SynthesisSpine2025
Robot-assisted Versus Conventional Pedicle Screw Instrumentation for Pediatric, Adolescent, and Young Adult Populations-Meta-analysis.
Synthesis in Spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
- Complications With Navigation-Assistance in Thoraco-Lumbar Spine Surgery.Global spine journal · 2026Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic review with meta-analysis.
objectiveThis meta-analysis aims to assess robotic and conventional surgical techniques for instrumentation of the spine among pediatric, adolescent, and young adult populations. SUMMARY OF BACKGROUND DATA: Spinal deformities among younger patients may be treated with pedicle screw instrumentation; however, freehand guidance often leads to screw misplacements and consequent complications. Although computer-navigation surgery improved the screw accuracy, physiological limitations of the surgeon still remain a serious challenge. Robot-assisted (RA) surgery became a novel technique for enhancing screw accuracy.
methodsPRISMA and Cochrane Handbook were followed, and five databases were searched from inception. Studies analyzing patients aged up to 25 years old, and comparing RA to freehand or navigation were included. Outcomes included screw accuracy, perioperative outcomes, and complications. Meta-analysis was pooled with random-effects model.
resultsFinally, 10 studies, 550 patients, and 8061 screws were included in the meta-analysis. Accurate screw placement rates (grade 0: OR 2.33, P <0.001) and clinically acceptable placements (grade 0+1: OR 3.09, P <0.001) were significantly higher in robotic cohort. However, RA surgery increased operation time (MD 21.51 min, P =0.03). Blood loss, Cobb angle correction, hospital stay, or complications showed no significant differences between the two groups.
conclusionsRA surgery leads to improved accuracy of the pedicle scores; however, this does not directly translate to better clinical or curvature outcomes. Moreover, longer operation times were observed in the robotic cohort. More high-quality studies are needed to validate these findings.
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Registered trials
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