ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Accuracy of computer-assisted pedicle screw placement for adolescent idiopathic scoliosis: a comparison between robotics and navigation.
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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Clinical efficacy and platform-specific analysis of robotic navigation systems in adolescent idiopathic scoliosis: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Comparative clinical performance of robotic-assisted systems in spinal deformity surgery: focus on perioperative outcomes and pedicle screw accuracy.Journal of robotic surgery · 2026Pooled it
- Correction of adolescent idiopathic scoliosis using the convex rod de-rotation maneuver: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled 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
- From Algorithms to Clinics: Recent Progress in AI for Scoliosis Diagnosis and Management.Journal of clinical medicine · 2026Review
- Robotic versus intraoperative image-based navigated thoraco-lumbar pedicle screw fixation: a systematic review and meta-analysis.Musculoskeletal surgery · 2026Review
- Safety and efficacy of robot-assisted technology in severe complex and non-severe spinal deformity correction: a retrospective comparative study.Journal of orthopaedic surgery and research · 2025Article
- 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
- What's new in the pediatric spine?Journal of children's orthopaedics · 2025Article
- Current issues in the treatment of adolescent idiopathic scoliosis: a comprehensive narrative review.Asian spine journal · 2024Article
- Fully automated determination of robotic pedicle screw accuracy and precision utilizing computer vision algorithms.Journal of robotic surgery · 2024Article
- Article
- Treatment of lumbar disc herniation with robot combined with unilateral biportal endoscopic technology: A case report.World journal of clinical cases · 2024Article
- [Intraoperative navigation of a distraction injury of the thoracic spine with very severe scoliotic alterations].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Learning curves for robotic-assisted spine surgery: an analysis of the time taken for screw insertion, robot setting, registration, and fluoroscopy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Artificial Intelligence in Scoliosis: Current Applications and Future Directions.Journal of clinical medicine · 2023Review
- Article
- Accuracy and Safety of Pedicle Screw Placement for Treating Adolescent Idiopathic Scoliosis: A Narrative Review Comparing Available Techniques.Diagnostics (Basel, Switzerland) · 2023Review
- The Child's Age and the Size of the Curvature Do Not Affect the Accuracy of Screw Placement with the Free-Hand Technique in Spinal Deformities in Children and Adolescents.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the accuracy of pedicle screw placement in adolescent idiopathic scoliosis (AIS) between robotics and navigation and clarify the factors that cause screw deviation when robotics is used.
methodsFifty consecutive patients who underwent posterior spinal fusions with computer-assisted pedicle screw placement including robotics and navigation for AIS were included. A total of 741 pedicle screws (250: Robot group, 491: Navi group) were evaluated on postoperative CT images. A rate of penetration of ≥ 2 mm was calculated as the deviation rate. After propensity score matching, we examined vertebral levels, the distance from the reference frame (RF), and the pedicle channel grade as factors for deviation.
resultsThe deviation rate was significantly lower in the Robot group than in the Navi group (Robot group: 1.6%, Navi group: 7.5%). After propensity score matching, 22 cases were extracted. At T5-T8, the deviation rate of the Robot group was significantly lower than that of the Navi group. In the Robot group, the T2-T4 deviation rate was significantly higher than at the other vertebral levels. The distance from the RF didn't affect the deviation rate. The deviation rate of pedicle channel Grade 4 (inner diameter of less than 1 mm) was significantly higher than for the other grades.
conclusionThe deviation rate of robotics was 1.6%, lower than that of navigation. The narrow pedicles with an inner diameter of less than 1 mm (deviation rate: 22.2%) and the upper thoracic level (deviation rate: 14.3%) were factors related to screw deviation even when using robotics.
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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.