ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
5G-Enabled remote Robotic-Assisted percutaneous pedicle screw fixation in single thoracolumbar fractures: initial clinical feasibility and safety evaluation.
Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Feasibility and Safety of Cross-Regional 5G-Enabled Remote Robot-Assisted Laparoscopic Surgery: A Retrospective Case Series of 21 Patients.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Feasibility of robotic telesurgery over wired and private 5 G networks within Brazil's public health system (SUS): a pilot study.Clinics (Sao Paulo, Brazil) · 2026Article
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Authors and funding
10 authors.
Funding
Abstract
objectiveThe integration of 5G and robotics technology has been initially introduced in orthopedic surgeries. Research on 5G remote robot-assisted (RA) spinal surgery remains limited, with the existing literature notably lacking comparative analyses of outcomes between 5G remote and conventional robotic procedures. Herein, this study aims to investigate the clinical feasibility and safety of 5G remote RA percutaneous pedicle screw fixation, and compare the clinical and radiographic outcomes between 5G remote and conventional RA pedicle screw placement in single thoracolumbar fracture surgery.
methodsA total of 61 consecutive patients with single thoracolumbar fracture who undergoing pedicle screw placement using 5G remote (26 patients) and conventional (35 patients) RA techniques with a 1:1.3 ratio were retrospectively included. Matching was based on age, gender, and body mass index (BMI) to ensure comparability between the two groups. The clinical outcomes were mainly comprised of VAS and ODI scores, surgical time, and intraoperative blood loss; the radiographic outcomes included the preoperative and postoperative anterior vertebral height (AVH), middle vertebral height (MVH), posterior vertebral height (PVH), accuracy of pedicle screw placement assessed using Gertzbein-Robbins scale, and cranial facet joint violation (FJV) assessed using Babu scale.
resultsWhen compared to conventional RA techniques, the 5G remote RA techniques demonstrated comparable clinical outcomes in terms of postoperative VAS score, ODI scores, surgical durations, and intraoperative blood loss. Regarding the radiographic outcomes, the 5G remote RA techniques exhibited similar postoperative results to conventional RA techniques, including AVH, MVH, PVH, improvement ratios for AVH, MVH, and PVH compression. Moreover, the rates of optimal pedicle screw placement accuracy were 77.6% in the 5G remote group and 76.9% in the conventional group, indicating no significant difference. Similarly, the rates of cranial FJV in 5G remote and conventional RA groups were 19.0% and 18.3%, respectively, revealing no statistically significant difference.
conclusionsThe 5G remote RA techniques demonstrated comparable clinical and radiographic outcomes to conventional RA techniques, including relief from back pain (VAS scores), restoration of functional status (ODI scores), maintenance of vertebral height in the injured vertebra, accuracy of pedicle screw placement, and the incidence rate of cranial FJV. The integration of 5G and robotics technology is safe and feasible, yielding promising clinical and radiographic outcomes in thoracolumbar screw fixation surgery.
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