, P < 0.001]. There was no robot abandonment in the robot-assisted group. No revision was required in any of the groups.
conclusionsRobot-assisted pedicle screw placement is more accurate than free-hand placement. The second-generation TiRobot-assisted thoracolumbar pedicle screw placement is an accurate and safe procedure. Trial registration retrospectively registered.
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Registered trials
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