Evidence map›Paper›PMID 39506653›Full record

ReviewBMC geriatrics2024

Mazor X robot-assisted upper and lower cervical pedicle screw fixation: a case report and literature review.

Zilin Gao, Xiaobo Zhang, Zhengwei Xu, Chao Jiang, Wei Hu, Haiping Zhang, Dingjun Hao

Abstract readCase ReportsReview
In one paragraph

Review in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. 5G-Enabled remote Robotic-Assisted percutaneous pedicle screw fixation in single thoracolumbar fractures: initial clinical feasibility and safety evaluation.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 · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zilin Gao *Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Xiaobo Zhang *Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Zhengwei XuDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Chao JiangDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Wei HuDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Haiping ZhangDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China.
Dingjun HaoDepartment of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Shaanxi, 710016, PR China. haodingjun@mail.xjtu.edu.cn.

Funding

National Natural Science Foundation of China 81830077Natural Science Basic Research Program of Shaanxi Province 2024JC-YBQN-1000
6 · The paper itself

Abstract

backgroundManual placement of cervical pedicle screws is risky, and robot-assisted placement of atlantoaxial pedicle screws has not been reported. CASE REPORT: We describe a 74-year-old female patient with atlantoaxial fracture and dislocation combined with spinal cord injury caused by a car accident. The left lower limb muscle strength was grade 0, the right upper limb muscle strength was grade 1, and the right lower limb muscle strength was grade 2. Loss of sensation below the clavicle level, decreased superficial sensation in the extremities, loss of deep sensation in the left lower extremity, and incontinence were observed. We successfully placed atlas pedicle screws with the assistance of the Mazor X robot. One week after the operation, radiological imaging revealed that the reduction effect was good, the placement of the pedicle screws was satisfactory, the left upper limb and left lower limb muscle strength was level 2, the right upper limb and the muscle strength of the right lower limb were grade 3, and the sensory function was partially restored. No complications related to screw placement were found at the 3-month postoperative follow-up.

conclusionsMazor X robot-assisted descending pedicle screw fixation of the atlas is feasible and safe.

Indexed as

Pedicle ScrewsAgedAtlanto-Axial JointCervical VertebraeFemaleFracture Fixation, InternalHumansRobotic Surgical ProceduresSpinal FracturesAtlasMazor XPedicle screwRobot-assisted

Identifiers

PMID39506653
PMCPMC11539684

What OpenQuestion holds

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Registered trials

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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.