ArticleNeurospine2023
Floor-Mounted Robotic Pedicle Screw Placement in Lumbar Spine Surgery: An Analysis of 1,050 Screws.
Article in Neurospine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robot-assisted technique versus freehand technique for spine surgery: an umbrella review.Annals of medicine · 2025Pooled it
- Utilisation of table-mounted versus floor-mounted robotic systems for thoracolumbar fusion: a before-and-after institutional experience.Journal of robotic surgery · 2026Article
- Response to the letter to the editor: Beyond fixation: computational and motion-integrated perspectives on pinless robot-assisted spine surgery.Asian spine journal · 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
- Superior facet joint violation after lumbar pedicle screw placement: a scoping review of prevalence, biomechanics, and implications for adjacent segment disease.Asian spine journal · 2025Article
- Current Trends and Future Directions in Lumbar Spine Surgery: A Review of Emerging Techniques and Evolving Management Paradigms.Journal of clinical medicine · 2025Review
- Fostering International Knowledge Sharing and Clinical Excellence: A Partnership and Inaugural Academic Conference.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- 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
- Clinical study on freehand of bicortical sacral screw fixation with the assistance of torque measurement device.BMC musculoskeletal disorders · 2024Article
- Fully automated determination of robotic pedicle screw accuracy and precision utilizing computer vision algorithms.Journal of robotic surgery · 2024Article
- Image-Guided Navigation in Spine Surgery: From Historical Developments to Future Perspectives.Journal of clinical medicine · 2024Review
- Article
- Evaluating accuracy in robotic-assisted thoracolumbar pedicle screw placement: Insights from a single-center study of 410 patients.Journal of craniovertebral junction & spineArticle
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Authors and funding
14 authors.
Funding
Abstract
objectiveTo analyze the usage of floor-mounted robot in minimally invasive lumbar fusion.
methodsPatients who underwent minimally invasive lumbar fusion for degenerative pathology using floor-mounted robot (ExcelsiusGPS) were included. Pedicle screw accuracy, proximal level violation rate, pedicle screw size, screw-related complications, and robot abandonment rate were analyzed.
resultsTwo hundred twenty-nine patients were included. Most surgeries were primary single-level fusion. Sixty-five percent of surgeries had intraoperative computed tomography (CT) workflow, 35% had preoperative CT workflow. Sixty-six percent were transforaminal lumbar interbody fusion, 16% were lateral, 8% were anterior, and 10% were a combined approach. A total of 1,050 screws were placed with robotic assistance (85% in prone position, 15% in lateral position). Postoperative CT scan was available for 80 patients (419 screws). Overall pedicle screw accuracy rate was 96.4% (prone, 96.7%; lateral, 94.2%; primary, 96.7%; revision, 95.3%). Overall poor screw placement rate was 2.8% (prone, 2.7%; lateral, 3.8%; primary, 2.7%; revision, 3.5%). Overall proximal facet and endplate violation rates were 0.4% and 0.9%. Average diameter and length of pedicle screws were 7.1 mm and 47.7 mm. Screw revision had to be done for 1 screw (0.1%). Use of the robot had to be aborted in 2 cases (0.8%).
conclusionUsage of floor-mounted robotics for the placement of lumbar pedicle screws leads to excellent accuracy, large screw size, and negligible screw-related complications. It does so for screw placement in prone/lateral position and primary/revision surgery alike with negligible robot abandonment rates.
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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.