Evidence map›Paper›PMID 40783908›Full record

ArticleJournal of robotic surgery2025

Robotic spine surgery compared with fluoroscopic-assisted surgery: advantages, disadvantages, future perspectives.

F Iaccarino, D E Dugoni, G Pavesi, A Landi, M Gallieni, M Giordano, C Iaccarino

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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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.

F IaccarinoSchool of Neurosurgery, Department of Biomedical, Metabolic and Neural Sciences , University of Modena and Reggio Emilia, Modena, Italy. federico.iacca1995@gmail.com.
D E DugoniNeurosurgery Unit, Centro Chirurgico Toscano, Arezzo, Italy.
G PavesiSchool of Neurosurgery, Department of Biomedical, Metabolic and Neural Sciences , University of Modena and Reggio Emilia, Modena, Italy.
A LandiNeurosurgery Unit, Centro Chirurgico Toscano, Arezzo, Italy.
M GallieniInternational Neuroscience Institute, Hannover, Germany.
M GiordanoInternational Neuroscience Institute, Hannover, Germany.
C IaccarinoSchool of Neurosurgery, Department of Biomedical, Metabolic and Neural Sciences , University of Modena and Reggio Emilia, Modena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic spine surgery (RSS) could potentially overcome some limitations of fluoroscopic-assisted surgery (FAS). The aim of this study was to analyze RSS advantages compared to FAS and the impact of a dedicated nursing team on surgical workflow efficiency. MATERIALS AND

methodsWe retrospectively analyzed 260 adult patients with thoracolumbar degenerative/traumatic instability. One-hundred-thirty underwent posterior fusion with Medtronic Mazor X, while 130 were treated with FAS. Parameters included operative duration, OR entry-to-start time, screw implantation time, accuracy (Gertzbein-Robbins classification), radiation exposure, complications, and Oswestry Disability Index (ODI). We also assessed OR entry-start surgery/implant times, number of screws implanted, and duration of the intervention before and after the introduction of a dedicated nursing team for RSS.

resultsRSS reduced implantation times with higher accuracy of pedicle screws. It decreased exposure to radiation for both surgeons and patients. In our case series, there were no significant differences in complications or hospitalization times. A 10% difference in means was observed to the most recent follow-up between ODI of the patients operated with robotic (5%) and fluoroscopic-assisted (15%) surgery. In the RSS group, three (2.3%) cases of junctional syndrome occurred, seventeen (13.1%) with FAS. Implementing a dedicated nursing team reduced OR entry-start time and overall duration of robotic procedures.

conclusionsIn our experience, RSS had important advantages compared to FAS in terms of accuracy of pedicle screw positioning. It reduced implantation times and postoperative pain without additional complications. The learning curve of the operating room staff represented a crucial point in the speed of execution of the procedure.

Indexed as

Robotic Surgical ProceduresSpinal FusionAdultAgedFemaleFluoroscopyHumansLumbar VertebraeMaleMiddle AgedOperative TimePedicle ScrewsPostoperative ComplicationsRetrospective StudiesThoracic VertebraeDedicated nursing teamFluoroscopic-assisted surgeryPedicle screw accuracyRadiation exposureRobotic spine surgerySurgical workflow efficiency

Identifiers

PMID40783908

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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.