Evidence map›Paper›PMID 42387572›Full record

ArticleJournal of orthopaedic surgery and research2026

A comparative study of O-arm navigation-assisted OLIF 360 versus traditional OLIF combined with Mazor Renaissance robot-assisted posterior fixation for single-level lumbar spondylolisthesis: clinical and radiographic outcomes.

Yuanrun Wei, Haixin Wei, Lei Li, Wenhao Zhao, Hao Zhang, Xuexiao Ma, Yan Wang

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yuanrun Wei *The Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China.
Haixin Wei *The Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China.
Lei LiThe Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China.
Wenhao ZhaoThe Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China.
Hao ZhangThe Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China.
Xuexiao MaThe Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China. maxuexiaospinal@163.com.
Yan WangThe Affiliated Hospital of Qingdao University, 59 Haier Road, Laoshan District, Qingdao, Shandong Province, China. sanwang1986@163.com.

Funding

National Natural Science Foundation of China No. 82100940
6 · The paper itself

Abstract

purposeThis study aimed to compare the perioperative efficiency, clinical outcomes, and radiographic outcomes of single-position O-arm navigation-assisted oblique lumbar interbody fusion (OLIF) 360 with those of dual-position traditional OLIF combined with Mazor Renaissance robot-assisted posterior fixation in patients with single-level lumbar spondylolisthesis.

methodsThis retrospective study included 110 patients with single-level L4-L5 lumbar spondylolisthesis who underwent surgery between March 2022 and January 2025. Of these, 50 patients underwent traditional OLIF combined with robot-assisted posterior fixation, and 60 underwent O-arm navigation-assisted OLIF 360. The severity of spondylolisthesis was classified according to the Meyerding grading system. Baseline characteristics; intraoperative parameters, including operative time, estimated blood loss, and radiation dose; postoperative outcomes, including length of hospital stay, clinical scores, and radiographic changes; and fusion rates and complications were compared between the two groups.

resultsAll patients completed 12 months of postoperative follow-up. Both groups showed significant improvements in Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores compared with preoperative values (p < 0.05). No significant differences in VAS or ODI scores were observed between the groups at the 3- or 12-month follow-up. Compared with the robot-assisted group, the navigation-assisted group had a significantly shorter operative time, lower intraoperative blood loss, and lower total intraoperative radiation dose (p < 0.05). No significant intergroup differences were observed in the improvement rates of spinal canal area (SCA) or disc height (DH), changes in lumbar lordosis (LL), screw placement accuracy, or BSF-defined radiographic fusion rates.

conclusionO-arm navigation-assisted OLIF 360 was associated with improved perioperative efficiency, including shorter operative time, reduced intraoperative blood loss, and lower radiation exposure, while achieving clinical and radiographic outcomes comparable to those of traditional OLIF combined with robot-assisted posterior fixation. Screw placement accuracy and BSF-defined radiographic fusion rates were also similar between the two techniques.

Indexed as

Lumbar VertebraeRobotic Surgical ProceduresSpinal FusionSpondylolisthesisSurgery, Computer-AssistedAgedBlood Loss, SurgicalFemaleFollow-Up StudiesHumansMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeLumbar spondylolisthesisO-armOblique lumbar interbody fusionRadiation exposureRobot-assisted surgerySurgical outcomes

Identifiers

PMID42387572
PMCPMC13591872

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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.