SynthesisSpine deformity2024
Robot-assisted pedicle screw insertion versus navigation-based and freehand techniques for posterior spinal fusion in scoliosis: a systematic review and meta-analysis.
Synthesis in Spine deformity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- 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
- Robot-assisted versus fluoroscopy-guided spinal fusion for lumbar spondylolisthesis: a GRADE-assessed meta-analysis on surgical parameters, clinical outcomes, and complications.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
- 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
- Comparison of navigation and fluoroscopic assisted posterior spinal fusion in adolescent idiopathic scoliosis surgery.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
- Guided posterior vertebral growth modulation. A novel fusionless technique for correction of adolescent idiopathic scoliosis in immature patients with removal of the implants at maturity.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
- Robot-assisted, minimally invasive spinal tumor resection and posterior spinal fusion.Neurosurgical focus: Video · 2026Article
- Article
- Article
- Cost-effectiveness and evidence gaps of advanced technologies in lumbar spine surgery: a scoping review.Journal of spine surgery (Hong Kong) · 2026Review
- Radiation Exposure in Robotic-Assisted Versus Conventional and Navigation-Assisted Spine Surgery: A Systematic Review, Meta-Analysis, and Meta-Regression of 3205 Patients.Journal of clinical medicine · 2026Review
- 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
- Article
- Accuracy of Robotic-Guided Pedicular Screw Insertion in Thoracolumbar Spinal Surgery.Journal of clinical medicine · 2025Article
- Clinical outcomes and complications of robotic-assisted spine surgery: using the ExcelsiusGPS system: a single-surgeon case series.Journal of robotic surgery · 2025Article
- A Retrospective Cohort Study Comparing Robot-Assisted and Conventional Fluoroscopy-Guided Pedicle Screw Placement.Journal of clinical medicine · 2025Article
- Robotic spine surgery compared with fluoroscopic-assisted surgery: advantages, disadvantages, future perspectives.Journal of robotic surgery · 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe role of robotics in spine surgery remains controversial, especially for scoliosis correction surgery. This study aims to assess the safety and efficacy of robotic-assisted (RA) surgery specifically for scoliosis surgery by comparing RA to both navigation systems (NS) and conventional freehand techniques (CF).
methodsAs per the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, a systematic review and meta-analysis were conducted via an electronic search of the following databases: MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL). All papers comparing RA to either NS or CF for posterior spinal fusion in scoliosis were included. Fixed and random effects models of analysis were utilised based on analysis heterogeneity.
results10 observational studies were included in total. RA had significantly greater odds of accurate pedicle screw placement relative to both NS (OR = 2.02, CI = 1.52-2.67, p < 0.00001) and CF (OR = 3.06, CI = 1.79-5.23, p < 0.00001). The downside of RA was the significantly greater operation duration relative to NS (MD = 10.74, CI = 3.52-17.97, p = 0.004) and CF (MD = 40.27, CI = 20.90, p < 0.0001). Perioperative outcomes including estimated blood loss, radiation exposure, length of hospital stay, cobb angle correction rate, postoperative SRS score, VAS pain score, JOA score, as well as rates of neurological injury and revision surgery, were comparable between the groups (p > 0.05).
conclusionRA offers significantly greater pedicle screw placement accuracy relative to NS and CF, however, surgery can take longer. In terms of perioperative outcomes, all three techniques are comparable.
Indexed as
Identifiers
What OpenQuestion holds
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.