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
Safety and accuracy of cannulated pedicle screw placement in scoliosis surgery: a comparison of robotic-navigation, O-arm-based navigation, and freehand techniques.
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 29 papers, 8 of them syntheses that pooled it.
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The trial behind it
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Who cites it
29 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Enhanced accuracy and safety of TiRobot-assisted pedicle screw placement in spinal deformity: an age-stratified meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted versus navigation-guided spinal surgery: a meta-analysis of perioperative, clinical outcomes, and complications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- 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
- Pooled it
- Single-arm meta-analysis on robotic spine instrumentation for young patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Robot-assisted pedicle screw insertion versus navigation-based and freehand techniques for posterior spinal fusion in scoliosis: a systematic review and meta-analysis.Spine deformity · 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
- Adoption outpaces reimbursement in navigation-assisted pediatric posterior spinal fusion.Spine deformity · 2026Article
- Robotic versus intraoperative image-based navigated thoraco-lumbar pedicle screw fixation: a systematic review and meta-analysis.Musculoskeletal surgery · 2026Review
- Level-specific accuracy of robotic-assisted versus fluoroscopy-assisted lumbar pedicle screw placement: a retrospective comparative cohort study.Journal of robotic surgery · 2026Article
- Real-Time navigation calibration for pedicle screw placement in neurofibromatosis Type 1-associated scoliosis: An anatomical variability-stratified accuracy study.International orthopaedics · 2026Article
- O-arm navigation vs. freehand screw placement in adolescent idiopathic scoliosis: A comparative analysis of screw size and reoperation rates.Acta orthopaedica et traumatologica turcica · 2026Article
- [Spinal robotics vs. cone-beam navigation : A multidimensional comparison of both procedures].Orthopadie (Heidelberg, Germany) · 2026Review
- Combined anterior release-halo traction-posterior spinal fusion and posterior release-halo-traction-posterior spinal fusion versus 1-stage posterior-only spinal fusion for severe pediatric scoliosis: a 6-year single-center study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Robot-assisted pedicle screw placement in spinal surgery: an updated systematic umbrella review and meta-meta-analysis of comparisons against freehand and navigation-guided techniques.EFORT open reviews · 2026Article
- Robotic-assisted pedicle screw placement improves accuracy, precision, and breach rates compared with freehand and image-guided navigation techniques: a cadaveric study.Spine deformity · 2025Article
- Does Intraoperative Navigation Improve K-Wire Positioning in Reverse Shoulder Arthroplasty?-A New Approach.Journal of personalized medicine · 2025Article
- A Retrospective Cohort Study Comparing Robot-Assisted and Conventional Fluoroscopy-Guided Pedicle Screw Placement.Journal of clinical medicine · 2025Article
- Comparative analysis of complications, costs, mortality, and length of stay in lumbar fusion surgery: robotic-assisted versus navigation-guided approaches.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
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the safety and accuracy of cannulated pedicle screw placement using a robotic-navigation technique, O-arm-based navigation technique, or freehand technique.
methodsThis study analyzed 106 consecutive patients who underwent scoliosis surgery. Thirty-two patients underwent robotic-navigation-assisted pedicle screw insertion (Group 1), 34 patients underwent O-arm-based navigation-guided pedicle screw insertion (Group 2), and 40 patients underwent freehand pedicle screw insertion (Group 3). The primary outcome measure was the accuracy of screw placement. Secondary outcome parameters included operation time, blood loss, radiation exposure, and postoperative stay.
resultsA total of 2035 cannulated pedicle screws were implanted in 106 patients. The accuracy rate of the first pedicle screw placement during operation was significantly greater in Group 1 (94.7%) than in Group 2 (89.2%; P < 0.001). The accuracy rate of pedicle screw placement postoperatively decreased in the order of Group 1 (96.7%) > Group 2 (93.0%) > Group 3 (80.4%; P < 0.01). There were no significant differences in blood loss or postoperative stay among the three groups (P > 0.05). The operation times of Group 1 and Group 2 were significantly longer than that of Group 3 (P < 0.05).
conclusionThe robotic-navigation and O-arm-based navigation techniques effectively increased the accuracy and safety of pedicle screw insertion alternative to the freehand technique in scoliosis surgery. Compared with the O-arm-based navigation technique, the robotic-navigation technique increases the mean operation time, but also increases the accuracy of pedicle screw placement. A three-dimensional scan after insertion of the K-wire may increase the accuracy of pedicle screw placement in the O-arm-based navigation technique.
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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.