ArticleScientific reports2025
Robot-assisted percutaneous pedicle screw fixation in thoracolumbar burst fractures: a comparative study.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Accuracy and clinical outcomes of TiRobot-assisted pedicle screw fixation for thoracolumbar fractures: a meta-analysis.Journal of robotic surgery · 2026Pooled it
- Effect of robotic-assisted percutaneous pedicle screw internal fixation for thoracolumbar fractures: a randomized, controlled clinical trial.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 · 2026Trial
- Expanded Indications for Hybrid Spinal Fixation Systems; Combined Percutaneous Pedicle Screw Fixation and Open Approaches.Journal of personalized medicine · 2026Review
- Long-term impact of gastrointestinal risk stratification management on perioperative digestive complications in elderly osteoporotic vertebral fracture patients: a 10-year interrupted time series study.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
- [Percutaneous Stabilization of the Thoracolumbar Spine: Indications, Limitations and Cohort Analysis].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
The optimal treatment for neurologically intact thoracolumbar fractures remains controversial. Percutaneous pedicle screw fixation (PPSF) has been proposed for certain type AO/A3 fractures without neurological deficits; however, achieving satisfactory reduction remains challenging. This study applied robot-assisted PPSF and compared it with free-hand techniques to enhance treatment outcomes. We retrospectively analyzed the medical records of 182 consecutive patients with thoracolumbar burst fractures treated with PPSF, with (n = 88) and without (n = 94) robotic assistance, at our hospital between April 2017 and June 2019. We evaluated surgical time, intraoperative bleeding, radiation dosage, accuracy of screw placement, fractured vertebral height, Cobb's angle, surgery efficacy (pain relief and limb function), and implant failure to assess the potential advantages of robot-assisted PPSF. Significant differences were observed in surgical time (P < 0.001), intraoperative bleeding (P = 0.017), pedicle screw violation (P < 0.001), fractured vertebral height and Cobb's angle at one week postoperatively (P = 0.001, P = 0.024) and at twelve months postoperatively (P = 0.001, P = 0.002). However, implant failure (P = 0.587), analgesic effect, and function recovery at one week postoperatively (P = 0.725, P = 0.093) and at twelve months postoperatively (P = 0.232, P = 0.259) were similar in both groups. Robot-assisted PPSF for thoracolumbar burst fractures reduces surgery time, intraoperative bleeding, and improves screw placement accuracy, achieving better reduction compared to the free-hand technique. It also effectively prevents endplate collapse and kyphosis recurrence post-surgery, though short-term functional recovery is similar between both methods. However, due to the limitations of retrospective studies and cohort heterogeneity, further long-term follow-up and prospective studies are needed to validate these findings.
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